Coronary angiography: Difference between revisions

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==Coronary Anatomy==
==Normal Coronary Anatomy==
* Normal coronary anatomy:
* [[Coronary arteries]]
:[[Coronary arteries]]
* [[Left coronary artery]] | [[Left main coronary artery]] | [[Left anterior descending artery]]  |  [[Left circumflex artery]] | [[Ramus intermedius]]
:[[Left coronary artery]] | [[Left main coronary artery]] | [[Left anterior descending artery]]  |  [[Left circumflex artery]] | [[Ramus intermedius]]
* [[Right coronary artery]]
:[[Right coronary artery]]
* [[Coronary artery dominance]]
:[[Coronary artery dominance]]


* Abnormal coronary anatomy:
==Abnormal Coronary Anatomy==
:[[Anomalous origins of the coronary arteries]]
:[[Anomalous origins of the coronary arteries]]
:[[Coronary artery fistula]]
:[[Coronary artery fistula]]
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Advanced Diagnostic and Therapeutic Angiography in PCI
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==Advanced Diagnostic and Therapeutic Angiography in PCI==
==Diagnostic Catheterization==
===Diagnostic Catheterization===
[[Risk Stratification and the Benefits of PCI vs Medical Therapy]] | [[Conscious Sedation]] | [[Preparation of the Patient for Diagnostic Catheterization]] | [[Technical Aspects of the Cardiac Catheterization Laboratory]] | [[Obtaining Venous and Arterial Access]] | [[Equipment Used in Diagnostic Cardiac Catheterizaiton]] | [[Hemodynamic Assessment in the Cardiac Catheterization Laboratory]] | [[Radiation Safety]]
[[Risk Stratification and the Benefits of PCI vs Medical Therapy]] | [[Conscious Sedation]] | [[Preparation of the Patient for Diagnostic Catheterization]] | [[Technical Aspects of the Cardiac Catheterization Laboratory]] | [[Obtaining Venous and Arterial Access]] | [[Equipment Used in Diagnostic Cardiac Catheterizaiton]] | [[Hemodynamic Assessment in the Cardiac Catheterization Laboratory]] | [[Radiation Safety]]


===Therapeutic Catheterization===
==Therapeutic Catheterization==
[[Coronary angiography therapeutic procedures|Therapeutic procedures]] | [[Coronary angiography advances in catheter based physical treatments|Advances in catheter based physical treatments]]
[[Coronary angiography therapeutic procedures|Therapeutic procedures]] | [[Coronary angiography advances in catheter based physical treatments|Advances in catheter based physical treatments]]


===PCI in Specific Lesion Types===
==PCI in Specific Lesion Types==
[[PCI: classification of the lesion|Classification of the Lesion]] | [[PCI in the calcified lesion|The Calcified Lesion]] | [[PCI in the ostial lesion|The Ostial Lesion]] | [[PCI in the angulated or tortuous lesion|The Angulated or Tortuous Lesion]] | [[PCI in the bifurcation lesion|The Bifurcation Lesion]] | [[PCI in the long lesion|The Long Lesion]] | [[Myocardial bridge#PCI/Stenting|The Bridge Lesion]] | [[Coronary vasospasm#Treatment of PCI-induced Vasospasm|Vasospasm]] | [[Chronic total occlusions#PCI Techniques|The Chronic Total Occlusion]] | [[PCI in the left internal mammary artery|The Left Internal Mammary Artery]] | [[Multivessel coronary artery disease#Revascularization by Percutaneous Coronary Intervention (PCI)|Multivessel Disease]] | [[Treatment of distal anastomotic lesions#Balloon angioplasty (PTCA)|Distal Anastomotic Lesions]] | [[Left main intervention|Left Main Intervention]] | [[Management of the thrombotic lesion#Mechanical Therapy|The Thrombotic Lesion]]
[[PCI: classification of the lesion|Classification of the Lesion]] | [[PCI in the calcified lesion|The Calcified Lesion]] | [[PCI in the ostial lesion|The Ostial Lesion]] | [[PCI in the angulated or tortuous lesion|The Angulated or Tortuous Lesion]] | [[PCI in the bifurcation lesion|The Bifurcation Lesion]] | [[PCI in the long lesion|The Long Lesion]] | [[Myocardial bridge#PCI/Stenting|The Bridge Lesion]] | [[Coronary vasospasm#Treatment of PCI-induced Vasospasm|Vasospasm]] | [[Chronic total occlusions#PCI Techniques|The Chronic Total Occlusion]] | [[PCI in the left internal mammary artery|The Left Internal Mammary Artery]] | [[Multivessel coronary artery disease#Revascularization by Percutaneous Coronary Intervention (PCI)|Multivessel Disease]] | [[Treatment of distal anastomotic lesions#Balloon angioplasty (PTCA)|Distal Anastomotic Lesions]] | [[Left main intervention|Left Main Intervention]] | [[Management of the thrombotic lesion#Mechanical Therapy|The Thrombotic Lesion]]


===PCI Complications===
==PCI Complications==
[[PCI complications: vessel perforation|Vessel Perforation]] | [[PCI complications: dissection|Dissection]] | [[PCI complications: distal embolization|Distal Embolization]] | [[PCI complications: no reflow|No-reflow]] | [[PCI complications: abrupt closure|Abrupt Closure]] | [[PCI complications: restenosis|Restenosis]] | [[PCI complications: late acquired stent malapposition|Late Acquired Stent Malapposition]] | [[PCI complications: loss of side branch|Loss of Side Branch]] | [[PCI complications: multiple complications|Multiple Complications]] | [[Coronary stent thrombosis]] | [[Slow flow]] | [[Pulsatile flow]] | [[Flow deceleration]] | [[Ectasia]] | [[Intimal flap]] | [[Staining]]
[[PCI complications: vessel perforation|Vessel Perforation]] | [[PCI complications: dissection|Dissection]] | [[PCI complications: distal embolization|Distal Embolization]] | [[PCI complications: no reflow|No-reflow]] | [[PCI complications: abrupt closure|Abrupt Closure]] | [[PCI complications: restenosis|Restenosis]] | [[PCI complications: late acquired stent malapposition|Late Acquired Stent Malapposition]] | [[PCI complications: loss of side branch|Loss of Side Branch]] | [[PCI complications: multiple complications|Multiple Complications]] | [[Coronary stent thrombosis]] | [[Slow flow]] | [[Pulsatile flow]] | [[Flow deceleration]] | [[Ectasia]] | [[Intimal flap]] | [[Staining]]
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Revision as of 22:14, 5 September 2013

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords: coronary arteriography, cardiac arteriography, cardiac angiogram, coronary angio, coronary artery angio, coronary cath, cardiac cath

Section I

General Principles

Equipment and Technique

Angiographic Core Lab Definitions

  • Definitions of commonly used terms
  • Angiographic film quality
Section II: Coronary anatomy and Projection angles

Normal Coronary Anatomy

Abnormal Coronary Anatomy

Anomalous origins of the coronary arteries
Coronary artery fistula

Projection Angles

Section III: Angiogram Analysis

Assessment of the Culprit Lesion Location

Culprit lesion location | Disease extent | Dominance | Segmental coronary anatomy (branchpoint/bifurcation) | Location of the lesion within the segment (ostial/anastomotic) | Collaterals | Count of branch proximal and diustal to the lesion

Assessment of Perfusion

How to Assess Epicardial Coronary Blood Flow

How to Assess Myocardial Perfusion

Assessment of Lesion Morphology

Lesion Complexity

Thrombus Grade

Lesion Morphology

Section IV:

Advanced Diagnostic and Therapeutic Angiography in PCI

Diagnostic Catheterization

Risk Stratification and the Benefits of PCI vs Medical Therapy | Conscious Sedation | Preparation of the Patient for Diagnostic Catheterization | Technical Aspects of the Cardiac Catheterization Laboratory | Obtaining Venous and Arterial Access | Equipment Used in Diagnostic Cardiac Catheterizaiton | Hemodynamic Assessment in the Cardiac Catheterization Laboratory | Radiation Safety

Therapeutic Catheterization

Therapeutic procedures | Advances in catheter based physical treatments

PCI in Specific Lesion Types

Classification of the Lesion | The Calcified Lesion | The Ostial Lesion | The Angulated or Tortuous Lesion | The Bifurcation Lesion | The Long Lesion | The Bridge Lesion | Vasospasm | The Chronic Total Occlusion | The Left Internal Mammary Artery | Multivessel Disease | Distal Anastomotic Lesions | Left Main Intervention | The Thrombotic Lesion

PCI Complications

Vessel Perforation | Dissection | Distal Embolization | No-reflow | Abrupt Closure | Restenosis | Late Acquired Stent Malapposition | Loss of Side Branch | Multiple Complications | Coronary stent thrombosis | Slow flow | Pulsatile flow | Flow deceleration | Ectasia | Intimal flap | Staining


To be redirected

List of all specific lesion types | Bifurcated lesion | Calcified lesion | Chronic total occlusion | Distal anastomotic lesion | Irregular lesion | Left internal mammary artery | Long lesion | Multivessel disease | Myocardial Bridge lesion | Ostial lesion | Coronary angiography pulsatile flow | Thrombotic lesion | Torturous or angulated lesion | Ulcerated lesion | vasospasm

More About Angiography



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