Intraoperative Graft Patency Verification in Cardiac and Vascular Surgery

by Ancona, Giuseppe D.; Ricci, Marco; Salerno, Tomas A.; Bergsland, Jacob

• ISBN13: 9780879934880
• ISBN10: 0879934883
• Edition: 1st
• Format: Paperback
• Copyright: 2001-10-08
• Publisher: Wiley-Blackwell

Summary

Graft verification is a crucial aspect of successful cardiac and vascular surgery, as many complications seen in coronary surgery today are due to poor graft function. The incidence of surgical imperfections can be reduced only when adequate methods of intraoperative graft patency verification are adopted. If coronary surgery is to remain a major clinical modality in the treatment of coronary artery disease, assurance of graft patency by vascular flowmetry at the time of surgery is of critical importance. The first text ever written on the topic, this book summarizes the most recent scientific findings in vascular flowmetry and its application to intraoperative verification. Internationally recognized authorities in the field contribute their experience and opinion on the use of modern flowmetric technologies in cardiac and vascular surgery. Each of the book's 11 chapters describes a different aspect of the clinical applicability of intraoperative flowmetry, with the aim of educating readers to successfully incorporate the technique in their daily clinical practice. Cardiac and vascular surgeons, general surgeons, cardiologists and fellows will all benefit from the knowledge presented by this book.

Author Biography

Guido Beldi, MD Cardiovascular Surgery Department, University Hospital Inselspital, Bern, Switzerland Jacob Bergsland, MD Clinical Associate Professor of Surgery, Division of Cardiothoracic Surgery, State University of New York Buffalo; Director, Center for Less Invasive Cardiac Surgery, and Robotic Heart Surgery, Buffalo General Hospital, Buffalo, New York Andreas Bosshard, MD Cardiovascular Surgery Department, University Hospital Inselspital, Bern, Switzerland Carlos E. Brockmann, MD Cardiovascular Surgeon, Departments of Cardiovascular and Thoracic Surgery, Cardiology, and Biostatistics, University Clinics (Universite Catholique de Louvain), of Mont Godinne, Yvoir, Belgium Thierry Carrel, MD Professor of Cardiovascular Surgery, Cardiovascular Surgery Department, University Hospital Inselspital, Bern, Switzerland Patricia B. Cerrito, PhD Professor of Mathematics and Biostatistician, Jewish Hospital Heart and Lung Institute, University of Lousville, Louisville, Kentucky Giuseppe D'Ancona, MD Division of Cardiothoracic Surgery, State University of New York at Buffalo, Buffalo, New York Gabriele Di Giammarco, MD Division of Cardiac Surgery, San Camillo de Lellis Hospital, Chieti, Italy Harry W. Donias, M.D. General Surgery Resident, Department of Surgery, State University of New York at Buffalo, Buffalo, New York Erik Fosse, MD The Interventional Centre, Rikshospitalet, Oslo, Norway Olivier Gurne, MD, PhD Cardiologist, Departments of Cardiovascular and Thoracic Surgery, Cardiology, and Biostatistics, University Clinics (Universite Catholique de Louvain) of Mont Godinne, Yvoir, Belgium Otto M. Hess, MD Professor of Cardiology, Cardiovascular Surgery Department, University Hospital Inselspital, Bern, Switzerland Per Kristian Hol, MD The Interventional Centre, Rikshospitalet, Oslo, Norway Jacques Jamart, MD Biostastician, Departments of Cardiovascular and Thoracic Surgery, Cardiology, and Biostatistics, University Clinics (Universite Catholique de Louvain) of Mont Godinne, Yvoir, Belgium Hratch L. Karamanoukian, MD Clinical Assistant Professor of Surgery, Division of Cardiothoracic Surgery, State University of New York at Buffalo; Associate Director, Center for Less Invasive Cardiac Surgery, and Robotic Heart Surgery, Buffalo General Hospital, Buffalo, New York Steven C. Koenig, PhD Assistant Professor of Surgery, Jewish Hospital Cardiothoracic Surgical Research Institute at the University of Louisville, Department of Surgery, University of Louisville, Louisville, Kentucky Jesper Laustsen, MD Chief Vascular Surgeon, Department of Cardiothoratic and Vascular Surgery and Institute of Experimental Clinical Research, Aarhus University Hospital, Aarhus, Denmark Yves A.G. Louagie, PhD, MD Professor, Cardiovascular and Thoracic Surgeon, Departments of Cardiovascular and Thoracic Surgery, Cardiology and Biostatistics, University Clinics (Universite Catholique de Louvain) of Mont Godinne, Yvoir, Belgium Anders Lundell, MD, PhD Department of Vascular Diseases, Malmo/Lund, Malmo University Hospital, Malmo, Sweden Marco Ricci, MD, PhD Division of Cardiothoracic Surgery, University of Miami/Jackson Memorial Hospital, Miami, Florida Tomas A. Salerno, MD Professor and Chief, Division of Cardiothoracic Surgery, University of Miami/Jackson Memorial Hospital, Miami, Florida Susan Schmid, RN, RNFA Clinical Coordinator, Minimally Invasive Cardiac Surgery, Kaleida Health, Buffalo General Division, Buffalo, New York Paul A. Spence, MD Professor of Surgery, Jewish Hospital Cardiothoracic Surgical Research Institute at the University of Louisville, Department of Surgery, University of Louisville, Louisville, Kentucky Giuseppe Speziale, MD Staff Surgeon, Department of Thoracic and Cardiovascular Surgery, Villa Azzurra Rapallo, Genova, Italy Einar Stranden, PhD Professor, Department of Vascular Diagnosis and Research, Aker Hospital, University of Oslo, Oslo, Norway Beat H. Walpoth, MD Cardiovascular Surgery Department, University Hospital Inselspital, Bern, Switzerland

Table of Contents

Contributors	p. v
Introduction	p. ix
Rheology: The Physical Basis of Blood Flow	p. 1
Functional and Anatomical Tests to Evaluate Graft Patency after Vascular Surgery Procedures: Principles and Clinical Applications	p. 27
Transit Time Flow Measurement: Principles and Clinical Applications	p. 65
Use of Transit Time Flow Measurement in Vascular and General Surgery	p. 71
Competitive Flow and Steal Phenomenon in Coronary Surgery	p. 81
Transit Time Flow Measurement in Off-Pump Coronary Surgery Bypass Grafting: The Buffalo Experience	p. 97
Formal Flow in Coronary Surgery	p. 121
Automated Classification Procedures and Neural Network Models to Predict the Level of Anastomotic Stenosis in Off-Pump CABG Surgery	p. 143
Intraoperative Graft Patency Verification: Coronary Angiography Versus Transit Time Flow Measurement	p. 157
Intrapoerative Flow Measurements: Predictive Value for Postoperative Angiographic Follow-up	p. 167
Transit Time Flow Measurements: From Bench to Bedside	p. 191
Exercise in Graft Patency Verification in Coronary Artery Surgery	p. 201
Index	p. 245
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