“…Therefore, a precise patient history and detailed information on the grafting performed is crucial for a proper evaluation. Dewey et al report on 75 bypass grafts they evaluated, of which 99% of the distal anastomoses were described as eligible for assessment [29]. However, in our results visualization of the distal anastomosis was equal in both groups.…”
Significantly better imaging of all bypass types is possible using 16-row MDCT as compared to 4-row MDCT. Assessment of the distal anastomosis yields no difference between 4- and 16-row technology.
“…Therefore, a precise patient history and detailed information on the grafting performed is crucial for a proper evaluation. Dewey et al report on 75 bypass grafts they evaluated, of which 99% of the distal anastomoses were described as eligible for assessment [29]. However, in our results visualization of the distal anastomosis was equal in both groups.…”
Significantly better imaging of all bypass types is possible using 16-row MDCT as compared to 4-row MDCT. Assessment of the distal anastomosis yields no difference between 4- and 16-row technology.
“…Bypass grafts are well shown by MDCT [26,89,90,91,92,93,94,95,96,97]. Saphenous vein grafts are usually larger than the native coronary arteries and move less with cardiac motion than the native vessels.…”
Section: Assessment After Revascularizationmentioning
confidence: 99%
“…6). Feasibility of assessing distal anastomosis has been reported for 74% [93], 94% [26] and 99% of grafts [90]. Distal to the anastomosis, the coronary vessel may be relatively small and more difficult to assess for significant narrowing.…”
Section: Assessment After Revascularizationmentioning
Contrast-enhanced multidetector-row computed tomography (MDCT) is now capable of providing high-quality noninvasive views of cardiac anatomy and ‘instant’ noninvasive coronary angiography. With current generation 64-slice scanners, MDCT can be performed in most patients with minimal patient discomfort and high diagnostic accuracy. MDCT may obviate the need for invasive diagnostic angiography in patients with borderline symptoms or equivocal noninvasive testing. It is useful in assessing the symptomatic patient postrevascularization and in emergency room triage in selected patients with chest pain. Calcified vessels are still difficult to assess, as is the accurate evaluation of implanted coronary stents. The volume of contrast material required for proper opacification limits the use of MDCT in patients with renal dysfunction, but newer emerging technologies will greatly improve these disadvantages in the near future. MDCT is expected to become an integral part of our diagnostic armamentarium in the cardiac patient.
“…Various authors [21][22][23][24][25][26][27][28] have studied patients who had undergone surgical revascularization using multislice CTs. The angio-CT technique proved to be precise for the evaluation of various types of anastomosis and coronary artery bypass grafts (fi g.5), in various locations, in patients that were asymptomatic or had angina symptoms.…”
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