Journal of Kerman University of Medical Sciences

A Novel Method for Detecting Coronary Artery Involvement Through Intravascular Injection of Fluorescein: A Case Report

Document Type : Case Report

Authors

Saeedeh Delavari 1
Pouria Espahbudi 2
Neda Fayazi 3
Mehran Akbari 4
Ramin Ronasi 4
Hanieh Raghimi 5
Sam Zeraatiannejad Davani 6, 7

1 Department of Health Information Technology, Khomein University of Medical Sciences, Khomein, Iran

2 Student Research Committee, Iran University of Medical Sciences, Tehran, Iran

3 Department of Nursing, School of Nursing and Midwifery, Saveh University of Medical Sciences, Saveh, Iran

4 Department of Clinical Sciences, Khomein University of Medical Sciences, Khomein, Iran

5 Department of Internal Medicine, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran

6 Department of Cardiovascular Surgery, Iran University of Medical Sciences, Tehran, Iran

7 Department of Surgery, Faculty Member of Northwestern University, Northwestern Memorial Hospital, Canning Thoracic Institution, Illinois State, Chicago, United States of America

https://doi.org/10.34172/jkmu.4365
Abstract
Introduction: Fluorescein angiography is considered a diagnostic imaging technique that involves injecting fluorescein into the patient's bloodstream and then capturing images of the dye as it passes through the patient's blood vessels.
Case report: The present study is a case report of a 62-year-old male with type II diabetes who was admitted due to an infectious diabetic foot and signs of gangrene. The patient underwent angiography for the preparation of amputation. However, the angiography revealed a severe three-vessel disease, making him a candidate for coronary artery bypass graft. In this surgery, before initiating grafting and during thoracoscopy, fluorescein was injected into the intravascular arteries to locate the graft sites and for real-time visualization of coronary arteries. After the procedure, the patient’s hemodynamic status was stabilized, and he was discharged in a desirable condition.
Conclusion: The importance of intraoperative fluorescence imaging in increasing the success rate of minimally invasive coronary artery bypass graft outcomes and reducing the patient’s complications after discharge.

Keywords

Coronary Vessels
Fluorescein Angiography
Coronary Artery Bypass
Subjects
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Journal of Kerman University of Medical Sciences
Volume 33
Pages 1-5

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