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(Radiology. 2000;217:278-283.)
© RSNA, 2000


Technical Developments

Coronary Artery Bypass Grafts: Improved Electron-Beam Tomography by Prolonging Breath Holds with Preoxygenation1

Christian N. H. Enzweiler, MD, Dietmar E. Kivelitz, MD, Till H. Wiese, MD, Matthias Taupitz, MD, Sebastian Höhn, MD, Adrian C. Borges, MD, Lars Pietsch, MD, Pascal Dohmen, MD, Gert Baumann, MD and Bernd Hamm, MD

1 From the Departments of Radiology (C.N.H.E., D.E.K., T.H.W., M.T., S.H., B.H.), Internal Medicine I (A.C.B., G.B.), and Cardiovascular Surgery (L.P., P.D.), Charité, Humboldt-Universität Berlin, Schumannstrasse 20/21, 10098 Berlin, Germany. Received July 16, 1999; revision requested September 1; revision received January 7, 2000; accepted February 7. Address correspondence to C.N.H.E. (e-mail: christian.enzweiler@charite.de).

In 45 patients with coronary bypass grafts, the breath-hold interval with and that without preoxygenation was measured. Its effect on depiction of the distal graft anastomosis at electron-beam tomography was evaluated. Preoxygenation prolonged the breath-hold interval in most patients, thereby allowing greater anatomic coverage including more distal anastomoses. Preoxygenation may improve scanning of coronary bypass grafts and increase detectability of graft stenoses.

Index terms: Computed tomography (CT), electron beam, 54.12112, 54.12116, 54.12117, 54.12118, 54.12119 • Coronary angiography, comparative studies, 54.1244 • Coronary vessels, CT, 54.1211 • Coronary vessels, stenosis or obstruction, 54.754




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