1. A case report on epicardial ultrasonography of coronary anastomoses using a stabilizing device without the use of ultrasound gel
- Author
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Alex Skovsbo Jørgensen, Jan Jesper Andreasen, and Dorte Nøhr
- Subjects
Male ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,lcsh:Surgery ,Coronary Vessels/diagnostic imaging ,Case Report ,Coronary Artery Disease ,030204 cardiovascular system & hematology ,Anastomosis ,lcsh:RD78.3-87.3 ,03 medical and health sciences ,Pericardium/diagnostic imaging ,0302 clinical medicine ,medicine ,Humans ,Coronary Artery Bypass ,Intraoperative Care ,business.industry ,Coronary anastomosis ,Anastomosis, Surgical ,Ultrasound ,General Medicine ,lcsh:RD1-811 ,Middle Aged ,Coronary Vessels ,Cardiac surgery ,medicine.anatomical_structure ,030228 respiratory system ,Bypass surgery ,Echocardiography ,Cardiothoracic surgery ,lcsh:Anesthesiology ,Echocardiography/instrumentation ,Surgery ,Ultrasonic sensor ,Epicardial ultrasonography ,coronary bypass surgery ,Radiology ,Ultrasonography ,Cardiology and Cardiovascular Medicine ,business ,Pericardium ,Gels ,Coronary Artery Disease/diagnostic imaging ,Artery ,Quality assessment - Abstract
Background: Intraoperative epicardial ultrasonography of coronary artery bypass graft anastomoses is a procedure used for anatomical quality assessment of peripheral anastomoses during coronary artery bypass grafting. However, it may be difficult to keep the ultrasound transducer in steady contact with the anastomoses on the beating heart without causing any deformation. Furthermore, we are not aware of any sterile ultrasound gel approved for application into the pericardial space. Case presentation: We report a method using a stabilizing connecting device for an ultrasound transducer to be used for visualization of coronary anastomoses without application of ultrasound gel during on-pump coronary bypass surgery. Conclusion: Use of a stabilizing device and coagulated blood from the patient as an alternative for ultrasound gel facilitates peroperative ultrasonography of coronary anastomoses. The procedure provides surgeons with non-deformed echocardiographic longitudinal and transverse images of all parts of the anastomoses. Trial registration: The patient participated in a still ongoing clinical feasibility study: Trial registration: ClinicalTrials.gov ID: NCT02919124; Registered September 29, 2016.
- Published
- 2019