Coronary artery tortuosity: Difference between revisions

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==Definition==
==Definition==
 
Coronary artery tortuosity is a phenomenon defined as a two following 180°turns of a major epicardial artery.<ref name="pmid22163145">{{cite journal| author=Panduranga P, Riyami AA| title=Serpentine coronary arteries: in a patient with apical hypertrophic cardiomyopathy. | journal=Tex Heart Inst J | year= 2011 | volume= 38 | issue= 5 | pages= 594-5 | pmid=22163145 | doi= | pmc=PMC3231533 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22163145  }} </ref>
 


==Pathophysiology==
==Pathophysiology==

Revision as of 17:41, 16 December 2013

Coronary Angiography

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General Principles

Overview
Historical Perspective
Contraindications
Appropriate Use Criteria for Revascularization
Complications
Technique
Film Quality

Anatomy & Projection Angles

Normal Anatomy

Coronary arteries
Dominance
Right System
Left System
Left Main
Left Anterior Descending
Circumflex
Median Ramus

Anatomic Variants

Separate Ostia
Anomalous Origins
Case Example
Fistula

Projection Angles

Standard Views
Left Coronary Artery
Right Coronary Artery

Epicardial Flow & Myocardial Perfusion

Epicardial Flow

TIMI Frame Count
TIMI Flow Grade
TIMI Grade 0 Flow
TIMI Grade 1 Flow
TIMI Grade 2 Flow
TIMI Grade 3 Flow
TIMI Grade 4 Flow
Pulsatile Flow
Deceleration

Myocardial Perfusion

TIMI Myocardial Perfusion Grade
TMP Grade 0
TMP Grade 0.5
TMP Grade 1
TMP Grade 2
TMP Grade 3

Lesion Complexity

ACC/AHA Lesion-Specific Classification of the Primary Target Stenosis

Preprocedural Lesion Morphology

Eccentricity
Irregularity
Ulceration
Intimal Flap
Aneurysm
Sawtooth Pattern
Length
Ostial location
Angulation
Proximal tortuosity
Degenerated SVG
Calcification
Total occlusion
Coronary Artery Thrombus
TIMI Thrombus Grade
TIMI Thrombus Grade 0
TIMI Thrombus Grade 1
TIMI Thrombus Grade 2
TIMI Thrombus Grade 3
TIMI Thrombus Grade 4
TIMI Thrombus Grade 5
TIMI Thrombus Grade 6

Lesion Morphology

Quantitative Coronary Angiography
Definitions of Preprocedural Lesion Morphology
Irregular Lesion
Disease Extent
Arterial Foreshortening
Infarct Related Artery
Restenosis
Degenerated SVG
Collaterals
Aneurysm
Bifurcation
Trifurcation
Ulceration

Left ventriculography

Technique
Quantification of LV Function
Quantification of Mitral Regurgitation

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vanessa Cherniauskas, M.D. [2], Mohamed Moubarak, M.D. [3]

Synonyms and keywords: Serpentine coronary artery

Overview

Coronary tortuosity (CT) is a common finding in coronary angiography settings. The importance of CT comes from the possibility of reducing the coronary blood supply, through the reduced coronary perfusion pressure, as a result to this kinking and tortuosity, distal to the tortuous point of the coronary artery, which may leading to ischemia.[1]

Definition

Coronary artery tortuosity is a phenomenon defined as a two following 180°turns of a major epicardial artery.[2]

Pathophysiology

Epidemiology and Demographics

Diagnosis

Coronary Angiography

Clinical Significance

Treatment

Example

References

  1. Zegers ES, Meursing BT, Zegers EB, Oude Ophuis AJ (2007). "Coronary tortuosity: a long and winding road". Neth Heart J. 15 (5): 191–5. PMC 1877966. PMID 17612682.
  2. Panduranga P, Riyami AA (2011). "Serpentine coronary arteries: in a patient with apical hypertrophic cardiomyopathy". Tex Heart Inst J. 38 (5): 594–5. PMC 3231533. PMID 22163145.


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