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관상동맥 우회술후 다절편 전산화단층촬영 혈관조영술을 통한 우회도관의 개통성에 대한 비침습적 평가

Other Titles
 Noninvasive Follow-up of Coronary Artery Bypass Graft Patency Using Multi-Slice Computed Tomography 
Authors
 Seung Ho Joo  ;  Byoung Wook Choi  ;  Jae Seung Seo  ;  Young-jin Kim  ;  Tae Hoon Kim  ;  Kyu Ok Choe  ;  Donghoon Choi  ;  Kyung-jong Yoo 
Citation
 Journal of the Korean Society of Radiology, Vol.55(5) : 451-459, 2006 
Journal Title
 Journal of the Korean Society of Radiology 
ISSN
 1738-2637 
Issue Date
2006
Keywords
Computed tomography (CT) ; Coronary vessels, surgery ; Grafts ; Graft patency
Abstract
Purpose: We wanted to evaluate the utility of multi-slice computerized tomography (MSCT) for assessing coronary artery bypass graft patency and/or occlusion. Materials and Methods: For 24 patients, both conventional angiography and CT angiography with 4-MSCT were performed within seven days of one another in order to evaluate the accuracy of MSCT with regard to graft patency and/or occlusion. A follow-up CT angiogram was performed in patients with and without symptoms (n=11, n=34, respectively) with 4- or 16-MSCT. We retrospectively compared the results of MSCT to those of conventional coronary graft angiography. Results: Sixty-five grafts were evaluated for the accuracy of MSCT. Six of those 65 were occluded. The sensitivity, specificity, positive predictive value and negative predictive values of MSCT for the diagnosis of graft occlusion were 100% (6/6), 98% (58/59), 86% (6/7) and 100% (58/58), respectively. Patency could not be determined by angiography in two grafts; however, the grafts proved to be patent on MSCT. On follow-up, new graft occlusions in the asymptomatic patients were detected by MSCT in 8.2% of the previously patent grafts at the two years post-op, and in 15.2% at the three years post-op. Conclusion: MSCT is a practical and accurate noninvasive diagnostic tool for following up coronary artery bypass grafts.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Young Jin(김영진) ORCID logo https://orcid.org/0000-0002-6235-6550
Kim, Tae Hoon(김태훈) ORCID logo https://orcid.org/0000-0003-3598-2529
Seo, Jae Seung(서재승)
Yoo, Kyung Jong(유경종) ORCID logo https://orcid.org/0000-0002-9858-140X
Joo, Seung Ho(주승호)
Choe, Kyu Ok(최규옥)
Choi, Dong Hoon(최동훈) ORCID logo https://orcid.org/0000-0002-2009-9760
Choi, Byoung Wook(최병욱) ORCID logo https://orcid.org/0000-0002-8873-5444
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/110992
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