|
|
||||||||
Radiology, Vol 164, 681-686, Copyright © 1987 by Radiological Society of North America
ARTICLES |
RD White, GR Caputo, AS Mark, GW Modin and CB Higgins
A noninvasive means of determining coronary artery bypass graft (CABG) patency in symptomatic patients would be an important clinical asset. The accuracy of magnetic resonance (MR) imaging was evaluated for this purpose. Multiphasic electrocardiographically gated MR imaging examinations were performed in 25 patients with a total of 72 grafts. Transverse images of the heart at ten anatomic levels were obtained at five or six phases of the cardiac cycle. The MR images were read blindly to determine CABG patency versus occlusion, and these results were compared with those of coronary angiography performed within 2 months before the MR imaging. MR imaging correctly disclosed 43 patent grafts and 13 occluded grafts (predictive accuracy, 78%). Patency and occlusion were incorrectly diagnosed from MR imaging findings in five and four CABGs, respectively. CABG status could not be determined in seven (10%) grafts because the grafts were visualized at only one anatomic level. Thus, the accuracy of a definitive MR imaging evaluation was 91% (43 of 47 grafts) for patency determination and 72% (13 of 18 grafts) for occlusion determination. MR imaging appears to be a useful method for the noninvasive evaluation of CABGs.
This article has been cited by other articles:
![]() |
D. A. Bluemke, S. Achenbach, M. Budoff, T. C. Gerber, B. Gersh, L. D. Hillis, W. G. Hundley, W. J. Manning, B. F. Printz, M. Stuber, et al. Noninvasive Coronary Artery Imaging: Magnetic Resonance Angiography and Multidetector Computed Tomography Angiography: A Scientific Statement From the American Heart Association Committee on Cardiovascular Imaging and Intervention of the Council on Cardiovascular Radiology and Intervention, and the Councils on Clinical Cardiology and Cardiovascular Disease in the Young Circulation, July 29, 2008; 118(5): 586 - 606. [Full Text] [PDF] |
||||
![]() |
T. Wittlinger, O. Dzemali, I. Martinovic, and A. Moritz Assessment of coronary artery bypass grafts patency with different magnetic resonance technologies. Eur. J. Cardiothorac. Surg., September 1, 2006; 30(3): 436 - 442. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. J. Pennell, U. P. Sechtem, C. B. Higgins, W. J. Manning, G. M. Pohost, F. E. Rademakers, A. C. van Rossum, L. J. Shaw, and E. K. Yucel Clinical indications for cardiovascular magnetic resonance (CMR): Consensus Panel report Eur. Heart J., November 1, 2004; 25(21): 1940 - 1965. [Full Text] [PDF] |
||||
![]() |
S. Dhawan, K. C. Dharmashankar, and T. Tak Role of Magnetic Resonance Imaging in Visualizing Coronary Arteries Clin. Med. Res., August 1, 2004; 2(3): 173 - 179. [Abstract] [Full Text] [PDF] |
||||
![]() |
K.-J. Yoo, D. Choi, B. W. Choi, S.-H. Lim, and B.-C. Chang The comparison of the graft patency after coronary artery bypass grafting using coronary angiography and multi-slice computed tomography Eur. J. Cardiothorac. Surg., July 1, 2003; 24(1): 86 - 91. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. A Abdel Aziz, P. Kumar, N. Bazargani, E. Al-Hato, and N. Al Khaja Assessment of Coronary Bypass Graft Patency by Electron-Beam Computed Tomography Asian Cardiovasc Thorac Ann, June 1, 2003; 11(2): 102 - 106. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. H. Bunce, C. H. Lorenz, A. S. John, J. R. Lesser, R. H. Mohiaddin, and D. J. Pennell Coronary Artery Bypass Graft Patency: Assessment with True Fast Imaging with Steady-State Precession versus Gadolinium-enhanced MR Angiography Radiology, May 1, 2003; 227(2): 440 - 446. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. E. Langerak, H. W. Vliegen, J. W. Jukema, P. Kunz, A. H. Zwinderman, H. J. Lamb, E. E. van der Wall, and A. de Roos Value of Magnetic Resonance Imaging for the Noninvasive Detection of Stenosis in Coronary Artery Bypass Grafts and Recipient Coronary Arteries Circulation, March 25, 2003; 107(11): 1502 - 1508. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. E. Langerak, H. W. Vliegen, A. de Roos, A. H. Zwinderman, J. W. Jukema, P. Kunz, H. J. Lamb, and E. E. van der Wall Detection of Vein Graft Disease Using High-Resolution Magnetic Resonance Angiography Circulation, January 22, 2002; 105(3): 328 - 333. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. K. Yucel, C. M. Anderson, R. R. Edelman, T. M. Grist, R. A. Baum, W. J. Manning, A. Culebras, and W. Pearce Magnetic Resonance Angiography : Update on Applications for Extracranial Arteries Circulation, November 30, 1999; 100(22): 2284 - 2301. [Full Text] [PDF] |
||||
![]() |
P. Brenner, B. Wintersperger, A. von Smekal, V. Agirov, D. Bohm, E. Kreuzer, M. Reiser, and B. Reichart Detection of coronary artery bypass graft patency by contrast enhanced magnetic resonance angiography Eur. J. Cardiothorac. Surg., April 1, 1999; 15(4): 389 - 393. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. A. Galjee, A. C. van Rossum, T. Doesburg, M. J. van Eenige, and C. A. Visser Value of Magnetic Resonance Imaging in Assessing Patency and Function of Coronary Artery Bypass Grafts : An Angiographically Controlled Study Circulation, February 15, 1996; 93(4): 660 - 666. [Abstract] [Full Text] |
||||
![]() |
E. E. van der Wall, H. W. Vliegen, A. de Roos, and A. V.G. Bruschke Magnetic Resonance Imaging in Coronary Artery Disease Circulation, November 1, 1995; 92(9): 2723 - 2739. [Abstract] [Full Text] |
||||
![]() |
R. M. MacMillan, J. Ivanoff, M. Tulchinsky, and K. Chandrasekaran Clinical Application of Magnetic Resonance Imaging of the Heart and Great Vessels Angiology, September 1, 1992; 43(9): 709 - 719. [Abstract] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| RADIOLOGY | RADIOGRAPHICS | RSNA JOURNALS ONLINE |