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Coronary Angiography

  • J. Haase
  • N. Reifart

Abstract

Since the introduction of percutaneous transluminal coronary angioplasty (PTCA) by Andreas Grüntzig in 1977, assessment of coronary artery morphology by contrast angiograms has represented the standard technique to visualize coronary artery stenoses before, during, and following any interventional procedure [1]. It has been well established that the angiographic appearance of coronary artery lesions does not directly reflect their hemodynamic significance as investigated by Doppler flow measurements [2]; in addition, it does not allow assessment of the atherosclerotic process within the arterial wall as demonstrated by intravascular ultrasound [3]. In spite of this, however, the angiographic approach is the most rapid technique for assessing the result of coronary angioplasty and provides the operator with the immediate information on lesion morphology following PTCA [4].

Keywords

Left Anterior Descend Coronary Angioplasty Chronic Total Occlusion Coronary Artery Lesion Coronary Artery Segment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Grüntzig AR, Senning A, Siegenthaler WE (1979) Nonoperative dilatation of coronary artery stenosis: percutaneous transluminal coronary angioplasty. New Engl J Med 301: 61PubMedCrossRefGoogle Scholar
  2. 2.
    Vogel RA (1993) Transcatheter assessment of coronary blood flow and velocity. In: Vogel JHK, King SB III (eds) The practice of interventional cardiology, 2nd edn. Mosby, St. Louis, p 19Google Scholar
  3. 3.
    Nissen SE, Gurley JC, Grines CL, Booth DC, McClure R, Berk M, Fischer C, DeMaria AN (1991) Intravascular ultrasound assessment of lumen size and wall morphology in normal subjects and patients with coronary artery disease. Circulation 84: 1087PubMedGoogle Scholar
  4. 4.
    Baim DS (1991) Coronary angioplasty. In: Grossman W, Baim DS (eds) Cardiac catheterization angiography and intervention, 4th edn. Lea & Feibiger, Philadelphia, p 441Google Scholar
  5. 5.
    Bunell IL, Greene DG, Tandon RN, Arani DT (1973) The half-axial projection. A new look at the proximal left coronary artery. Circulation 48: 1151Google Scholar
  6. 6.
    Lesperance J, Saltiel J, Peticlerc R, Bourassa MG (1974) Angulated views in the sagittal plane for improved accuracy of cine coronary angiography. Am J Roentgenol 121: 575Google Scholar
  7. 7.
    Aldridge HE, McLoughlin MJ, Taylor KW (1975) Improved diagnosis in coronary cinearteriography with routine use of 110 oblique views and cranial and caudal angulations. Am J Cardiol 36: 468PubMedCrossRefGoogle Scholar
  8. 8.
    Grover M, Slutsky R, Higgins C, Atwood JE (1984) Terminology and anatomy of angulated coronary arteriography. Clin Cardiol 7: 37PubMedCrossRefGoogle Scholar
  9. 9.
    Elliott LP, Bream PF, Soto B, Russell RO jr, Rogers WJ, Mantle JA, Hood WP jr (1981) Significance of the caudal left-anterior-oblique view in analyzing the left main coronary artery. Radiology 139: 39PubMedGoogle Scholar
  10. 10.
    Gomez A, Esposito V, Grollman J, O’Reilly R (1983) Angled views in the evaluation of the right coronary artery. Cathet Cardiovasc Diagn 8: 71CrossRefGoogle Scholar
  11. 11.
    King SB III, Douglas JS jr, Morris DC (1981) New angiographic views for coronary arteriography. In: Hurst JW (ed) Update IV: the heart. McGraw Hill, New York, p 193Google Scholar
  12. 12.
    Arani DT, Bunnell IL, Greene DG (1975) Lordotic right posterior oblique projection of the left coronary artery: a special view for special anatomy. Circulation 52: 504PubMedGoogle Scholar
  13. 13.
    DeRouen TA, Murray JA, Owen W (1977) Variability in the analysis of coronary arteriograms. Circulation 55: 324PubMedGoogle Scholar
  14. 14.
    Serruys PW, Booman F, Troost J, Reiber JHC, Gerbrands JJ, Brand M van den, Cherrier F, Hugenholtz PG (1982) Computerized quantitative coronary angiography applied to percutaneous transluminal coronary angioplasty: advantages and limitations. In: Kaltenbach M, Grüntzig A, Rentrop K, Bussman WD (eds) Transluminal coronary angioplasty and intracoronary thrombolysis — heart disease IV. Springer, Berlin Heidelberg New York, p 110Google Scholar
  15. 15.
    De Feyter PJ, Serruys PW, Davies MJ, Richardson P, Lubson J, Oliver MF (1991) Quantitative coronary angiography to measure progression and regression of coronary atherosclerosis: value, limitations and implications for clinical trials. Circulation 84: 412PubMedGoogle Scholar
  16. 16.
    Strauss BH, Escaned J, Foley DP, DiMario C, Haase J, Keane D, Hermans WRM, De Feyter PJ, Serruys PW (1994) Technological considerations and practical limitations in the use of quantitative angiography during percutaneous coronary recanalization. Progr Cardiovasc Dis 5: 343CrossRefGoogle Scholar
  17. 17.
    Reiber JHC, van der Zwet PMJ, Koning G, von Land CD, Padmos I, Buis B, van Bethem AC, van Meurs B (1991) Quantitative coronary measurements from cine and digital arteriograms; methodology and validation results. 4th International Symposim on Coronary Arteriography, Rotterdam, June 23–25, 1991. Erasmus University Press, Rotterdam, p 36Google Scholar
  18. 18.
    Haase J, Di Mario C, Slager CJ, van der Giessen WJ, den Boer A, De Feyter PJ, Reiber JHC, Verdouw PD, Serruys PW (1992) In vivo validation of on-line and off-line geometric coronary measurements using insertion of stenosis phantoms in porcine coronary arteries. Cathet Cardiovasc Diagn 27: 16PubMedCrossRefGoogle Scholar
  19. 19.
    Reiber JHC, Kooijman CJ, den Boer A, Serruys PW (1985) Assessment of dimensions and image quality of coronary contrast catheters from cineangiograms. Cathet Cardiovasc Diagn 11: 521PubMedCrossRefGoogle Scholar
  20. 20.
    Wollschläger H, Zeiher AM, Lee P, Solzbach U, Bonzel T, Just H (1988) Optimal biplane imaging of coronary segments with computed triple orthogonal projections. In: Reiber JHC, Surruys PW (eds) New developments in quantitative coronary arteriography, 1st edn. Kluwer, Dordrecht, p 13CrossRefGoogle Scholar
  21. 21.
    Reiber JHC, Zwet PMJ van der, Land CD von, Koning G, Loois G, Zorn I, Brand M van den, Gerbrands JJ (1989) On-line quantification of coronary angiograms with the DCI system. Medica Mundi 34: 89Google Scholar
  22. 22.
    Haase J, Nugteren SK, van Swijndregt EM, Slager CJ, Di Mario C, De Feyter PJ, Serruys PW (1993) Digital geometric measurements in comparison to cinefilm analysis of coronary artery dimensions. Cathet Cardiovasc Diagn 28: 283PubMedCrossRefGoogle Scholar
  23. 23.
    Ryan TJ, Bauman WB, Kennedy JW, Kereiakes DJ, King SB III, McCallister BD, Smith SC, Ullyot DJ (1994) Guidelines for percutaneous transluminal coronary angioplasty — a report of the AHA/ ACC Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Committee on Percutaneous Transluminal Coronary Angioplasty). Circulation 88: 2987Google Scholar
  24. 24.
    Teirstein P, Giorgi L, Johnson W, McConahay D, Rutherford B, Hartzler G (1990) PTCA of the left coronary artery when the right coronary artery is chronically occluded. Am Heart J 119: 479PubMedCrossRefGoogle Scholar
  25. 25.
    Eckman MH, Wong JB, Salem DN, Pauker SG (1992) Direct angioplasty for acute myocardial infarction: a review of outcomes in clinical subsets. Ann Intern Med 117: 667PubMedGoogle Scholar
  26. 26.
    O’Keefe JH jr, Bailey WL, Rutherford BD, Hartzler GO (1993) Primary angioplasty for acute myocardial infarction in 1000 consecutive patients — results in an unselected population and high-risk subgroups. Am J Cardiol 72: 107GGoogle Scholar
  27. 27.
    Elizaga J, Garcia EJ, Delcań JL, Garcia-Robles JA, Bueno H, Soriano J, Abeytua M, Lopez-Bescós L (1993) Primary coronary angioplasty versus systemis thrombolysis in acute anterior myocardial infarction — in-hospital results from a prospective randomized trial. Circulation 88: 1–411Google Scholar
  28. 28.
    Stone GW, Grines CL, Browne KF, Rothbaum D, O’Keefe J, Hartzler GO, Overlie P, Donohue B, Chelliah N, Puchrowicz-Ochocki S, Timmis G (1993) Primary angioplasty reduces recurrent ischemic events compared to tPA in myocardial infarction — implications for early discharge. Circulation 88: 1–105Google Scholar
  29. 29.
    O’Neill WW, Zijlstra F, Suryapranata H, Timmis GC, Grines CL (1993) Meta-analysis of the PAMI and Netherlands randomized trials of primary angioplasty versus thrombolytic therapy of acute myocardial infarction. Circulation 88: 1–106Google Scholar
  30. 30.
    O’Keefe JH jr, Rutherford BD, McConahay DR, Ligon RW, Johnson WL jr, Giorgi LV, Crockett JE, McCallister BD, Conn RD, Gura GM jr, et al. (1989) Early and late results of coronary angioplasty without antecedent thrombolytic therapy for acute myocardial infarction. Am J Cardiol 64: 1221PubMedCrossRefGoogle Scholar
  31. 31.
    Kander NH, O’Neill W, Topol EJ, Gallison L, Mileski R, Ellis SG (1989) Long-term follow-up of patients treated with coronary angioplasty for acute myocardial infarction. Am Heart J 118: 228PubMedCrossRefGoogle Scholar
  32. 32.
    Rotbaum DA, Linnemeier TJ, Landin RJ, Steinmetz EF, Hillis JS, Hallam CC, Noble RJ, See MR (1987) Emergency percutaneous transluminal coronary angioplasty in acute myocardial infarction: a 3 year experience. J Am Coll Cardiol 10: 264CrossRefGoogle Scholar
  33. 33.
    Brodie BR, Weintraub RA, Stuckey TD, LeBauer EJ, Katz JD, Kelly TA, Hansen CJ (1991) Outcomes of direct coronary angioplasty for acute myocardial infarction in candidates and non-candidates for thrombolytic therapy. Am J Cardiol 67: 7PubMedCrossRefGoogle Scholar
  34. 34.
    O’Keefe JH jr, Rutherford BD, McConahay DR, Johnson WL jr, Giorgi LV, Shimshak TM, Ligon RW, McCallister BD, Hartzler GO (1992) Myocardial salvage with direct coronary angioplasty for acute infarction. Am Heart J 123: 1PubMedCrossRefGoogle Scholar
  35. 35.
    Moosvi AR, Khaja F, Villanueva L, Gheorghiade M, Douthat L, Goldstein S (1992) Early revascularization improves survival in acute myocardial infarction. J Am Coll Cardiol 19: 907PubMedCrossRefGoogle Scholar
  36. 36.
    Lee L, Bates ER, Pitt B, Walton JA, Laufer N, O’Neill W (1988) Percutaneous transluminal coronary angioplasty improves survival in acute myocardial infarction complicated by cardiogenic shock. Circulation 78: 1345PubMedCrossRefGoogle Scholar
  37. 37.
    Klein LW (1992) Optimal therapy for cardiogenic shock: the emerging role of coronary angioplasty. J Am Coll Cardiol 19: 654PubMedCrossRefGoogle Scholar
  38. 38.
    Lee L, Erbel R, Brown TM, Laufer N, Meyer J, O’Neill W (1991) Multicenter registry of angioplasty therapy of cardiogenic shock: initial and long-term survival. J Am Coll Cardiol 17: 599PubMedCrossRefGoogle Scholar
  39. 39.
    Hibbard MD, Holmes DR jr, Bailey KR, Reeder GS, Bresnahan JF, Gersh BJ (1992) Percutaneous transluminal coronary angioplasty in patients with cardiogenic shock. J Am Coll Cardiol 19: 639PubMedCrossRefGoogle Scholar
  40. 40.
    Gacioch GM, Ellis SG, Lee L, Bates ER, Kirsh M, Walton JA, Topol EJ (1992) Cardiogenic shock complicating acute myocardial infarction: the use of coronary angioplasty and the integration of the new support devices into patient management. J Am Coll Cardiol 19: 647PubMedCrossRefGoogle Scholar
  41. 41.
    Seydoux C, Goy JJ, Beuret P, Stauffer JC, Vogt P, Schaller MD, Kappenberger L, Perret C (1992) Effectiveness of percutaneous transluminal coronary angioplasty in cardiogenic shock during acute myocardial infarction. Am J Cardiol 69: 968PubMedCrossRefGoogle Scholar
  42. 42.
    O’Neill WW (1992) Angioplasty therapy of cardiogenic shock: are randomized trials necessary? J Am Coll Cardiol 19: 915PubMedCrossRefGoogle Scholar
  43. 43.
    Ellis S, Vandormael M, Cowley M, et al. (1990) Coronary morphologic and clinical determinants of procedural outcome with angioplasty for multivessel coronary artery disease. Implications for patient selection. Circulation 82: 1193PubMedCrossRefGoogle Scholar
  44. 44.
    Savage M, Goldberg S, Hirschfeld J, et al. (1991) Clinical and angiographic determinants of primary coronary angioplasty success. J Am Coll Cardiol 17: 22PubMedCrossRefGoogle Scholar
  45. 45.
    The TIMI Study Group (1989) Comparison of invasive and conservative strategies after treatment with intravenous tissue plasminogen activator in acute myocardial infarction: results of the Thrombolysis in Myocardial Infarction (TIMI) phase II trial. N Engl J Med 320: 618CrossRefGoogle Scholar
  46. 46.
    Safian RD, Gelbfish JS, Erny RE, Schnitt SJ, Schmidt DA, Baim DS (1991) Coronary atherectomy. Clinical, angiographic, and histologic findings and observations regarding potential mechanisms. Circulation 82: 69CrossRefGoogle Scholar
  47. 47.
    Sterzer SH, Rosenblum J, Shaw RE, Sugeng I, Hidalgo B, Ryan C, Hansell HN, Murphy MC, Mylert RK (1993) Coronary rotational ablation: initial experience in 302 procedures. J Am Coll Cardiol 21: 287CrossRefGoogle Scholar
  48. 48.
    Popma J, et al. (1991) Atherectomy of right coronary ostial stenoses: initial and long-term results, technical features and histologic findings. Am J Cardiol 67: 431PubMedCrossRefGoogle Scholar
  49. 49.
    Vandormael M, Reifart N, Preusler W, Schwarz F, Störger H, Hofman M, Klöpper JW, Müller S (1994) Comparison of excimer-laser angioplasty and rotational atherectomy with balloon angioplasty for complex lesions: ERB AC study final results. J Am Coll Cardiol 23: 57AGoogle Scholar
  50. 50.
    Gregory KW (1993) Laser thrombolysis. In: Vogel JHK, King SB III (eds) The practice of interventional cardiology, 2nd edn. Mosby, St. Louis, p 273Google Scholar
  51. 51.
    Reifart N, Langer A, Störger H, Schwarz F, Preusler W, Hofmann M (1992) Strecker stent as a bailout device following transluminal coronary angioplasty. J Interven Cardiol 5: 79CrossRefGoogle Scholar
  52. 52.
    Sigwart U, Puel J, Mirkovitch V, Joffre F, Kappenberger L (1987) Intravascular stents to prevent occlusion and restenosis after transluminal angioplasty. N Engl J Med 316: 701PubMedCrossRefGoogle Scholar
  53. 53.
    Roubin GS, Cannon AD, Subodh KA, Macander PJ, Dean LS, Baxley WA, Breland J (1992) Intracoronary stending for acute and threatened closure complicating percutaneous transluminal coronary angioplasty. Circulation 3: 916Google Scholar
  54. 54.
    De Feyter PJ, DeScheerder I, van den Brand M, Laarman GJ, Suryapranata H, Serruys PW (1990) Emergency stenting for refractory acute coronary artery occlusion during coronary angioplasty. Am J Cardiol 66: 1147PubMedCrossRefGoogle Scholar
  55. 55.
    Haude M, Erbel R, Straub U, Dietz U, Schatz R, Meyer J (1991) Results on intracoronary stents for management of coronary dissections after balloon angioplasty. Am J Cardiol 67: 691PubMedCrossRefGoogle Scholar
  56. 56.
    Reifart N, Haase J, Massa T, Preusler W, Schwarz F, Störger H, Vandormael M, Hofmann M (1994) Randomaized trial comparing two devices: the Palmaz-Schatz and the Strecker stent in bail-out situations. J Interven Cardiol (in press)Google Scholar
  57. 57.
    Colombo A, Goldberg SL, Almagor Y, Maiello L, Finci L (1993) A novel strategy for stent deployment in the treatment of acute or threatened closure complicating balloon coronary angioplasty. J Am Coll Cardiol 22: 1887PubMedCrossRefGoogle Scholar
  58. 58.
    Waller B, Orr C, Pinkerton C, Van Tassel J, Peters T, Slack J (1992) Coronary balloon angioplasty dissections: “The good, the bad and the ugly.” J Am Coll Cardiol 20: 701PubMedCrossRefGoogle Scholar
  59. 59.
    Ishizaka N, Issiki T, Saeki F, Ishizaka Y, Ikari Y, Abe J, Soumitsu Y, Hashimoto H, Masaki K, Yamaguchi T (1994) Angiographic follow-up after successful percutaneous coronary angioplasty for chronic total coronary occlusion — experiences in 110 consecutive patients. Am Heart J 127: 8PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1994

Authors and Affiliations

  • J. Haase
  • N. Reifart

There are no affiliations available

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