Coronary angiography

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List of terms related to Coronary angiography

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

General Principles

• Overview
• Historical perspective
• Patient participation
• Contraindications
• Complications

Equipment and Technique

• Equipement
• Diagnostic procedures
• Technique

Angiographic Core Lab Definitions

• Definitions of commonly used terms
• Angiographic film quality

Coronary Anatomy

• Normal coronary anatomy:

Coronary arteries

Left coronary artery | Left main coronary artery | Left anterior descending artery | Left circumflex artery | Ramus intermedius

Right coronary artery

Coronary artery dominance

• Abnormal coronary anatomy:

Anomalous origins of the coronary arteries

Coronary artery fistula

Standard Angiographic Views

• Essentials of optimal coronary angiographic projections
• Standard angiographic views
• Left coronary artery
• Right coronary artery

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Assessment of Perfusion

How to Assess Epicardial Coronary Blood Flow

• TIMI flow grade: TIMI flow grade 0 | TIMI flow grade 1 | TIMI flow grade 2 | TIMI flow grade 3
• TIMI frame count (TFC)

How to Assess Myocardial Perfusion

• TIMI myocardial perfusion grade: TIMI myocardial perfusion grade 0 | TIMI myocardial perfusion grade 1 | TIMI myocardial perfusion grade 2 | TIMI myocardial perfusion grade 3

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Assessment of Lesion Morphology

Lesion Complexity

• ACC-AHA characteristics of type A, B, and C coronary lesions
• Risk assessment using lesion morphologic criteria

Thrombus Grade

• PERFUSE thrombus grade: PERFUSE thrombus grade 0 | PERFUSE thrombus grade 1 | PERFUSE thrombus grade 2 | PERFUSE thrombus grade 3 | PERFUSE thrombus grade 4 | PERFUSE thrombus grade 5 | PERFUSE thrombus grade 6

Lesion Morphology

• Quantitative angiography: Minimal lumen diameter • Percent stenosis • Reference diameter • Lesion length • Residual stenosis • Average reference segment diameter • Plaque area • Plaque volume •
• Definitions of Preprocedural Lesion Morphology
• Myocardial bridge
• Luminal irregularities
• Disease extent
• Arterial foreshortening
• Infarct related artery (Culprit lesion)
• Reocclusion
• Restenosis
• Degenerated saphenous vein graft
• Coronary artery fistula
• Collaterals
• Coronary artery dissection

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

Factors Associated with Complications | Vessel Perforation | Dissection | Distal Embolization | No-reflow | Abrupt Closure | Access Site Complications | Peri-procedure Bleeding | Restenosis | Renal Failure | Thrombocytopenia | Late Acquired Stent Malapposition | Loss of Side Branch | Multiple Complications | Complications During and Following Cardiac Catheterization and Percutaneous Coronary Intervention | Coronary stent thrombosis | Slow flow | Pulsatile flow | Flow deceleration | Ectasia | Intimal flap | Staining

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Complications

Complications during and following cardiac catheterization | Factors Associated with Complications | Vessel Perforation | Dissection | Distal Embolization | No-reflow | Abrupt Closure | Access Site Complications | Peri-procedure Bleeding | Renal Failure | Thrombocytopenia | Loss of Side Branch | Multiple Complications

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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

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More About Angiography

• Postmortem angiogram of coronary arteries

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