Diagnostic accuracy of Doppler ultrasonography for assessment of internal thoracic artery graft patency
The main purpose of this study was to assess the patency of left internal thoracic artery (LITA) graft by using color Doppler ultrasonography (CDUSG) and furthermore to determine the sensitivity and specificity of CDUSG for patency by using coronary angiography as the reference standard. This study...
Saved in:
Published in | Anadolu kardiyoloji dergisi : AKD Vol. 14; no. 3; pp. 286 - 291 |
---|---|
Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Turkey
Kare Publishing
01.05.2014
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | The main purpose of this study was to assess the patency of left internal thoracic artery (LITA) graft by using color Doppler ultrasonography (CDUSG) and furthermore to determine the sensitivity and specificity of CDUSG for patency by using coronary angiography as the reference standard.
This study is an observational cohort study on diagnostic accuracy that was held between August 2008 and October 2009. CDUSG was performed in 138 consecutive patients who had angina symptom or positive ischemic findings following coronary artery bypass surgery. LITA blood flow velocity at peak-systole (PSV), diastole (PDV) and end-diastole (EDV) was recorded. All patients were also assessed by coronary angiography for LITA graft patency. Statistical analysis was performed by using independent samples t-test, Mann-Whitney U test, chi-square test and receiver operating curve analyses (ROC).
Seventy-eight of all patients had functional LITA grafts and 59 patients had dysfunctional LITA grafts according to CDUSG-derived parameters, whereas we cannot conclude about one patient's LITA graft functionality. The LITA grafts were visualized angiographically in all cases. Of all 138 patients, 60 patients had dysfunctional LITA grafts after angiographic evaluation. The ROC analyses showed that PDV (AUC=0.899, 95% CI 0.844 to 0.953; p<0.001) and EDV (AUC=0.900; 95% CI 0.847 to 0.953; p<0.001) values were also strongly associated with graft functionality. We found out that CDUSG predicts LITA graft functionality with a sensitivity and specificity of 100% and 98.4% respectively. The accuracy of the CDUSG was calculated as 99.3%.
CDUSG is a reliable non-invasive method for assessment of LITA graft patency. |
---|---|
AbstractList | OBJECTIVEThe main purpose of this study was to assess the patency of left internal thoracic artery (LITA) graft by using color Doppler ultrasonography (CDUSG) and furthermore to determine the sensitivity and specificity of CDUSG for patency by using coronary angiography as the reference standard.METHODSThis study is an observational cohort study on diagnostic accuracy that was held between August 2008 and October 2009. CDUSG was performed in 138 consecutive patients who had angina symptom or positive ischemic findings following coronary artery bypass surgery. LITA blood flow velocity at peak-systole (PSV), diastole (PDV) and end-diastole (EDV) was recorded. All patients were also assessed by coronary angiography for LITA graft patency. Statistical analysis was performed by using independent samples t-test, Mann-Whitney U test, chi-square test and receiver operating curve analyses (ROC).RESULTSSeventy-eight of all patients had functional LITA grafts and 59 patients had dysfunctional LITA grafts according to CDUSG-derived parameters, whereas we cannot conclude about one patient's LITA graft functionality. The LITA grafts were visualized angiographically in all cases. Of all 138 patients, 60 patients had dysfunctional LITA grafts after angiographic evaluation. The ROC analyses showed that PDV (AUC=0.899, 95% CI 0.844 to 0.953; p<0.001) and EDV (AUC=0.900; 95% CI 0.847 to 0.953; p<0.001) values were also strongly associated with graft functionality. We found out that CDUSG predicts LITA graft functionality with a sensitivity and specificity of 100% and 98.4% respectively. The accuracy of the CDUSG was calculated as 99.3%.CONCLUSIONCDUSG is a reliable non-invasive method for assessment of LITA graft patency. The main purpose of this study was to assess the patency of left internal thoracic artery (LITA) graft by using color Doppler ultrasonography (CDUSG) and furthermore to determine the sensitivity and specificity of CDUSG for patency by using coronary angiography as the reference standard. This study is an observational cohort study on diagnostic accuracy that was held between August 2008 and October 2009. CDUSG was performed in 138 consecutive patients who had angina symptom or positive ischemic findings following coronary artery bypass surgery. LITA blood flow velocity at peak-systole (PSV), diastole (PDV) and end-diastole (EDV) was recorded. All patients were also assessed by coronary angiography for LITA graft patency. Statistical analysis was performed by using independent samples t-test, Mann-Whitney U test, chi-square test and receiver operating curve analyses (ROC). Seventy-eight of all patients had functional LITA grafts and 59 patients had dysfunctional LITA grafts according to CDUSG-derived parameters, whereas we cannot conclude about one patient's LITA graft functionality. The LITA grafts were visualized angiographically in all cases. Of all 138 patients, 60 patients had dysfunctional LITA grafts after angiographic evaluation. The ROC analyses showed that PDV (AUC=0.899, 95% CI 0.844 to 0.953; p<0.001) and EDV (AUC=0.900; 95% CI 0.847 to 0.953; p<0.001) values were also strongly associated with graft functionality. We found out that CDUSG predicts LITA graft functionality with a sensitivity and specificity of 100% and 98.4% respectively. The accuracy of the CDUSG was calculated as 99.3%. CDUSG is a reliable non-invasive method for assessment of LITA graft patency. The main purpose of this study was to assess the patency of left internal thoracic artery (LITA) graft by using color Doppler ultrasonography (CDUSG) and furthermore to determine the sensitivity and specificity of CDUSG for patency by using coronary angiography as the reference standard. This study is an observational cohort study on diagnostic accuracy that was held between August 2008 and October 2009. CDUSG was performed in 138 consecutive patients who had angina symptom or positive ischemic findings following coronary artery bypass surgery. LITA blood flow velocity at peak-systole (PSV), diastole (PDV) and end-diastole (EDV) was recorded. All patients were also assessed by coronary angiography for LITA graft patency. Statistical analysis was performed by using independent samples t-test, Mann-Whitney U test, chi-square test and receiver operating curve analyses (ROC). Seventy-eight of all patients had functional LITA grafts and 59 patients had dysfunctional LITA grafts according to CDUSG-derived parameters, whereas we cannot conclude about one patient's LITA graft functionality. The LITA grafts were visualized angiographically in all cases. Of all 138 patients, 60 patients had dysfunctional LITA grafts after angiographic evaluation. The ROC analyses showed that PDV (AUC=0.899, 95% CI 0.844 to 0.953; p<0.001) and EDV (AUC=0.900; 95% CI 0.847 to 0.953; p<0.001) values were also strongly associated with graft functionality. We found out that CDUSG predicts LITA graft functionality with a sensitivity and specificity of 100% and 98.4% respectively. The accuracy of the CDUSG was calculated as 99.3%. CDUSG is a reliable non-invasive method for assessment of LITA graft patency. |
Author | Boysan, Emre Ünal, Ertekin Utku Yay, Kerem Tola, Muharrem Kocabeyoğlu, Sabit Katırcıoğlu, Fehmi Ciçekçioğlu, Ferit Başar, Veysel |
Author_xml | – sequence: 1 givenname: Kerem surname: Yay fullname: Yay, Kerem email: utkuunal@gmail.com organization: Clinic of Cardiovascular Surgery Yüksek Ihtisas Hospital; Ankara-Turkey. utkuunal@gmail.com – sequence: 2 givenname: Emre surname: Boysan fullname: Boysan, Emre – sequence: 3 givenname: Ertekin Utku surname: Ünal fullname: Ünal, Ertekin Utku – sequence: 4 givenname: Ferit surname: Ciçekçioğlu fullname: Ciçekçioğlu, Ferit – sequence: 5 givenname: Muharrem surname: Tola fullname: Tola, Muharrem – sequence: 6 givenname: Sabit surname: Kocabeyoğlu fullname: Kocabeyoğlu, Sabit – sequence: 7 givenname: Veysel surname: Başar fullname: Başar, Veysel – sequence: 8 givenname: Fehmi surname: Katırcıoğlu fullname: Katırcıoğlu, Fehmi |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24566554$$D View this record in MEDLINE/PubMed |
BookMark | eNpdkUtP3TAQha2KqjzaZbfIEptucut3kiUCWpCQumnX0cQZX0Jz7WA7i_x7nEJZsJrR6DtHOnNOyZEPHgn5ytlOcy2-w99hJxhXO2Ua9YGccMmaijEpjv7tompqIY_JaUqPjOna1OoTORZKG6O1OiH76xH2PqQ8WgrWLhHsSoOj12GeJ4x0mXKEFHzYR5gfVupCpJASpnRAnzdy9Bmjh4nmh1DUm08sl5UWhct0hozerp_JRwdTwi-v84z8-XHz--q2uv_18-7q8r6yQvNcOWn6YeCqV7q3rlW8MbJtWuiNbpwZ-lqUAEooo03b16ihRgAjRIsOBALKM_LtxXeO4WnBlLvDmCxOE3gMS-q4ljVvpGZtQS_eoY9h2ZIUyqiGGSOMLlT1QtkYUoroujmOB4hrx1m3NdCVBrqtgW5roPDnr65Lf8Dhjf7_cvkM3QuEkA |
CitedBy_id | crossref_primary_10_3390_biomedicines11010066 crossref_primary_10_1159_000512430 |
ContentType | Journal Article |
Copyright | Copyright Aves Yayincilik Ltd. STI. May 2014 |
Copyright_xml | – notice: Copyright Aves Yayincilik Ltd. STI. May 2014 |
DBID | CGR CUY CVF ECM EIF NPM AAYXX CITATION 3V. 7X7 7XB 88E 8FI 8FJ 8FK 8G5 ABUWG AFKRA AZQEC BENPR CCPQU DWQXO EDSIH FYUFA GHDGH GNUQQ GUQSH K9. M0S M1P M2O MBDVC PADUT PIMPY PQEST PQQKQ PQUKI PRINS Q9U 7X8 |
DOI | 10.5152/akd.2014.4684 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef ProQuest Central (Corporate) Health & Medical Collection (ProQuest Medical & Health Databases) ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Research Library (Alumni Edition) ProQuest Central (Alumni) ProQuest Central ProQuest Central Essentials AUTh Library subscriptions: ProQuest Central ProQuest One Community College ProQuest Central Turkey Database Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student Research Library Prep ProQuest Health & Medical Complete (Alumni) Health & Medical Collection (Alumni Edition) PML(ProQuest Medical Library) ProQuest research library Research Library (Corporate) Research Library China ProQuest - Publicly Available Content Database ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China ProQuest Central Basic MEDLINE - Academic |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef Publicly Available Content Database Research Library Prep ProQuest Central Student ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College Research Library (Alumni Edition) ProQuest Central China ProQuest Central Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Turkey Database ProQuest Research Library Research Library China ProQuest Medical Library (Alumni) ProQuest Central Basic ProQuest One Academic Eastern Edition ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) ProQuest Health & Medical Complete ProQuest Medical Library ProQuest One Academic UKI Edition ProQuest One Academic ProQuest Central (Alumni) MEDLINE - Academic |
DatabaseTitleList | MEDLINE - Academic MEDLINE Publicly Available Content Database |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database – sequence: 3 dbid: BENPR name: AUTh Library subscriptions: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1308-0032 2149-2271 |
EndPage | 291 |
ExternalDocumentID | 3568599111 10_5152_akd_2014_4684 24566554 |
Genre | Journal Article Observational Study |
GroupedDBID | --- 23M 2WC 36B 3V. 53G 5GY 7X7 88E 8FI 8FJ 8G5 8R4 8R5 AAWTL ABUWG ADBBV AFKRA AHMBA ALMA_UNASSIGNED_HOLDINGS AZQEC BAWUL BENPR BPHCQ BVXVI C1A CGR CUY CVF DIK DWQXO E3Z EAS ECM EDSIH EIF EMB EMOBN ESX F5P FYUFA GJB GNUQQ GUQSH GX1 IAO IHR INH INR ITC M1P M2O NPM OK1 P2P PADUT PIMPY PQQKQ PROAC Q2X RNS SV3 AAYXX CITATION 5VS 7XB 8FK ABDBF AENEX BCNDV CCPQU EAD EAP EBD EMK EOJEC GROUPED_DOAJ HMCUK K9. MBDVC OBODZ PQEST PQUKI PRINS PSQYO Q9U TUS UKHRP 7X8 |
ID | FETCH-LOGICAL-c251t-f36bdd14b45bcf941863989ab658f6db726744246569b7e5a7eaa6229efa2eae3 |
IEDL.DBID | BENPR |
ISSN | 1302-8723 2149-2263 |
IngestDate | Fri Apr 12 04:46:01 EDT 2024 Fri Sep 13 05:21:25 EDT 2024 Wed Jul 31 12:37:12 EDT 2024 Fri Feb 23 03:10:21 EST 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 3 |
Language | English |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c251t-f36bdd14b45bcf941863989ab658f6db726744246569b7e5a7eaa6229efa2eae3 |
Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23 |
OpenAccessLink | https://www.proquest.com/docview/1648066265/abstract/?pq-origsite=%requestingapplication% |
PMID | 24566554 |
PQID | 1648066265 |
PQPubID | 106052 |
PageCount | 6 |
ParticipantIDs | proquest_miscellaneous_1537183509 proquest_journals_1648066265 crossref_primary_10_5152_akd_2014_4684 pubmed_primary_24566554 |
PublicationCentury | 2000 |
PublicationDate | 2014-05-01 |
PublicationDateYYYYMMDD | 2014-05-01 |
PublicationDate_xml | – month: 05 year: 2014 text: 2014-05-01 day: 01 |
PublicationDecade | 2010 |
PublicationPlace | Turkey |
PublicationPlace_xml | – name: Turkey – name: Istanbul |
PublicationTitle | Anadolu kardiyoloji dergisi : AKD |
PublicationTitleAlternate | Anadolu Kardiyol Derg |
PublicationYear | 2014 |
Publisher | Kare Publishing |
Publisher_xml | – name: Kare Publishing |
References | 25699303 - Anadolu Kardiyol Derg. 2014 Dec;14(8):754 25341485 - Anadolu Kardiyol Derg. 2014 Dec;14(8):753-4 25341484 - Anadolu Kardiyol Derg. 2014 Dec;14(8):753 25699302 - Anadolu Kardiyol Derg. 2014 Dec;14(8):753 |
References_xml | |
SSID | ssj0057674 ssj0001738116 |
Score | 2.0116065 |
Snippet | The main purpose of this study was to assess the patency of left internal thoracic artery (LITA) graft by using color Doppler ultrasonography (CDUSG) and... OBJECTIVEThe main purpose of this study was to assess the patency of left internal thoracic artery (LITA) graft by using color Doppler ultrasonography (CDUSG)... |
SourceID | proquest crossref pubmed |
SourceType | Aggregation Database Index Database |
StartPage | 286 |
SubjectTerms | Aged Blood Flow Velocity Cohort Studies Coronary Angiography Coronary Artery Disease - blood Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - pathology Coronary Artery Disease - surgery Echocardiography, Doppler, Color Female Humans Internal Mammary-Coronary Artery Anastomosis Male Mammary Arteries - physiopathology Middle Aged Predictive Value of Tests Pulsatile Flow ROC Curve Vascular Patency |
Title | Diagnostic accuracy of Doppler ultrasonography for assessment of internal thoracic artery graft patency |
URI | https://www.ncbi.nlm.nih.gov/pubmed/24566554 https://www.proquest.com/docview/1648066265/abstract/ https://search.proquest.com/docview/1537183509 |
Volume | 14 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1RT9swED4BlSZeJgYMurHKkybesjaxYydPiK50FRIIIZD6FtnOGRCo6Vj60H-_uyYt2sP24hc7TnLn-D7fXb4D-IbJwOYDDJEpZRkpP8DIhTSmRknldcgR-aB4da0n9-pymk63YLL-F4bTKtd74mqjLivPPvI-wfqM2cp12reOvQC-7p_Nf0VcP4rjrG0xjW3oJLHigG1neHF9c_vmbzFkm1aVUKk_jwh1yIZykwx60rfPzBoaq-9KZ-pvE_UP3LmyP-M9eN8CR3HeaPoDbOFsH95dtaHxA3gYNUlz1C2s9wt69KWoghhVhDPxVSxe6G0IXLcU1YLAqrAbWk4e-dQ4B19E_UjrwvM8nO-5FHRFqMXcMrxeHsL9-OLuxyRqqyhEnrBLHQWpXVnGyqnU-ZCrOCNQkuXWEfYIunQm0UaphHnTcmcwtQat1UmSY7AJWpQfYWdWzfAYhJVovPGk9QwVEhCSKe2VueISlA4Hqguna8EV84Yso6BDBku4IAkXLOGCJdyFk7VYi_ab-V28abgLXzfdtNo5hGFnWC1oTCrJmEpCOV04atSxuROHcDWho0__n_wz7PJzNEmLJ7BTvy7wCwGL2vVg20xNDzrnw9Fw3GtXUG91TKf25zT-A_o40uk |
link.rule.ids | 315,786,790,870,12083,21416,27957,27958,31754,31755,33779,33780,43345,43840,74102,74659 |
linkProvider | ProQuest |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfZ3dT9swEMBPG5PYXhCDfXTA8KRpb4E2vtjJE0Iw1AHlCaS-RbZz3qahpivpQ__73TVpEQ_jJS9OnOjO8f18d7oD-Epp3xV9iomtdJVg6FPiYzbgC2oMJhZEclAc3ZjhHV6Os3HncHvo0ipXe-Jyo67qID7yY8b6XKqVm-xk-jeRrlESXe1aaLyEV6g1SkqfHdtHH4tle7TsfpryQSBh0tBtmU024umx-yOVQgd4hCbHp2bpP6y5tDkX27DVwaI6bbX7Fl7QZAc2R104fBd-nreJcjysXAjzmQsLVUd1XjNb0kzN75uZY6DuylIrBlTl1qU45c7frUPwXjW_eC0EmUdyPBeKn4iNmjpB6sU7uLv4fns2TLrOCUlgXmmSqI2vqgF6zHyIBQ5yBpG8cJ55I5rK29RYxFRqpRXeUuYsOWfStKDoUnKk38PGpJ7QR1BOkw02sKZzQmL40RnvjwVK20lPfezBt5XgymlbIKPkg4VIuGQJlyLhUiTcg_2VWMvuP3koH7Xagy_rYV7hErZwE6rnfE-m2YBqJpsefGjVsX6ThG0NE9Gn5yc_hNfD29F1ef3j5moP3sg3tUmL-7DRzOZ0wGDR-M_L1fMPErDMdw |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfZ1RT9swEIBPG5MQL2hjG5Sx4UmIt6xp7NjJ0zStq4ANxANIfYts58wmqqaU9KH_nrvGLdrD9pIXJ050d_F99p3uAE4wS22ZYkhMLetE-RQTF_IBXZRUXocSkTeKl1f67FZdjPNxzH96jGmV6zVxtVDXjecz8j5hfcHVynXeDzEt4no4-jp7SLiDFEdaYzuNl_CKvGTK3QzM2DyftxjyTatOqBltChKiDtmV3CSHnvXtPVcNHagvShfqbxf1D-5c-Z_Ra9iN4Ci-dZp-Ay9wugfblzE0_hbuhl3SHA0L6_1ibv1SNEEMG-JMnIvFpJ1bgutYoloQrAq7KcvJd_7pDgcnov1NduF5Hs73XAp6IrRiZhmvl-_gdvTj5vtZErsoJJ7YpU2C1K6uB8qp3PlQqkFBUFKU1hF7BF07k2mjVMZ100pnMLcGrdVZVmKwGVqU72Fr2kzxAISVaLzxpPUCFRIIyZzWylJxC0qHqerB6Vpw1awrllHRJoMlXJGEK5ZwxRLuwdFarFX8Zx6rZw334PNmmKydQxh2is2C7sklOVNJlNOD_U4dmzdxCFcTHR3-f_Jj2CbDqX6dX_38ADv8SV3-4hFstfMFfiTGaN2nlfE8AW130KM |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Diagnostic+accuracy+of+Doppler+ultrasonography+for+assessment+of+internal+thoracic+artery+graft+patency&rft.jtitle=Anatolian+journal+of+cardiology&rft.au=Yay%2C+Kerem&rft.au=Boysan%2C+Emre&rft.au=%C3%9Cnal%2C+Ertekin+Utku&rft.au=%C3%87icek%C3%A7ioglu%2C+Ferit&rft.date=2014-05-01&rft.pub=Kare+Publishing&rft.issn=2149-2263&rft.eissn=2149-2271&rft.volume=14&rft.issue=3&rft.spage=286&rft_id=info:doi/10.5152%2Fakd.2014.4684&rft.externalDBID=HAS_PDF_LINK&rft.externalDocID=3568599111 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1302-8723&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1302-8723&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1302-8723&client=summon |