Cited 3 times in
Postoperative Functional Outcome After Off-Pump Versus On-Pump Coronary Artery Bypass Grafting Using Gated Myocardial SPECT: A Comparison by Propensity Score Analysis
DC Field | Value | Language |
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dc.contributor.author | 강원준 | - |
dc.date.accessioned | 2015-04-23T17:15:09Z | - |
dc.date.available | 2015-04-23T17:15:09Z | - |
dc.date.issued | 2010 | - |
dc.identifier.issn | 1869-3474 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/102110 | - |
dc.description.abstract | Purpose : We evaluated the short-term and mid-term differences in perfusion and function after off-pump and on-pump coronary artery bypass grafting (CABG) using gated myocardial single photon emission computed tomography. Materials and Methods: A total of 70 patients with coronary artery disease who underwent CABG were included based on the propensity score matching results from 165 patients. Thirty-five patients underwent off-pump and 35 patients on-pump CABG. Rest 201Tl/dipyridamole stress 99 mTc-methoxyisobutylisonitrile gated single photon emission computed tomographies were performed preoperatively and postoperatively at short-term (103 ± 23 days after surgery) and mid-term follow-up (502 ± 111 days after surgery). Changes in left ventricular ejection fraction, end systolic volume, stress and rest segmental perfusion, and segmental wall thickening were compared between the two groups. The segments with preoperative rest 201Tl uptake under 60% of maximum uptake were included in the segmental analysis. Results : Left ventricular ejection fraction (P = 0.001) and end systolic volume (P = 0.008) showed significant improvement in both groups. There were no significant short-term and mid-term differences between the two groups in terms of left ventricular ejection fraction (P = 0.309) and end systolic volume (P = 0.938). Likewise, segmental rest (P = 0.178) and stress perfusion (P = 0.071), and systolic wall thickening (P = 0.241) showed significant improvement in both groups with similar time courses. Conclusion : Off-pump CABG resulted in significant improvements in left ventricular ejection fraction, end systolic volume, and regional myocardial perfusion and function that are comparable to on-pump CABG at short-term and mid-term. Gated myocardial SPECT successfully revealed that off-pump CABG is as good as on-pump CABG from the viewpoint of myocardial perfusion and function. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 110~115 | - |
dc.relation.isPartOf | NUCLEAR MEDICINE AND MOLECULAR IMAGING | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Postoperative Functional Outcome After Off-Pump Versus On-Pump Coronary Artery Bypass Grafting Using Gated Myocardial SPECT: A Comparison by Propensity Score Analysis | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Nuclear Medicine (핵의학) | - |
dc.contributor.googleauthor | Jong Jin Lee | - |
dc.contributor.googleauthor | Won Jun Kang | - |
dc.contributor.googleauthor | Jin Chul Paeng | - |
dc.contributor.googleauthor | Dong Soo Lee | - |
dc.contributor.googleauthor | Ki-Bong Kim | - |
dc.contributor.googleauthor | June-Key Chung | - |
dc.contributor.googleauthor | Myung Chul Lee | - |
dc.identifier.doi | 10.1007/s13139-010-0025-0 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00062 | - |
dc.relation.journalcode | J02383 | - |
dc.identifier.eissn | 1869-3482 | - |
dc.identifier.url | http://link.springer.com/article/10.1007/s13139-010-0025-0# | - |
dc.subject.keyword | Cardiopulmonary bypass | - |
dc.subject.keyword | Coronary artery disease | - |
dc.subject.keyword | Gated myocardial single photon emission computed tomography | - |
dc.subject.keyword | Off-pump coronary artery bypass grafting | - |
dc.contributor.alternativeName | Kang, Won Jun | - |
dc.contributor.affiliatedAuthor | Kang, Won Jun | - |
dc.citation.volume | 44 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 110 | - |
dc.citation.endPage | 115 | - |
dc.identifier.bibliographicCitation | NUCLEAR MEDICINE AND MOLECULAR IMAGING, Vol.44(2) : 110-115, 2010 | - |
dc.identifier.rimsid | 49551 | - |
dc.type.rims | ART | - |
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