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Second Congress of Cardiology and Angiology of Bosnia & Herzegovina


E. Kabil, E. Mujanović, M. Hadžiselimović, M. Softić, A. Azabagić and J. Bergsland
Cardiovascular Clinic, University Clinical Center Tuzla, Bosnia and Herzegovina

Objective: This study evaluates the importance of intraoperative assessment of transit time flow measurement of anastomoses for early detection and revision of graft problems. Method: From September 1998 till March 2001, 323 patients underwent CABG in Cardiovascular Clinic Tuzla. Total number of distal gafts was 807 (2,49 per patient). All placed grafts were tested intraoperatively with transit time flow measurement (TTMF). Results: nineteen grafts (2,35%) were surgically revised on the basis of unsatisfactory flow curves, low mean flow or high pulsatile index. In all revised grafts, significant technical error was found such as intimal flap, thrombus, graft knicking or dissection. All revised anastomoses were corrected until the satisfactory TTFM results were obtained, with no major complications or deaths in entire series of patients. Conclusion: On the basis of our experience, we strongly recommend the patency of each graft be assesses perioperatively with TTFM. Use of TTFM improved surgical results by enabling early detection of graft problems and immediate intraoperative revision.

Keywords: Flow measurement, patency, revision.

Drugi kongres kardiologa i angiologa Bosne i Hercegovine
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