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Regional heterogeneity of myocardial blood flow detected and quantified by Xenon-133 washout analysis in patients with coronary artery disease

Conference · · J. Nucl. Med.; (United States)
OSTI ID:6548348
The Xenon-133 washout technique has been used to measure myocardial blood flow (MBF). However, controversy exists regarding the ability of the method to detect regional heterogeneity of MBF. The authors measured MBF (ml/100gm/min) in the circumflex and anterior descending arteries after injection of 12-15 mCi Xenon-133 in saline into the left coronary of 12 patients. Each patient had one diseased branch (greater than or equal to75% stenosis) and one normal branch (0-30% stenosis) of the left coronary. Control flow (C-MBF) was measured and flow was remeasured after 0.15 mg/kg/min x 4 min. intravenous dipyridamole (D-MBF). Coronary resistance (Res) was calculated as mean aortic pressure/MBF. After dipyridamole, significant regional heterogeneity of tracer uptake was seen on the Xenon images. MBF in the diseased artery was markedly lower and resistance higher compared to the normal artery. The ratio of D-MBF in the diseased vessel to D-MBF in the normal vessel was 0.64+-13. The data obtained provide unequivocal evidence that this technique can detect and quantitate regional heterogeneity of coronary flow even when low flow areas are contiguous with high flow areas.
Research Organization:
Univ. of Wisconsin Medical School, Mount Sinai Medical Center, Milwaukee, WI
OSTI ID:
6548348
Report Number(s):
CONF-840619-
Conference Information:
Journal Name: J. Nucl. Med.; (United States) Journal Volume: 25:5
Country of Publication:
United States
Language:
English

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