Coronary angiography: Difference between revisions
| Line 64: | Line 64: | ||
==Specific Lesion Types== | ==Specific Lesion Types== | ||
<small>'''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]]</small> | |||
<small>'''Assesement of coronary lesions''' | [[Coronary Fractional Flow Reserve (FFR)]]) | [[Coronary flow reserve]]([[CFR]]) | [[Intravascular ultrasound]] ([[IVUS]])</small> | |||
<small>'''PCI''' | [[Preparation of the Patient for Percutaneous Coronary Intervention (PCI)]] | [[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines]] | [[Equipment Used in Percutaneous Coronary Intervention]] | [[Pharmacotherapy to Support PCI]] | [[Antiplatelet therapy]] | [[Antithrombotic therapy]] | [[Angiography and PCI in Special Patient Populations]] | [[Management Of Specific Lesion Types]] | [[High Risk Percutaneous Coronary Intervention (PCI)]] | [[Vascular Closure Devices]] | [[Post PCI Medical Management of the Interventional Patient]] | [[Complications During and Following Cardiac Catheterization and Percutaneous Coronary Intervention]] | [[Coronary stent thrombosis]] | |||
'''PCI in Specific Populations and Lesion Types''' | |||
*[[Assessment of Lesion Complexity and Morphology Using Coronary Lesion Classification Systems]] | |||
*[[PCI in the Patient with Angiographically Visible Thrombus|Angiographically Visible Thrombus]] | |||
*[[PCI in the Calcified Lesion|The Calcified Leison]] | |||
*[[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|Management of the Bifurcation Lesion]] | |||
*[[PCI in the Long Lesion|The Long Lesion]] | |||
*[[Myocardial bridge|Management of a Coronary Bridge Lesion and Kinks]] | |||
*[[PCI in the Patient with Coronary Vasospasm|Management of Coronary Vasospasm]] | |||
*[[PCI in the Patient with a Chronic Total Occlusion|The Chronic Total Occlusion (CTO)]] | |||
*[[PCI in Small Vessels|Intervention in Small Vessels]] | |||
*[[PCI in Diffusely Diseased Vessels|Intervention in Diffusely Diseased Vessels]] | |||
*[[Intervention in Saphenous Vein Grafts (SVG)|Intervention in Saphenous Vein Grafts (SVG)]] | |||
*[[PCI in the Left Internal Mammary Artery|Intervention in the LIMA]] | |||
*[[PCI in the Right Internal Mammary Artery|Intervention in the RIMA]] | |||
*[[PCI in a Free Radial Artery or Other Conduit|Intervention in a Free Radial and other Conduits]] | |||
*[[Multivessel PCI|Multivessel Intervention]] | |||
*[[PCI in the Patient with Restenosis|PCI in the Patient with Restenosis]] | |||
*[[Stent Thrombosis|Management of the Patient with Stent Thrombosis]] | |||
*[[Treatment of Distal Anastomotic Lesions|Treatment of Distal Anastomotic Lesions]] | |||
*[[Coronary Artery Perforation|Coronary Artery Perforation]] | |||
*[[Left Main Intervention|Left Main Intervention]] | |||
*[[Management of the Thrombotic Lesion|Management of the Thrombotic Lesion]] | |||
</small> | |||
<small>'''High Risk PCI''' | [[PCI in the Patient in Cardiogenic Shock|PCI in the Patient in Cardiogenic Shock]] | [[PCI in the Patient Requiring CPR and Refractory Ventricular Arrhythmias|PCI in the Patient Requiring CPR and Refractory Ventricular Arrhythmias]] | [[PCI in the Patient with Severely Depressed Ventricular Function|PCI in the Patient with Severely Depressed Ventricular Function]] | [[PCI in the Patient with Critical Valve Stenosis|PCI in the Patient with Critical Valve Stenosis]] | [[PCI in the Sole Remaining Conduit|PCI in the Sole Remaining Conduit]] | [[PCI in the Unprotected Left Main Patient|PCI in the Unprotected Left Main Patient]] | [[Adjuncts for High Risk Percuatenous Coronary Intervention|Adjuncts for High Risk Percuatenous Coronary Intervention]]</small> | |||
<small>'''Mechanical circulatory support''' | [[Mechanical circulatory support]] | [[Intra-aortic balloon pump]] | [[Ventricular assist device|Ventricular assist devices]] | |||
[[Artificial heart]] | |||
<small>'''Other Topics'''[[Non Coronary Interventions in the Cardiac Catheterization Laboratory]] | [[Transfusion in ACS management]] | [[Revascularization in the "No Option" Patient]]</small> | |||
[[Coronary angiography specific lesion types|List of all specific lesion types]] | [[Coronary angiography bifurcated lesion|Bifurcated lesion]] | [[Coronary angiography calcified lesion|Calcified lesion]] | [[Coronary angiography chronic total occlusion|Chronic total occlusion]] | [[Coronary angiography distal anastomotic lesion|Distal anastomotic lesion]] | [[Coronary angiography irregular lesion|Irregular lesion]] | [[Coronary angiography left internal mammary artery|Left internal mammary artery]] | [[Coronary angiography long lesion|Long lesion]] | [[Coronary angiography multivessel disease|Multivessel disease]] | [[Coronary angiography bridge lesion|Myocardial Bridge lesion]] | [[Coronary angiography ostial lesion|Ostial lesion]] | [[Coronary angiography pulsatile flow]] | [[Thrombotic lesion]] | | [[Coronary angiography specific lesion types|List of all specific lesion types]] | [[Coronary angiography bifurcated lesion|Bifurcated lesion]] | [[Coronary angiography calcified lesion|Calcified lesion]] | [[Coronary angiography chronic total occlusion|Chronic total occlusion]] | [[Coronary angiography distal anastomotic lesion|Distal anastomotic lesion]] | [[Coronary angiography irregular lesion|Irregular lesion]] | [[Coronary angiography left internal mammary artery|Left internal mammary artery]] | [[Coronary angiography long lesion|Long lesion]] | [[Coronary angiography multivessel disease|Multivessel disease]] | [[Coronary angiography bridge lesion|Myocardial Bridge lesion]] | [[Coronary angiography ostial lesion|Ostial lesion]] | [[Coronary angiography pulsatile flow]] | [[Thrombotic lesion]] | | ||
[[Coronary angiography torturous or angulated lesion|Torturous or angulated lesion]] | [[Coronary angiography ulcerated lesion|Ulcerated lesion]] | [[Coronary angiography vasospasm|vasospasm]] | [[Coronary angiography torturous or angulated lesion|Torturous or angulated lesion]] | [[Coronary angiography ulcerated lesion|Ulcerated lesion]] | [[Coronary angiography vasospasm|vasospasm]] | ||
Revision as of 19:07, 5 September 2013
| Coronary angiography | |
 | |
|---|---|
| Coronary catheterization:Left coronary artery injection |
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
Overview
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
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
How to Assess Thrombus or Clot
- 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
Specific Lesion Types
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
Assesement of coronary lesions | Coronary Fractional Flow Reserve (FFR)) | Coronary flow reserve(CFR) | Intravascular ultrasound (IVUS)
PCI | Preparation of the Patient for Percutaneous Coronary Intervention (PCI) | Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines | Equipment Used in Percutaneous Coronary Intervention | Pharmacotherapy to Support PCI | Antiplatelet therapy | Antithrombotic therapy | Angiography and PCI in Special Patient Populations | Management Of Specific Lesion Types | High Risk Percutaneous Coronary Intervention (PCI) | Vascular Closure Devices | Post PCI Medical Management of the Interventional Patient | Complications During and Following Cardiac Catheterization and Percutaneous Coronary Intervention | Coronary stent thrombosis
PCI in Specific Populations and Lesion Types
- Assessment of Lesion Complexity and Morphology Using Coronary Lesion Classification Systems
- Angiographically Visible Thrombus
- The Calcified Leison
- The Ostial Lesion
- The Angulated or Tortuous Lesion
- Management of the Bifurcation Lesion
- The Long Lesion
- Management of a Coronary Bridge Lesion and Kinks
- Management of Coronary Vasospasm
- The Chronic Total Occlusion (CTO)
- Intervention in Small Vessels
- Intervention in Diffusely Diseased Vessels
- Intervention in Saphenous Vein Grafts (SVG)
- Intervention in the LIMA
- Intervention in the RIMA
- Intervention in a Free Radial and other Conduits
- Multivessel Intervention
- PCI in the Patient with Restenosis
- Management of the Patient with Stent Thrombosis
- Treatment of Distal Anastomotic Lesions
- Coronary Artery Perforation
- Left Main Intervention
- Management of the Thrombotic Lesion
High Risk PCI | PCI in the Patient in Cardiogenic Shock | PCI in the Patient Requiring CPR and Refractory Ventricular Arrhythmias | PCI in the Patient with Severely Depressed Ventricular Function | PCI in the Patient with Critical Valve Stenosis | PCI in the Sole Remaining Conduit | PCI in the Unprotected Left Main Patient | Adjuncts for High Risk Percuatenous Coronary Intervention
Mechanical circulatory support | Mechanical circulatory support | Intra-aortic balloon pump | Ventricular assist devices
Other TopicsNon Coronary Interventions in the Cardiac Catheterization Laboratory | Transfusion in ACS management | Revascularization in the "No Option" Patient
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
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
More About Angiography
- Overview
- Historical perspective
- Patient participation
- Contraindications
- Complications
- Equipement
- Diagnostic procedures
- Technique
- ACC-AHA characteristics of type A, B, and C coronary lesions
- Risk assessment using lesion morphologic criteria
- Quantitative angiography
- Essentials of optimal coronary angiographic projections
- Therapeutic procedures
- Advances in catheter based physical treatments
- Postmortem angiogram of coronary arteries
Related Chapters
- Angiogram
- Anomalous origins of coronary arteries
- Cardiology
- Interventional cardiology
- ST elevation myocardial infarction coronary angiography