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Evaluation of the Coronary Arteriogram in Selection of Patients for Coronary Angioplasty

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Practice of Coronary Angioplasty

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Abstract

When coronary arteriograms are evaluated with a view to performing coronary angioplasty, some angiographic features need special attention. As coronary angioplasty is an attempt at “direct” treatment of coronary stenoses through transluminal access, the course and the condition of the coronary vascular bed proximal and distal to the stenosis and the morphology of the coronary stenosis are important for assessment of feasibility of the procedure and the risk of coronary vascular complications. Localization of coronary stenosis and distribution of the PTCA vessel distal to the obstruction largely determine the clinical consequences for the patient should total occlusion of the PTCA vessel occur. Both the presence or absence of angiographically visible collateral flow to or originating from the PTCA vessel and the status of the left ventricle can also influence the selection process with respect to dilatation strategy and patient safety.

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Authors
  1. Thomas Ischinger
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© 1986 Springer-Verlag Berlin Heidelberg

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Ischinger, T. (1986). Evaluation of the Coronary Arteriogram in Selection of Patients for Coronary Angioplasty. In: Practice of Coronary Angioplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70815-2_4

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  • DOI: https://doi.org/10.1007/978-3-642-70815-2_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-70817-6

  • Online ISBN: 978-3-642-70815-2

  • eBook Packages: Springer Book Archive

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