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Clin Imaging. 2014 Sep-Oct;38(5):571-9. doi: 10.1016/j.clinimag.2014.04.009. Epub 2014 May 09.

Coronary artery bypass graft imaging with 256-slice MDCT: surgical concepts, current techniques, and interpretation.

Clinical imaging

Noémie H Rau, Philipp Rau, Anne S Chin, Yves Provost, Louis-Mathieu Stevens, Nicolas Noiseux, Carl Chartrand-Lefebvre

Affiliations

  1. CHUM Radiology department. Electronic address: [email protected].
  2. CHUM Radiology department. Electronic address: [email protected].
  3. CHUM Radiology department. Electronic address: [email protected].
  4. CHUM Radiology department. Electronic address: [email protected].
  5. CHUM Cardiac Surgery Service; CHUM Research Center. Electronic address: [email protected].
  6. CHUM Cardiac Surgery Service; CHUM Research Center. Electronic address: [email protected].
  7. CHUM Radiology department; CHUM Research Center. Electronic address: [email protected].

PMID: 24976306 DOI: 10.1016/j.clinimag.2014.04.009

Abstract

Multidetector computed tomography (MDCT) scanners with current equipment allow for a rapid and robust noninvasive assessment of coronary artery bypass graft (CABG) anatomy and patency. With both appropriate expertise in MDCT techniques and knowledge in CABG imaging interpretation, radiologists should play an important and active role in the postoperative care of patients with bypass grafts. In this pictorial essay, we review the MDCT techniques and anatomy relevant to CABG imaging, interpretation pitfalls, some basic and advanced surgical designs, as well as postoperative graft complications in patients with CABG, with clinical illustrations from our local experience.

Copyright © 2014 Elsevier Inc. All rights reserved.

Keywords: Cardiac surgery; Computed tomography; Coronary artery bypass graft; Coronary artery disease; Internal mammary graft; Saphenous vein graft

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