Coronary angiography: Difference between revisions
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* [[Coronary angiography therapeutic procedures|Therapeutic procedures]] | * [[Coronary angiography therapeutic procedures|Therapeutic procedures]] | ||
* [[Coronary angiography advances in catheter based physical treatments|Advances in catheter based physical treatments]] | * [[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]] | |||
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Revision as of 21:43, 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
General Principles
Equipment and 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:
Standard Angiographic Views
- Essentials of optimal coronary angiographic projections
- Standard angiographic views
- Left coronary artery
- Right coronary artery
Assessment of Lesion Location
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
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
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
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
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