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Cardiac Catheterization
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Coronary Angiography
Angiographic definitions
Normal coronary anatomy
•
Congenital abnormalities of coronary arteries
•
Coronary artery segments
•
Cinefilm frame speed
•
Coronary artery dominance
(
Left dominance
•
Right dominance
•
Co-dominance
) •
Abrupt closure
•
Side branch loss
•
Slow flow
•
No-reflow
•
Myocardial bridge
•
Pulsatile flow
•
Flow deceleration
•
Disease extent
•
Minimum diameter
•
Percent stenosis
•
Reference diameter
•
Lesion length
•
Residual stenosis
•
Arterial foreshortening
•
Infarct related artery
(
Culprit lesion
) •
Reocclusion
•
Restenosis
•
Essentials of Coronary Angiography
Patient preparation
•
Essential projections
•
High risk groups
•
Patients with special need
TIMI Flow Grade
TFG 0
•
TFG 1
•
TFG 2
•
TFG 3
TIMI Frame Count
Corrected TIMI Frame Count
•
TFC for LAD
•
TFC for LM
•
TFC for SVG
TIMI Myocardial Perfusion Grade
TMPG 0
•
TMPG 1
•
TMPG 2
•
TMPG 3
TIMI Thrombus Grading
Grade 0
•
Grade 1
•
Grade 2
•
Grade 3
•
Grade 4
•
Grade 5
•
Grade 6
Coronary Collaterals
Grade 0
•
Grade 1
•
Grade 2
•
Grade 3
Lesion Characteristics
Type A
•
Type B
1
•
Type B
2
•
Type C
•
Ulcers
Dissection Classification
Type A
•
Type B
•
Type C
•
Type D
•
Type E
•
Type F
Left Ventriculography
&
Aortography
LAO projection
•
RAO projection
•
Aortography
Catheter Based Interventions
Endomyocardial biopsy
•
Atherectomy
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
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