Coronary angiography
| 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
PCI Complications
Factors Associated with Complications | Vessel Perforation | Dissection | Distal Embolization | No-reflow | Abrupt Closure | Access Site Complications | Peri-procedure Bleeding | Restenosis | Renal Failure | Thrombocytopenia | Late Acquired Stent Malapposition | Loss of Side Branch | Multiple Complications
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
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