Progress of Clinical Application in Transit Time Flow Measurement in Coronary Artery Bypass Grafting_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

GUChang ,  ZHANGYang-yang

Department of Cardiovascular Surgery, the First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, P.R.China;

Corresponding author：

ZHANGYang-yang, Email: zhangyangyang_md@sina.com

Keywords：

Transit time flow measurement; Coronary artery bypass grafting; Grafted grafts

DOI：

10.7507/1007-4848.20160091

Video：

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Abstract Full text Figures/Tables Video References Cited by

Transit time flow measurement (TTFM),which is independent of vessel size and shape, has been considered to be an easy, reproducible and non-invasive method to assess the hemodynamic characteristics. Moreover, current studies have shown that TTFM has clinical application in identifying the function of grafted vessel and prognosis. Researchers have proved some reliable indicators for the function of grafted vessel as follows: mean graft flow (MGF) > 15 ml/min, diastolic flow (DF) >50% and pulsatility index (PI)<3 or 5. This article focuses on the review of clinical application and research progress of TTFM in CABG.

Citation： GUChang, ZHANGYang-yang. Progress of Clinical Application in Transit Time Flow Measurement in Coronary Artery Bypass Grafting. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(4): 395-398. doi: 10.7507/1007-4848.20160091 Copy

1.	Eagle KA, Guyton RA, Davidoff R, et al. ACC/AHA guidelines for coronary artery bypass graft surgery: executive summary and recommendations. Circulation, 1999, 100(13): 1464-1480.
2.	Bauer SF, Bauer K, Ennker IC, et al. Intraoperative bypass flow measurement reduces the incidence of postoperative ventricular fibrillation and myocardial markers after coronary revascularisation. Thorac Cardiovasc Surg, 2005, 53(04): 217-222.
3.	Takase S, Yokoyama H. Coronary artery bypass surgery in acute coronary syndrome. Kyobu Geka, 2015, 68(8): 603-609.
4.	Bouchard D. Coronary artery bypass graft surgery provides clinically important quality-of-life improvements over medical therapy in patients with ischaemic left ventricular dysfunction. Evid Based Med, 2015, 20(3): 107.
5.	Yusuf S, Zucker D, Passamani E, et al. Effect of coronary artery bypass graft surgery on survival: overview of 10-year results from randomised trials by Coronary Artery Bypass Graft Surgery Trialists Collaboration. Lancet, 1994, 344(8922): 563-570.
6.	Akiyama K. Evaluation of the coronary artery bypass graft. Ann Thorac Cardiovasc Surg, 2005, 11(2): 65-66.
7.	Mujanovic E, Kabil E, Hadziselimovic M, et al. Transit time flow measurements in coronary surgery: the experience from a new center in Bosnia. Heart Surg Forum, 2002, 5(3): 233-236.
8.	Di Giammarco G, Pano M, Cirmeni S, et al. Predictive value of intraoperative transit-time flow measurement for short-term graft patency in coronary surgery. J Thorac Cardiovasc Surg, 2006, 132 (3): 468-474.
9.	Leong DK, Ashok V, Nishkantha A, et al. Transit-time flow measurement is essential in coronary artery bypass grafting. Ann Thorac Surg, 2005, 79(3): 854-857.
10.	Sönmez B, Arbatli H, Tansal S, et al. Real-time patency control with thermal coronary angiography in 1401 coronary artery bypass grafting patients. Eur J Cardiothorac Surg, 2003, 24(6): 961-966.
11.	Walpoth BH, Bosshard A, Genyk I, et al. Transit-time flow measurement for detection of early graft failure during myocardial revascularization. Ann Thorac Surg, 1998, 66(3): 1097-1100.
12.	Kjaergard HK. Baseline flow in coronary bypass grafts. J Card Surg, 2005, 20(3): 205-207.
13.	Jelenc M, Jelenc B, Klokočovnik T, et al. Understanding coronary artery bypass transit time flow curves: role of bypass graft compliance. Interact Cardiovasc Thorac Surg, 2014, 18(2): 164-168.
14.	Yu Y, Zhang F, Gao MX, et al. The application of intraoperative transit time flow measurement to accurately assess anastomotic quality in sequential vein grafting. Interact Cardiovasc Thorac Surg, 2013, 17(6): 938-943.
15.	Wipper S, Detter C, Lohrenz C, et al. Intraoperative quality control in vascular surgery. J Cardiovasc Surg, 2012, 53(1 Suppl 1): 145-149.
16.	Jokinen JJ, Werkkala K, Vainikka T, et al. Clinical value of intra-operative transit-time flow measurement for coronary artery bypass grafting: a prospective angiography-controlled study. Eur J Cardiothorac Surg, 2011, 39(6): 918-923.
17.	Mujanović E, Kabil E, Bergsland J. Transit time flowmetry in coronary surgery-An important tool in graft verification. Bosn J Basic Med Sci, 2007, 7(3): 275-278.
18.	Leacche M, Balaguer JM, Byrne JG. Intraoperative grafts assessment. Semin Thorac Cardiovasc Surg, 2009, 21(3): 207-212.
19.	Tokuda Y, Song MH, Oshima H, et al. Predicting midterm coronary artery bypass graft failure by intraoperative transit time flow measurement. Ann Thorac Surg, 2008, 86(2): 532-536.
20.	Becit N, Erkut B, Ceviz M, et al. The impact of intraoperative transit time flow measurement on the results of on-pump coronary surgery. Eur J Cardiothorac Surg, 2007, 32(2): 313-318.
21.	D'Ancona G, Ricci M, Bergsland J, et al. Graft patency verification in coronary artery bypass grafting: principles and clinical applications of transit time flow measurement. Angiology, 2000, 51(9): 725-731.
22.	D'Ancona G, Karamanoukian HL, Ricci M, et al. Graft revision after transit time flow measurement in off-pump coronary artery bypass grafting. Eur J Cardiothorac Surg, 2000, 17(3): 287-293.
23.	Kieser TM, Rose S, Kowalewski R, et al. Transit-time flow predicts outcomes in coronary artery bypass graft patients: a series of 1000 consecutive arterial grafts. Eur J Cardiothorac Surg, 2010, 38(2): 155-162.
24.	Honda K, Okamura Y, Nishimura Y, et al. Graft flow assessment using a transit time flow meter in fractional flow reserve–guided coronary artery bypass surgery. J Thorac Cardiovasc Surg, 2015, 149(6): 1622-1628.
25.	Jaber SF, Koenig SC, BhaskerRao B, et al. Role of graft flow measurement technique in anastomotic quality assessment in minimally invasive CABG. Ann Thorac Surg, 1998, 66(3): 1087-1092.
26.	Walker PF, Daniel WT, Moss E, et al. The accuracy of transit time flow measurement in predicting graft patency after coronary artery bypass grafting. Innovations, 2013, 8(6): 416-419.
27.	Gwozdziewicz M. Cardiomed coronary flow meter for prevention of early occlusion in aortocoronary bypass grafting. Diabetes, 2004, 22(1): 59-61.
28.	Di Giammarco G, Canosa C, Foschi M, et al. Intraoperative graft verification in coronary surgery: increased diagnostic accuracy adding high-resolution epicardial ultrasonography to transit time flow measurement. Eur J Cardiothorac Surg, 2014, 45(3): e41-e45.
29.	Wijns W, Kolh P, Danchin N, et al. Guidelines on myocardial revascularization the task force on myocardial revascularization of the European Society of Cardiology (esc) and the European Association for Cardio-thoracic Surgery (eacts). Eur Heart J, 2010, 31(20): 2501-2555.
30.	Hirotani T, Kameda T, Shirota S, et al. An evaluation of the intraoperative transit time measurements of coronary bypass flow. Eur J Cardiothorac Surg, 2001, 19(6): 848-852.
31.	Takami Y, Ina H. Relation of intraoperative flow measurement with postoperative quantitative angiographic assessment of coronary artery bypass grafting. Ann Thorac Surg, 2001, 72(4): 1270-1274.
32.	Kim KB, Kang CH, Lim C. Prediction of graft flow impairment by intraoperative transit time flow measurement in off-pump coronary artery bypass using arterial grafts. Ann Thorac Surg, 2005, 80(2): 594-598.
33.	Tokuda Y, Song MH, Ueda Y, et al. Predicting early coronary artery bypass graft failure by intraoperative transit time flow measurement. Ann Thorac Surg, 2007, 84(6): 1928-1933.
34.	Gwozdziewicz M, Němec P, Šimek M, et al. Sequential bypass grafting on the beating heart: blood flow characteristics. Ann Thorac Surg, 2006, 82(2): 620-623.
35.	Di Giammarco G, Rabozzi R. Can transit-time flow measurement improve graft patency and clinical outcome in patients undergoing coronary artery bypass grafting? Interact Cardiovasc Thorac Surg, 2010, 11(5): 635-640.
36.	Lehnert P, Møller CH, Damgaard S, et al. Transit-time flow measurement as a predictor of coronary bypass graft failure at one year angiographic follow-up. J Card Surg, 2015, 30(1): 47-52.
37.	Canver CC, Dame NA. Ultrasonic assessment of internal thoracic artery graft flow in the revascularized heart. Ann Thorac Surg, 1994, 58(1): 135-138.
38.	D’Ancona G, Karamanoukian HL, Salerno TA, et al. Flow measurement in coronary surgery. Heart Surg Forum, 1999, 2(2): 121-124.
39.	Cerqueira Neto F, Guedes M, Soares L, et al. Flowmetry of left internal thoracic artery graft to left anterior descending artery: comparison between on-pump and off-pump surgery. Rev Bras Cir Cardiovasc , 2012, 27(2): 283-289.
40.	Sanisoglu I, Guden M, Balci C, et al. Comparison of intraoperative transit-time flow measurement with early postoperative magnetic resonance flow mapping: in off-pump coronary artery surgery. Tex Heart Inst J, 2003, 30(1): 31.

1. Eagle KA, Guyton RA, Davidoff R, et al. ACC/AHA guidelines for coronary artery bypass graft surgery: executive summary and recommendations. Circulation, 1999, 100(13): 1464-1480.
2. Bauer SF, Bauer K, Ennker IC, et al. Intraoperative bypass flow measurement reduces the incidence of postoperative ventricular fibrillation and myocardial markers after coronary revascularisation. Thorac Cardiovasc Surg, 2005, 53(04): 217-222.
3. Takase S, Yokoyama H. Coronary artery bypass surgery in acute coronary syndrome. Kyobu Geka, 2015, 68(8): 603-609.
4. Bouchard D. Coronary artery bypass graft surgery provides clinically important quality-of-life improvements over medical therapy in patients with ischaemic left ventricular dysfunction. Evid Based Med, 2015, 20(3): 107.
5. Yusuf S, Zucker D, Passamani E, et al. Effect of coronary artery bypass graft surgery on survival: overview of 10-year results from randomised trials by Coronary Artery Bypass Graft Surgery Trialists Collaboration. Lancet, 1994, 344(8922): 563-570.
6. Akiyama K. Evaluation of the coronary artery bypass graft. Ann Thorac Cardiovasc Surg, 2005, 11(2): 65-66.
7. Mujanovic E, Kabil E, Hadziselimovic M, et al. Transit time flow measurements in coronary surgery: the experience from a new center in Bosnia. Heart Surg Forum, 2002, 5(3): 233-236.
8. Di Giammarco G, Pano M, Cirmeni S, et al. Predictive value of intraoperative transit-time flow measurement for short-term graft patency in coronary surgery. J Thorac Cardiovasc Surg, 2006, 132 (3): 468-474.
9. Leong DK, Ashok V, Nishkantha A, et al. Transit-time flow measurement is essential in coronary artery bypass grafting. Ann Thorac Surg, 2005, 79(3): 854-857.
10. Sönmez B, Arbatli H, Tansal S, et al. Real-time patency control with thermal coronary angiography in 1401 coronary artery bypass grafting patients. Eur J Cardiothorac Surg, 2003, 24(6): 961-966.
11. Walpoth BH, Bosshard A, Genyk I, et al. Transit-time flow measurement for detection of early graft failure during myocardial revascularization. Ann Thorac Surg, 1998, 66(3): 1097-1100.
12. Kjaergard HK. Baseline flow in coronary bypass grafts. J Card Surg, 2005, 20(3): 205-207.
13. Jelenc M, Jelenc B, Klokočovnik T, et al. Understanding coronary artery bypass transit time flow curves: role of bypass graft compliance. Interact Cardiovasc Thorac Surg, 2014, 18(2): 164-168.
14. Yu Y, Zhang F, Gao MX, et al. The application of intraoperative transit time flow measurement to accurately assess anastomotic quality in sequential vein grafting. Interact Cardiovasc Thorac Surg, 2013, 17(6): 938-943.
15. Wipper S, Detter C, Lohrenz C, et al. Intraoperative quality control in vascular surgery. J Cardiovasc Surg, 2012, 53(1 Suppl 1): 145-149.
16. Jokinen JJ, Werkkala K, Vainikka T, et al. Clinical value of intra-operative transit-time flow measurement for coronary artery bypass grafting: a prospective angiography-controlled study. Eur J Cardiothorac Surg, 2011, 39(6): 918-923.
17. Mujanović E, Kabil E, Bergsland J. Transit time flowmetry in coronary surgery-An important tool in graft verification. Bosn J Basic Med Sci, 2007, 7(3): 275-278.
18. Leacche M, Balaguer JM, Byrne JG. Intraoperative grafts assessment. Semin Thorac Cardiovasc Surg, 2009, 21(3): 207-212.
19. Tokuda Y, Song MH, Oshima H, et al. Predicting midterm coronary artery bypass graft failure by intraoperative transit time flow measurement. Ann Thorac Surg, 2008, 86(2): 532-536.
20. Becit N, Erkut B, Ceviz M, et al. The impact of intraoperative transit time flow measurement on the results of on-pump coronary surgery. Eur J Cardiothorac Surg, 2007, 32(2): 313-318.
21. D'Ancona G, Ricci M, Bergsland J, et al. Graft patency verification in coronary artery bypass grafting: principles and clinical applications of transit time flow measurement. Angiology, 2000, 51(9): 725-731.
22. D'Ancona G, Karamanoukian HL, Ricci M, et al. Graft revision after transit time flow measurement in off-pump coronary artery bypass grafting. Eur J Cardiothorac Surg, 2000, 17(3): 287-293.
23. Kieser TM, Rose S, Kowalewski R, et al. Transit-time flow predicts outcomes in coronary artery bypass graft patients: a series of 1000 consecutive arterial grafts. Eur J Cardiothorac Surg, 2010, 38(2): 155-162.
24. Honda K, Okamura Y, Nishimura Y, et al. Graft flow assessment using a transit time flow meter in fractional flow reserve–guided coronary artery bypass surgery. J Thorac Cardiovasc Surg, 2015, 149(6): 1622-1628.
25. Jaber SF, Koenig SC, BhaskerRao B, et al. Role of graft flow measurement technique in anastomotic quality assessment in minimally invasive CABG. Ann Thorac Surg, 1998, 66(3): 1087-1092.
26. Walker PF, Daniel WT, Moss E, et al. The accuracy of transit time flow measurement in predicting graft patency after coronary artery bypass grafting. Innovations, 2013, 8(6): 416-419.
27. Gwozdziewicz M. Cardiomed coronary flow meter for prevention of early occlusion in aortocoronary bypass grafting. Diabetes, 2004, 22(1): 59-61.
28. Di Giammarco G, Canosa C, Foschi M, et al. Intraoperative graft verification in coronary surgery: increased diagnostic accuracy adding high-resolution epicardial ultrasonography to transit time flow measurement. Eur J Cardiothorac Surg, 2014, 45(3): e41-e45.
29. Wijns W, Kolh P, Danchin N, et al. Guidelines on myocardial revascularization the task force on myocardial revascularization of the European Society of Cardiology (esc) and the European Association for Cardio-thoracic Surgery (eacts). Eur Heart J, 2010, 31(20): 2501-2555.
30. Hirotani T, Kameda T, Shirota S, et al. An evaluation of the intraoperative transit time measurements of coronary bypass flow. Eur J Cardiothorac Surg, 2001, 19(6): 848-852.
31. Takami Y, Ina H. Relation of intraoperative flow measurement with postoperative quantitative angiographic assessment of coronary artery bypass grafting. Ann Thorac Surg, 2001, 72(4): 1270-1274.
32. Kim KB, Kang CH, Lim C. Prediction of graft flow impairment by intraoperative transit time flow measurement in off-pump coronary artery bypass using arterial grafts. Ann Thorac Surg, 2005, 80(2): 594-598.
33. Tokuda Y, Song MH, Ueda Y, et al. Predicting early coronary artery bypass graft failure by intraoperative transit time flow measurement. Ann Thorac Surg, 2007, 84(6): 1928-1933.
34. Gwozdziewicz M, Němec P, Šimek M, et al. Sequential bypass grafting on the beating heart: blood flow characteristics. Ann Thorac Surg, 2006, 82(2): 620-623.
35. Di Giammarco G, Rabozzi R. Can transit-time flow measurement improve graft patency and clinical outcome in patients undergoing coronary artery bypass grafting? Interact Cardiovasc Thorac Surg, 2010, 11(5): 635-640.
36. Lehnert P, Møller CH, Damgaard S, et al. Transit-time flow measurement as a predictor of coronary bypass graft failure at one year angiographic follow-up. J Card Surg, 2015, 30(1): 47-52.
37. Canver CC, Dame NA. Ultrasonic assessment of internal thoracic artery graft flow in the revascularized heart. Ann Thorac Surg, 1994, 58(1): 135-138.
38. D’Ancona G, Karamanoukian HL, Salerno TA, et al. Flow measurement in coronary surgery. Heart Surg Forum, 1999, 2(2): 121-124.
39. Cerqueira Neto F, Guedes M, Soares L, et al. Flowmetry of left internal thoracic artery graft to left anterior descending artery: comparison between on-pump and off-pump surgery. Rev Bras Cir Cardiovasc , 2012, 27(2): 283-289.
40. Sanisoglu I, Guden M, Balci C, et al. Comparison of intraoperative transit-time flow measurement with early postoperative magnetic resonance flow mapping: in off-pump coronary artery surgery. Tex Heart Inst J, 2003, 30(1): 31.

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Progress of Clinical Application in Transit Time Flow Measurement in Coronary Artery Bypass Grafting

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