MYOCARDIAL POSITRON TOMOGRAPHY WITH N-13 AMMONIA IN ASSESSMENT OF AORTOCORONARY BYPASS SURGERY
スポンサーリンク
概要
- 論文の詳細を見る
A total of 20 patients were examined at rest and during stress with N-13-ammonia myocardial positron emission tomography (PET) before and after aortocoronary bypass surgery in an attempt to evaluate the effect of surgery on myocardial perfusion and to predict the graft status. The PET images were divided into anterior, septal, apical, lateral and posteroinferior segments for analysis and were evaluated as"normal"(no perfusion defects during stress and at rest),"ischemia"(stress-induced defects) and "fibrosis"(persistent defects both at rest and during stress). Approximately 90% of the segments which were ischemic before surgery became normal after surgery. Thus, ischemic changes are highly reversible, and the vessels perfusing these ischemic areas are most suitable for bypass surgery. However, most of the persistent defects failed to respond to revascularization surgery and, hence, represented irreversibly damaged myocardium. In predicting graft patency could be demonstrated by normal perfusion in postoperative images (p < 0.01) or by improved perfusion when pre- and postoperative images were compared (p < 0.01). However, graft occlusion could not be predicted reliablly. This study demonstrated that PET with N-13 ammonia was useful in the assessment of the effects of aortocoronary bypass surgery. However, this technique was not significantly superior to thallium-201 single-photon emission computed tomography for only qualitative analysis.
- 社団法人日本循環器学会の論文
- 1988-05-20
著者
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Takahashi N
Department Of Cardiology Shiga Prefecture Medical Center For Adult
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Senda Michio
Radiology And Nuclear Medicine Kyoto University Hospital
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MATSUMOTO Masahiko
Department of Biochemistry, School of Medicine, Tokai University
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Matsuda Katsuhiko
Department Of Cardiovascular Surgery Kyoto University Hospital
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YONEKURA YOSHIHARU
Kyoto University Hospital
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KONISHI YUTAKA
Department of Cardiovascular Surgery
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BAN TOSHIHIKO
Department of Cardiovascular Surgery
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OKAMOTO YOSHIFUMI
Department of Cardiovascular Surgery
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OKABAYASHI HITOSHI
Department of Cardiovascular Surgery
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SONEDA JUNICHI
Department of Cardiovascular Surgery
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FUJIWARA YASUNORI
Department of Cardiovascular Surgery
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NISHIMURA KAZUNOBU
Department of Cardiovascular Surgery
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JINNO KIMIO
Department of Cardiovascular Surgery
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KIYOTA YOSHIHARU
Department of Cardiovascular Surgery
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TAMAKI NAGARA
Radiology and Nuclear Medicine, Kyoto University Hospital
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YONEKURA YOSHIHARU
Radiology and Nuclear Medicine, Kyoto University Hospital
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KOIDE HARUTOSHI
Radiology and Nuclear Medicine, Kyoto University Hospital
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Matsuda Mitsuhiko
Department Of Internal Medicine Yamaguchi University
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Soneda Junichi
Department Of Cardiovascular Surgery Kyoto University Hospital
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Kitao Yoshisada
Department Of Cardiovascular Surgery
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Tamaki Nagara
公立高島総合病院
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Tamaki N
Hokkaido Univ.
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NAGATA Tamotsu
Shiga University of Medical Science
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Konishi Yutaka
Kyoto University School of Medicine
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Ban Toshihiko
Kyoto University School of Medicine
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KOIDE HARUTOSHI
Department of Cardiovascular Surgery, Kyoto University Hospital
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Ban Toshihiko
Department Of Cardiovascular Surgery Kyoto University Faculty Of Medicine
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Ban Toshihiko
The Department Of Cardiovascular Surgery Kyoto University Hospital
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Matsuda Mitsuo
The Third Division Department Of Internal Medicine Faculty Of Medicine Kyoto University
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Konishi Hiromu
Cardiovascular Surgery Kyoto University
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Takahashi Norio
Departments Of Radiology Fukui Medical University
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Matsuda Katsuhiko
Second Surgical Division Kyoto University Medical School
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Matsuda Katsuhiko
Department Of Cardiovascular Surgery Kyoto University Faculty Of Medicine
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Okamoto Yoshifumi
Department Of Cardiovascular Surgery And The Third Division Department Of Internal Medicine Kyoto Un
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Ban Toshihiko
Department Of Cardiovascular Surgery And The Third Division Department Of Internal Medicine Kyoto Un
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Tamaki Nagara
Department Of Radiology Fukui Medical University
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Tamaki Nagara
Faculty Of Medicine Kyoto University
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Matsuda Mitsuo
Third Division Department Of Internal Medicine Faculty Of Medicihe Kyoto University
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Matsumoto Masahiko
Department Of Biochemistry School Of Medicine Tokai University
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Ban Toshihiko
2nd Div. Dept.of Medicine And Dept.of Cardiovascular Surgery Kyoto Univ.sch. Of Medicine Suntory Ins
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Konishi Yutaka
Department Of Cardiovascular Surgery Kyoto University Hospital
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Nishimura Kazunobu
Department Of Cardiovascular Surgery Kyoto University Hospital
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Nishimura Kazunobu
2nd Div. Dept.of Medicine And Dept.of Cardiovascular Surgery Kyoto Univ.sch. Of Medicine Suntory Ins
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Fujiwara Yasunori
Department Of Cardiovascular Surgery Kyoto University Hospital
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Koide Harutoshi
Department Of Cardiovascular Surgery Kyoto University Hospital
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Motai Michio
Section Of Technology Heiwa-bussan Co. Ltd.
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Okabayashi Hitoshi
Department Of Cardiovascular Surgery Kyoto University Hospital
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Okabayashi Hitoshi
Department Of Cardiology Thoracic Surgery
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Matsuda Mitsuhiko
Kokura Memorial Hospital Cardiovascular Surgery
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Senda Mitsuo
Dept. Of Nuclear Medicine Kyoto University Hospital
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Ban Toshihiko
2nd Div. Dept.of Medicine And Dept.of Cardiovascular Surgery Kyoto Univ.sch. Of Medicine Suntory Ins
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Nishimura Kazunobu
2nd Div. Dept.of Medicine And Dept.of Cardiovascular Surgery Kyoto Univ.sch. Of Medicine Suntory Ins
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Matsuda Mitsuo
Department Of Internal Medicine Yamaguchi University
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Koide Harutoshi
Radiology And Nuclear Medicine Kyoto University Hospital
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Ban Toshihiko
Department Of Cardiovascular Surgery And The Third Division Department Of Internal Medicine Kyoto Un
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Ban Toshihiko
Cardiovascular Surgery Kyoto University School Of Medicine
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Ban Toshihiko
Department Of Cardiovascular Surgery And The Third Division Department Of Internal Medicine Kyoto University
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Okabayashi Hitoshi
Department of Cardiac Surgery, Iwate Medical University
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