Achados de imagem da revascularização do miocárdio pela tomografia computadorizada por múltiplos detectores - onde estão os enxertos? Ensaio iconográfico

Translated title of the contribution: Imaging findings of myocardial revascularization at multidetector computed tomography - where are the bypass grafts?: An iconographic essay

Marcelo Targa Ripari, Rogério Santaniello, Roberto Sasdelli Neto, César Higa Nomura, Rodrigo Caruso Chate, Rodrigo Bastos Duarte Passos, Fernando Uliana Kay, Buarque de Gusmão Funari

Research output: Contribution to journalArticlepeer-review

Abstract

Multidetector coronary computed tomography angiography is a precise method for evaluating post-coronary revascularization arterial and venous bypass grafts, and is somehow superseding coronary catheterization that is an invasive and more expensive technique. The present iconographic essay is aimed at anatomically demonstrating the bypass grafts most frequently utilized, how to differentiate between arterial and venous grafts and how to find them. The studies were performed in 64-row multidetector computed tomography equipment, with breath hold, controlled heart rate and appropriate protocols with later MPR, MIP and 3D reconstructions according to electrocardiogram. The localization of the bypass grafts and anastomoses at computed tomography studies focused on chest and coronary arteries may represent a difficulty in the images analysis by the radiologist who is not familiar with the matter, so the knowledge of the surgical techniques adopted and possible courses of the saphenous bypass grafts and arterial grafts can aid in the analysis of both studies, avoiding diagnostic errors.

Translated title of the contributionImaging findings of myocardial revascularization at multidetector computed tomography - where are the bypass grafts?: An iconographic essay
Original languagePortuguese
Pages (from-to)327-331
Number of pages5
JournalRadiologia Brasileira
Volume42
Issue number5
DOIs
StatePublished - 2009

Keywords

  • Coronary artery bypass graft
  • Multidetector coronary computed tomography angiography
  • Saphenous bypass graft

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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