Suggested angiographic projections: Difference between revisions

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Revision as of 19:09, 5 September 2013

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

General Terminology

Rotation describes the position of the image intensifier around the longitudinal axis of the patient. LAO refers to rotating the camera to the patient's left (catheter and spine will be on the right side of the image), RAO to the patient's right (catheter and spine on the left side of the image). Angulation describes the position of the image intensifier in the short axis of the patient. Camera can pivit toward (cranial) or away (caudal) from the patient's head. Diagram

Post-surgical Views

Left Lateral; LIMA (body)
Right Cranial; LIMA to mid LAD
Right Caudal; LIMA to distal LAD
Left Lateral; LIMA to distal LAD
Right Cranial; LIMA to diagonal arteries
Left Lateral SVG to LAD

References

Template:WikiDoc Sources

@@ Line 6: / Line 6: @@
 Rotation describes the position of the image intensifier around the longitudinal axis of the patient. LAO refers to rotating the camera to the patient's left (catheter and spine will be on the right side of the image), RAO to the patient's right (catheter and spine on the left side of the image).  Angulation describes the position of the image intensifier in the short axis of the patient.  Camera can pivit toward (cranial) or away (caudal) from the patient's head.
 [http://www.cardiologysite.com/assets/images/autogen/a_lca_ap_xray.jpg Diagram]
-==Left Coronary Views==
-====AP Cranial====
-*LAD [http://askdrwiki.com/mediawiki/index.php?title=Image:PA_Cranial_Key.jpg AP Cranial]
-*LIMA to mid LAD
-====AP Caudal====
-[http://askdrwiki.com/mediawiki/index.php?title=Image:PA_Caudal_Key.jpg AP Caudal]
-====LAO Caudal====
-*"spider" view, lays out the main branches of LMCA in a divergent manner, good look at bifurcation of LAD and Cx, origin of RI and origin of high OM brances. [http://askdrwiki.com/mediawiki/images/2/23/LAO_Caudal_Key.jpg LAO Caudal]
-* The LMCA and LAD are foreshortened.
-====LAO Cranial====
-*Lays out the LMCA, proximal LAD, projects origin and trunks of the RI and 1st Dx to avoid overlap by the Cx. [http://askdrwiki.com/mediawiki/index.php?title=Image:LAO_Cranial.jpg LAO Cranial]
-====RAO Caudal====
-*LMCA bifurcation, proximal LAD, proximal to mid Cx, origin and trunk of OM and left postero-lateral branch. [http://askdrwiki.com/mediawiki/index.php?title=Image:RAO_Caud.jpg RAO Caudal]
-====RAO Cranial====
-*Lays out LMCA, proximal LAD, proejcts origin and trunks of Ramus and 1st Dx to avoid overlap by proximal Cx. ''needs
 ==Post-surgical Views==

v t e Coronary Angiography
Coronary Anatomy	Normal coronary anatomy • Anomalous origins of coronary arteries (Left coronary artery • Right coronary artery) • Congenital abnormalities of coronary arteries • Coronary artery segments • Cinefilm frame speed • Coronary artery dominance (Left dominance • Right dominance • Co-dominance)
TIMI Flow Grade	TIMI flow grade 0 • TIMI flow grade 1 • TIMI flow grade 2 • TIMI flow grade 3
TIMI Frame Count	TFC for SVG • TIMI Myocardial Frame Count • Washout TIMI Frame Count
TIMI Myocardial Perfusion Grade	TIMI MPG 0 • TIMI MPG 1 • TIMI MPG 2 • TIMI MPG 3
Thrombus Grading	Thrombus Grade 0 • Thrombus Grade 1 • Thrombus Grade 2 • Thrombus Grade 3 • Thrombus Grade 4 • Thrombus Grade 5 • Thrombus Grade 6
Lesion Complexity	Type A • Type B₁ • Type B₂ • Type C
Dissection Classification	Type A • Type B • Type C • Type D • Type E • Type F
Coronary Collaterals	Grade 0 • Grade 1 • Grade 2 • Grade 3 • Rentrop and Cohen’s Collateral Classification
Lesion Morphology	Myocardial bridge •Definitions of Preprocedural Lesion Morphology • Luminal irregularities • Disease extent • Arterial foreshortening • Infarct related artery (Culprit lesion) • Reocclusion • Restenosis • Degenerated saphenous vein graft • Coronary artery fistula
Angiographic complications	Distal embolization • Coronary spasm • Abrupt closure • Side branch loss • Slow flow • No-reflow • Pulsatile flow • Flow deceleration • Ectasia • Intimal flap • Staining •
Performing Coronary Angiography	Patient preparation • Catheter selection • Standard angiographic views • High risk groups • Patients with special need • Access site closure (Manual compression • Assisted compression • Closure devices) •
Quantitative Coronary Angiography (QCA)	Minimal lumen diameter • Percent stenosis • Reference diameter • Lesion length • Residual stenosis • Average reference segment diameter • Plaque area • Plaque volume •
Contrast Media	High-osmolar contrast media • Iso-osmolar contrast media • Low-osmolar contrast media
Left Ventriculography & Aortography	Ejection fraction • Aortography • Quantitative Left Ventricular Analysis (LAO projection • RAO projection • LVA) • Left Ventricular Wall Motion Analysis (Normokinesia • Hypokinesia • Akinesia • Dyskinesia • Aneurysm) • Evaluation of mitral regurgitation • Evaluation of aortic regurgitation
Right Heart Catheterization	Pressure waveforms (Right atrial pressure • Rirght ventricular pressure • Pulmonary artery pressure • Pulmonary artery wedge-pressure) • Endomyocardial biopsy
Complications	Access site complications • Dumping • Contrast hypersensitivity • Contrast induced nephropathy • Hypotension • Hypertension • Dissection • Vessel perforation • Acute myocardial infarction • Ventricular fibrillation • Cardiac arrest • Stroke • ASD • VSD • Pulmonary emboli • Myocardial rupture • Peripheral arterial emboli • Radiation injury

Suggested angiographic projections: Difference between revisions

Revision as of 19:09, 5 September 2013

General Terminology

Post-surgical Views

References

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