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- Title
Non-invasive magnetic resonance imaging of coronary bypass grafts. Comparison of the haste- and navigator techniques with conventional coronary angiography.
- Authors
Wittlinger, Th.; Voigtländer, T.; Kreitner, K.F.; Kalden, P.; Thelen, M.; Meyer, J.
- Abstract
Objective: The aim was the study was to evaluate the patency of coronary artery bypass grafts with the 3D Navigator and the Haste magnetic resonance imaging techniques. Material and methods: Thirty-four patients with 82 grafts (18 internal mammarian artery and 64 saphenous venous grafts) were examined at 1.5 T using a phased arrray body coil. A 2D T-2 weighted turbo spin echo sequence (Haste) and a 3D-angiography sequence in navigator technique were used. Reference method was the conventional coronary angiography that was performed within 7 days. Results: With the HASTE sequence 54 of 56 patent and 12 of the 16 occluded grafts were recognized, the sensitivity and specificity was 96 and 75%. The distal anastomosis could be assessed in 28 of 76 cases. With the Haste sequence 54 of the 56 patent and 12 of the 14 occluded grafts were detected correctly. Eight patent and two occluded grafts were judged as not assessable. The sensitivity and specificity was 96 and 85%. Sixty-six percent (50/76) of the distal anastomosis were identified correctly. With both sequences none of the bypass stenosis could be detected. Conclusions: The patency of coronary bypass grafts can be evaluated noninvasively with a sensitivity of 96% and a specificity of 76%. No inference can be made with respect to the nature of bypass graft stenosis. Better results can be expected with the development of a blood pool contrast medium, an improvement of the spatial resolution and in the combination of flow measurements.
- Publication
International Journal of Cardiovascular Imaging, 2002, Vol 18, Issue 6, p469
- ISSN
1569-5794
- Publication type
Article
- DOI
10.1023/A:1021149420323