New Device for Intraoperative Graft Assessment: HyperEye Charge-coupled Device Camera System

Overview

Journal Gen Thorac Cardiovasc Surg

Specialties Cardiology & Vascular Diseases
General Surgery
Pulmonary Medicine

Date 2010 Feb 16

PMID 20155342

Citations 25

Authors

Takemi Handa

Rajesh G Katare

Hideaki Nishimori

Seiichiro Wariishi

Takashi Fukutomi

Masaki Yamamoto

Shiro Sasaguri

Takayuki Sato

Affiliations

Soon will be listed here.

Abstract

Purpose: Our institution developed a new color chargecoupled device (CCD) camera system (HyperEye system) for intraoperative indocyanine green (ICG) angiography. The device consists of a combination of custommade optical filters and an ultra-high-sensitive CCD image sensor with non-Bayer color filter array (i.e., HyperEye technology), which can detect simultaneously color and near-infrared (NIR) rays from 380 to 1200 nm. Here, we demonstrate intraoperative graft assessment using the HyperEye system.

Methods: We investigated the intraoperative graft patency using both the HyperEye system and transittime flowmetry (TFM) in 51 patients between April 2007 and April 2009 while ICG dye was injected through a central venous catheter. Each patient signed a consent form before the surgery.

Results: We obtained intraoperative graft flows and images in 189 anastomoses of 153 grafts. Both the HyperEye system and TFM indicated the patency of the grafts in 129 grafts. Both the HyperEye system and TFM detected the abnormality of the graft in seven grafts. For the competitive flows, the HyperEye system captured to-and-fro flow fluorescence and TFM detected the retrograde waveform in 16 grafts. On the other hand, although TFM indicated the patency of the graft, the HyperEye system suspected nonoccluded graft failure in seven grafts. In contrast, although TFM detected a mean flow of <10 ml/min, the HyperEye system captured the patent perfusion fluorescence in four grafts.

Conclusion: The HyperEye system can visualize any structural and functional failures. Our findings suggest that this device could become a useful tool for intraoperative graft assessment.

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References

Desai N, Miwa S, Kodama D, Koyama T, Cohen G, Pelletier M . A randomized comparison of intraoperative indocyanine green angiography and transit-time flow measurement to detect technical errors in coronary bypass grafts. J Thorac Cardiovasc Surg. 2006; 132(3):585-94. DOI: 10.1016/j.jtcvs.2005.09.061. View

Reuthebuch O, Haussler A, Genoni M, Tavakoli R, Odavic D, Kadner A . Novadaq SPY: intraoperative quality assessment in off-pump coronary artery bypass grafting. Chest. 2004; 125(2):418-24. DOI: 10.1378/chest.125.2.418. View

Balacumaraswami L, Taggart D . Intraoperative imaging techniques to assess coronary artery bypass graft patency. Ann Thorac Surg. 2007; 83(6):2251-7. DOI: 10.1016/j.athoracsur.2006.12.025. View

Pagni S, Storey J, Ballen J, Montgomery W, Chiang B, Etoch S . ITA versus SVG: a comparison of instantaneous pressure and flow dynamics during competitive flow. Eur J Cardiothorac Surg. 1997; 11(6):1086-92. DOI: 10.1016/s1010-7940(97)01214-1. View

Pagni S, Storey J, Ballen J, Montgomery W, Qaqish N, Etoch S . Factors affecting internal mammary artery graft survival: how is competitive flow from a patent native coronary vessel a risk factor?. J Surg Res. 1997; 71(2):172-8. DOI: 10.1006/jsre.1997.5150. View

DAncona G, Karamanoukian H, Ricci M, Schmid S, Bergsland J, Salerno T . Graft revision after transit time flow measurement in off-pump coronary artery bypass grafting. Eur J Cardiothorac Surg. 2000; 17(3):287-93. DOI: 10.1016/s1010-7940(00)00332-8. View

Taggart D, Choudhary B, Anastasiadis K, Abu-Omar Y, Balacumaraswami L, Pigott D . Preliminary experience with a novel intraoperative fluorescence imaging technique to evaluate the patency of bypass grafts in total arterial revascularization. Ann Thorac Surg. 2003; 75(3):870-3. DOI: 10.1016/s0003-4975(02)04669-6. View

Takahashi M, Ishikawa T, Higashidani K, Katoh H . SPY: an innovative intra-operative imaging system to evaluate graft patency during off-pump coronary artery bypass grafting. Interact Cardiovasc Thorac Surg. 2007; 3(3):479-83. DOI: 10.1016/j.icvts.2004.01.018. View

Hassanein W, Albert A, Arnrich B, Walter J, Ennker I, Rosendahl U . Intraoperative transit time flow measurement: off-pump versus on-pump coronary artery bypass. Ann Thorac Surg. 2005; 80(6):2155-61. DOI: 10.1016/j.athoracsur.2005.03.138. View

10.

Rubens F, Ruel M, Fremes S . A new and simplified method for coronary and graft imaging during CABG. Heart Surg Forum. 2002; 5(2):141-4. View

11.

Nakajima H, Kobayashi J, Funatsu T, Shimahara Y, Kawamura M, Kawamura A . Predictive factors for the intermediate-term patency of arterial grafts in aorta no-touch off-pump coronary revascularization. Eur J Cardiothorac Surg. 2007; 32(5):711-7. DOI: 10.1016/j.ejcts.2007.07.025. View

12.

Desai N, Miwa S, Kodama D, Cohen G, Christakis G, Goldman B . Improving the quality of coronary bypass surgery with intraoperative angiography: validation of a new technique. J Am Coll Cardiol. 2005; 46(8):1521-5. DOI: 10.1016/j.jacc.2005.05.081. View

13.

Izzat M, Khaw K, Atassi W, Yim A, Wan S . Routine intraoperative angiography improves the early patency of coronary grafts performed on the beating heart. Chest. 1999; 115(4):987-90. DOI: 10.1378/chest.115.4.987. View

14.

Balacumaraswami L, Abu-Omar Y, Anastasiadis K, Choudhary B, Pigott D, Yeong S . Does off-pump total arterial grafting increase the incidence of intraoperative graft failure?. J Thorac Cardiovasc Surg. 2004; 128(2):238-44. DOI: 10.1016/j.jtcvs.2003.11.072. View

15.

Balacumaraswami L, Abu-Omar Y, Choudhary B, Pigott D, Taggart D . A comparison of transit-time flowmetry and intraoperative fluorescence imaging for assessing coronary artery bypass graft patency. J Thorac Cardiovasc Surg. 2005; 130(2):315-20. DOI: 10.1016/j.jtcvs.2004.11.033. View

16.

Cerrito P, Koenig S, VanHimbergen D, Jaber S, Ewert D, Spence P . Neural network pattern recognition analysis of graft flow characteristics improves intra-operative anastomotic error detection in minimally invasive CABG. Eur J Cardiothorac Surg. 1999; 16(1):88-93. DOI: 10.1016/s1010-7940(99)00139-6. View

17.

Schmitz C, Ashraf O, Schiller W, Preusse C, Esmailzadeh B, Likungu J . Transit time flow measurement in on-pump and off-pump coronary artery surgery. J Thorac Cardiovasc Surg. 2003; 126(3):645-50. DOI: 10.1016/s0022-5223(03)00018-7. View

18.

Fabricius A, Gerber W, Hanke M, Garbade J, Autschbach R, Mohr F . Early angiographic control of perioperative ischemia after coronary artery bypass grafting. Eur J Cardiothorac Surg. 2001; 19(6):853-8. DOI: 10.1016/s1010-7940(01)00692-3. View