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Angiographic Explorations: Critical Appraisal of Coronary Arteriography

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Coronary Artery Diseases

Abstract

The degree of reliability of angiographic documents for analysis depends on several factors

  • the film quality of the images (mastery of the techniques of radiological filming and development);

  • knowledge of the enlargement factor (choice of a precise method for its measurement);

  • certainty that no part of the ventricle or coronary arteries escapes observation (correct centring on the film, and panning, if necessary);

  • the possibility of obtaining a complete spatial representation of the left ventricle (LV) (LV filmed in two complementary projections, and simultaneously, if possible — that is, preferably with a biplanar system;

  • certainty that all arterial segments are clear, in at least one projection, of any su- perimposition of an adjacent artery (sufficiently numerous projections and suitable angulations);

  • lack of doubt about the atheromatous or vasospastic nature of a stenotic or occlusive lesion (judicious use of nitroglycerin);

  • the validity of the methods of measurement chosen;

  • and the vigilance, objectivity and competence (level of theoretical knowledge and degree of experience) of the person analysing the ventriculography and coronary arteriography documents.

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© 1984 Springer-Verlag Berlin Heidelberg

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Amiel, M., Maseri, A., Petitier, H., Vasile, N. (1984). Angiographic Explorations: Critical Appraisal of Coronary Arteriography. In: Coronary Artery Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69604-6_12

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  • DOI: https://doi.org/10.1007/978-3-642-69604-6_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-69606-0

  • Online ISBN: 978-3-642-69604-6

  • eBook Packages: Springer Book Archive

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