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.
Introduction Contents 1. Rheology: The Physical Basis of Blood Flow Harry W. Donias, Hratch L. Karamanoukian, Giuseppe D'Ancona 2. Functional and Anatomical Tests to Evaluate Graft Patency after Vascular Surgery Procedures: Principles and Clinical Applications Einar Stranden 3. Transit Time Flow Measurement: Principles and Clinical Applications Jasper Laustsen 4. Use of Transit Time Flow Measurement in Vascular and General Surgery Anders Lundell 5. Competitive Flow and Steal Phenomenon in Coronary Surgery Giuseppe Speziale 6. Transit Time Flow Measurement in Off-Pump Coronary Surgery Bypass Grafting: The Buffalo Experience Guiseppe D'Ancona, Hratch L. Karamanoukian, Marco Ricci, Tomas A. Salerno, Jacob Bergsland 7. Formal Flow in Coronary Surgery Gabriele Di Giammarco 8. Automated Classification Procedures and Neural Network Models to Predict the Level of Anastomotic Stenosis in Off-Pump CABG Surgery Patricia B. Cerrito, Steven C. Koenig, Paul A. Spence 9. Intraoperative Graft Patency Verification: Coronary Angiography Versus Transit Time Flow Measurement Erik Fosse, Per Kristian Hol 10. Intraoperative Flow Measurements: Predictive Value for Postoperative Angiographic Follow-Up Yves A.G. Louagie, Carlos E. Brockmann, O. Gurne, Jacques Jamart 11. Transit Time Flow Measurements: From Bench to Bedside Beat H. Walpoth, Guido Beldi, Andreas Bosshard, Otto M. Hess, Thierry Carrel Appendix: Exercise in Graft Patency Verification in Coronary Artery Surgery Susan Schmid, Giuseppe D'Ancona, Hratch L. Karamanoukian, Marco Ricci, Tomas A. Salerno, Jacob Bergsland Index