Pre operative trans thoracic doppler ultrasonography evaluation and intraoperative manual evaluation of the left internal thoracic artery in patients with type 2 diabetes with coronary artery disease
Yükleniyor...
Dosyalar
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
J Int Med Res
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Patients with coronary artery disease,
with (n = 25) and without (n = 59) type 2
diabetes, who were scheduled to undergo
coronary artery bypass grafting were
enrolled in this prospective study. The left
internal thoracic artery (LITA) was
assessed for graft suitability before surgery
by trans-thoracic Doppler ultrasonography
and during surgery by
manual measurement. Significant
differences were seen between preoperative
and intra-operative LITA blood
flow rates and LITA diameters, and the
values of each at the two time points
showed significant correlation, suggesting
that pre-operative measurements largely
related to intra-operative conditions. The
pre-operative and intra-operative LITA
blood flow rates and LITA diameters were
not significantly different between
patients with and without type 2 diabetes.
Pre-operative LITA blood flow was
monophasic in three patients without
diabetes and the LITA grafts of these
patients were deemed unsuitable for
implantation during surgery. It is
concluded that type 2 diabetes does not
seem to have a negative effect on the
suitability of LITA grafts. In addition,
trans-thoracic Doppler ultrasonography is
an easy, cost-effective, reproducible and
non-invasive examination method, which
may help in the evaluation of LIMA
function and contribute to graft selection.
Açıklama
Anahtar Kelimeler
Trans-thoracic doppler ultrasonography, Internal thoracıc artery, Dıabetes mellıtus, Coronary artery bypass graft, Coronary artery dısease
Kaynak
J Int Med Res
WoS Q Değeri
Scopus Q Değeri
Cilt
39
Sayı
Künye
Cihan, H. B. Erbaş, F. Erdil, N. Sığırcı, A. Battaloğlu, B. Yoloğlu, S. (2011). Pre operative trans thoracic doppler ultrasonography evaluation and intraoperative manual evaluation of the left internal thoracic artery in patients with type 2 diabetes with coronary artery disease. J Int Med Res. 39, 277-283.
