Circulation, Vol 80, 1595-1602, Copyright © 1989 by American Heart Association
GP Aurigemma, N Reichek, L Axel, M Schiebler, C Harris and HY Kressel
Cine magnetic resonance imaging (MRI) is a gradient-recalled,
retrospectively gated, fast-scan technique that depicts laminar flowing
blood as bright signal and has been proposed as a useful method for
determination of coronary artery bypass graft (CABG) patency. Therefore, we
performed a blinded prospective study to assess the value of cine MRI
determination of CABG patency in 20 patients with 45 CABG proximal
anastomoses who were undergoing repeat angiography. Ten normal subjects
served as controls to define normal intrathoracic vascular patterns. There
were 21 left anterior descending (LAD) grafts, of which four were left
internal mammary (LIMA), 12 left circumflex (Cx), and 12 right coronary
(RCA) grafts. After localizing spin-echo coronal images were obtained,
multiple axial multislice interleaved cine MRI acquisitions, each
consisting of two to four 5-10-mm-thick slices at eight to 24 frames per
cardiac cycle, were obtained from the superior main pulmonary artery to the
inferior left ventricle. Each acquisition took 5-8 minutes with a
subsequent 5-10 minutes of computer image reconstruction. Total study time
per patient was 50-75 minutes. Known to cine MRI interpreters were the
original surgical CABG insertions but not the angiographic findings. A
graft was called patent if a bright graft flow signal, not corresponding to
a normal vessel, was identified on multiple frames at multiple levels
abutting the great vessels or epicardial surface of the heart.
Angiographically, there were 33 patent grafts, of which 29 were identified
as patent by cine MRI (sensitivity, 88%).(ABSTRACT TRUNCATED AT 250 WORDS)
ARTICLES
Noninvasive determination of coronary artery bypass graft patency by cine magnetic resonance imaging
Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia 19104.
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]
|
|
|
|
 |
|
 N I Stauder, B Klumpp, H Stauder, G Blumenstock, M Fenchel, A Kuttner, C D Claussen, and S Miller Assessment of coronary artery bypass grafts by magnetic resonance imaging Br. J. Radiol., December 1, 2007; 80(960): 975 - 983. [Abstract] [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]
|
|
|
|
 |
|
 J. Karski, G. Djaiani, J. Carroll, M. Iwanochko, P. Seneviratne, P. Liu, W. Kucharczyk, L. Fedorko, T. David, and D. Cheng Tranexamic acid and early saphenous vein graft patency in conventional coronary artery bypass graft surgery: A prospective randomized controlled clinical trial J. Thorac. Cardiovasc. Surg., August 1, 2005; 130(2): 309 - 314. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N I Stauder, A M Scheule, U Hahn, M Fenchel, F S Eckstein, U Kramer, C D Claussen, and S Miller Perioperative monitoring of flow and patency in native and grafted internal mammary arteries using a combined MR protocol Br. J. Radiol., April 1, 2005; 78(928): 292 - 298. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. I. Stauder, M. Fenchel, H. Stauder, A. Kuttner, A. M. Scheule, U. Kramer, C. D. Claussen, and S. Miller Assessment of minimally invasive direct coronary artery bypass grafting of the left internal thoracic artery by means of magnetic resonance imaging J. Thorac. Cardiovasc. Surg., March 1, 2005; 129(3): 607 - 614. [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]
|
|
|
|
 |
|
 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]
|
|
|
|
 |
|
 W. L. F. Bedaux, M. B. M. Hofman, S. L. A. Vyt, J. G. F. Bronzwaer, C. A. Visser, and A. C. van Rossum Assessment of coronary artery bypass graft disease using cardiovascular magnetic resonance determination of flow reserve J. Am. Coll. Cardiol., November 20, 2002; 40(10): 1848 - 1855. [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]
|
|
|
|
|
|
N. Ishida, H. Sakuma, B. P. Cruz, T. Shimono, T. Tokui, I. Yada, K. Takeda, and C. B. Higgins MR Flow Measurement in the Internal Mammary Artery-to-Coronary Artery Bypass Graft: Comparison with Graft Stenosis at Radiographic Angiography Radiology, August 1, 2001; 220(2): 441 - 447. [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]
|
|
|
|
 |
|
 E. Manasse, G. Sperti, H. Suma, C. Canosa, A. Kol, L. Martinelli, R. Schiavello, F. Crea, A. Maseri, and G. F. Possati Use of the Radial Artery for Myocardial Revascularization Ann. Thorac. Surg., October 1, 1996; 62(4): 1076 - 1082. [Abstract] [Full Text]
|
|
|
|
|
|
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]
|
|