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eComment: Flow measurements are extremely useful in CABG

Benetti Foundation, Alem 1846 Rosario, Argentina

Intraoperative graft flow measurements during coronary artery bypass surgery predict in-hospital outcomes

This is an important paper as it underscores the importance of utilizing MediStim transit time flow measurement (TTFM) intraoperatively [1]. In my experience, I generally revise all grafts with a Pulsatility Index (P.I.) greater than 5. In off-pump cases, I have found that those grafts with a P.I. above 5 almost always have a correctable problem. The only exceptions have been in those instances where there is a large discrepancy between the size of the conduit and the target vessel and where the target vessel is very short. In on-pump coronary bypass procedures, another important consideration is the existence of spasm resulting from cold areas of the heart following cardioplegia.

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1. Herman CR, Sullivan JA, Buth KJ, Legare JF. Intraoperative graft flow measurements during coronary artery bypass surgery predict in-hospital outcomes. Interact CardioVasc Thorac Surg 2008;7:582–585.[Abstract/Free Full Text]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Federico Benetti Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Benetti, F. Search for Related Content PubMed Articles by Benetti, F. Related Collections Related Article