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178278

ASSESMENT OF CORONARY ARTERY BYPASS GRAFTS BY MULTIDETECTOR CT

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Surgery

Abstract

Background: Multidetector computed tomography (MDCT) had made a revolution in coronary artery bypass grafts (CABG) evaluation due to high temporal and spatial resolution beside it is beingnon invasive and highly effective in assessment of extra coronary manifestations. Objective: To evaluate the feasibility of high-quality multi-detector computed tomography ((MDCT) in assessment of CABG patients in comparison with conventional coronary angiography. Patients and methods: Fifty patients were enrolled for ECG gated CT of coronary arteries bypass grafts between MAY 2020 and September 2020. Patients subjected to conventional coronary angiography within 10days after MDCT exam. at Al-Hussein University Hospital.  Administration of beta blocker and nitroglycerin was done prior to CT exam. Breath hold training was mandatory. Results: Forty six grafts were arterial and 74 were venous. Thirty six of the arterial grafts (78.2 %) were patent, 6 (13 %) were significantly narrowed and 4 (8.8 %) were completely occluded. Regarding venous grafts, 52 (70.2 %) of them were patent, 14 (19 %) were significantly narrowed, 8 (10.8 %) were completely occluded. CT angiography compared to the conventional angiography as a gold standard technique gave us a sensitivity of 100%, a specificity of about 98% and an accuracy of about 93.6% in the assessment of any type of coronary artery grafts. Conclusion: Multi Detector CT is considered the imaging modality of choice at the current days to evaluate the patency and stenosis of coronary artery bypass grafts than the conventional coronary angiography due to its multiple drawbacks.

DOI

10.21608/amj.2021.178278

Keywords

MDCT, CABGs, Coronary Artery Disease

Authors

First Name

El-Sayed

Last Name

Ahmed Saeed Ahmed

MiddleName

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Affiliation

Department of Radiology, Faculty of Medicine, Al-Azhar University

Email

doc.elsayed@gmail.com

City

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Orcid

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First Name

Ahmed

Last Name

Abd El-Fattah Abu-Rashed

MiddleName

-

Affiliation

Department of Radiology, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Mahmoud

Last Name

Ibrahim El-Shamy

MiddleName

-

Affiliation

Department of Radiology, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Ismail

Last Name

Nasr El-Sokkary

MiddleName

-

Affiliation

Department of Cardiothorathic Surgery, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

Volume

50

Article Issue

3

Related Issue

25707

Issue Date

2021-07-01

Receive Date

2021-06-17

Publish Date

2021-07-01

Page Start

1,833

Page End

1,840

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_178278.html

Detail API

https://amj.journals.ekb.eg/service?article_code=178278

Order

23

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

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-

Details

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Article

Created At

22 Jan 2023