使用多普勒导丝评估体外循环术后患者左乳内动脉移植血管至肺动脉分流的血流动力学意义。
Assessment of the hemodynamic significance of a left internal mammary artery graft-pulmonary artery shunt in a post-bypass patient using a Doppler-tipped guide wire.
作者信息
Reis S E, Gloth S T, Brinker J A
机构信息
Department of Medicine, Johns Hopkins University, Baltimore, MD 21287.
出版信息
Cathet Cardiovasc Diagn. 1993 May;29(1):52-6. doi: 10.1002/ccd.1810290112.
We assessed the hemodynamic significance of a left internal mammary artery (LIMA) graft-pulmonary artery (PA) fistula in a post-bypass patient with chest pain. A Doppler-tipped guide wire and quantitative coronary angiography (QCA) were used to demonstrate that flow through the proximal LIMA (14.0 ml/min) was similar to the distal LIMA's contribution of flow to the left anterior descending artery (LAD) (15.6 ml/min), suggesting that the fistula was not hemodynamically significant. Therefore, intravascular Doppler and quantitative angiography may be used to assess the hemodynamic significance of a LIMA-PA fistula in a post-bypass patient.
我们评估了一名体外循环后胸痛患者左乳内动脉（LIMA）移植血管-肺动脉（PA）瘘的血流动力学意义。使用带有多普勒探头的导丝和定量冠状动脉造影（QCA）来证明，通过LIMA近端的血流量（14.0毫升/分钟）与LIMA远端向左前降支动脉（LAD）供血的血流量（15.6毫升/分钟）相似，这表明该瘘在血流动力学上无显著意义。因此，血管内多普勒和定量血管造影可用于评估体外循环后患者LIMA-PA瘘的血流动力学意义。
Zotero 插件