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Interact CardioVasc Thorac Surg 2008;7:735. doi:10.1510/icvts.2008.174904A
© 2008 European Association of Cardio-Thoracic Surgery

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eComment

eComment: Intraoperative coronary and graft angiography in the treatment patients with coronary artery disease

Leo A. Bockeria, Ekaterina A. Trofimova, Aziz. H. Melikulov and Ashot M. Grigoryan

Bakoulev Scientific Center for Cardiovascular Surgery, Roublevskoye Shosse 135, 121552 Moscow, Russia

Intraoperative coronary angiography in postinfarction ventricular free wall rupture: how technology can change diagnostic and therapeutic timing

We read with interest the recent report by Augusto D'Onofrio and coworkers [1].

Intraoperative graft angiography is an important tool for quality control after coronary artery bypass grafting (CABG). Intraoperative angiography may represent a valid method for the diagnosis and treatment of patients with coronary artery disease [2]. On-table angiography saved a potential number of grafts that otherwise would have been occluded, and must be considered a necessary tool in the quality assessment of coronary artery bypass surgery [3].

We agree with the authors in the appropriateness of using intraoperative coronary and graft angiography in a hybrid operating room for diagnostic and therapeutic approach to exclude the fatal complications in patients with ischemic heart disease (IHD). Since July 2006 at the Bakoulev Center for CVS, RAMS, coronary and graft angiography has also been used if needed during open heart operations, including stenting in small and newborn children with pulmonary artery stenosis, patent ductus arteriosus – in summary 87 patients.


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  1. D'Onofrio A, Abbiate N, Magagna P, Fabbri A. Intraoperative coronary angiography in postinfarction ventricular free wall rupture: how technology can change diagnostic and therapeutic timing. Interact CardioVasc Thorac Surg 2008;7:733–735.[Abstract/Free Full Text]
  2. Slonim SM, Miller DC, Mitchell RS, Semba CP, Razavi MK, Dake MD. Percutaneous balloon fenestration and stenting for life-threatening ischemic complications in patients with acute aortic dissection. J Thorac Cardiovasc Surg 1999;117:1118–1127.[Abstract/Free Full Text]
  3. Hol PK, Lingaas PS, Lundblad R, Rein KA, Vatne K, Smith HJ, Nitter-Hauge S, Fosse E. Intraoperative angiography leads to graft revision in coronary artery bypass surgery. Ann Thorac Surg 2004;78:502–505.[Abstract/Free Full Text]

Related Article

Intraoperative coronary angiography in postinfarction ventricular free wall rupture: how technology can change diagnostic and therapeutic timing
Augusto D'Onofrio, Nicola Abbiate, Paolo Magagna, and Alessandro Fabbri
Interactive CardioVascular and Thoracic Surgery 2008 7: 733-735. [Abstract] [Full Text] [PDF]




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