Coronary angiography in the angioplasty era: projections with a meaning

1 With the exception of the UK, where we are still seeing new catheter laboratories being opened for purely diagnostic purposes, in the worldwide setting coronary angioplasty is carried out immediately after diagnostic angiography. Besides cost and organisational benefits, this approach offers advan...

Full description

Saved in:
Bibliographic Details
Published in:Heart (British Cardiac Society) 2005-07, Vol.91 (7), p.968-976
Main Authors: Di Mario, Carlo, Sutaria, Nilesh
Format: Article
Language:English
Subjects:
Angina pectoris
Angioplasty
Angioplasty - methods
Biological and medical sciences
Cardiac Catheterization - methods
Cardiology. Vascular system
Catheters
coronary angiography
Coronary Angiography - methods
Coronary Artery Bypass
Coronary Disease - diagnostic imaging
Education in Heart
Heart attacks
Heart Ventricles
Humans
Mammary Arteries - diagnostic imaging
Medical imaging
Medical sciences
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:1 With the exception of the UK, where we are still seeing new catheter laboratories being opened for purely diagnostic purposes, in the worldwide setting coronary angioplasty is carried out immediately after diagnostic angiography. Besides cost and organisational benefits, this approach offers advantages in terms of morbidity and mortality in unstable patients when rapid treatment reduces the incidence of ischaemic events. 2 Under this pressure, diagnostic angiography has evolved from a standard series of 8-9 views for the left coronary artery and 2-3 views for the right coronary artery to a more focused imaging modality. Coronary angiography in the angioplasty era: key points Early and correct selection of catheter size and shape is important for patient safety and to minimise procedure time, radiation exposure, and contrast load Modern diagnostic coronary angiography should be focused on providing optimal information for clinical decision making and planning coronary angioplasty The diagnostic coronary angiogram should incorporate a limited number of carefully selected views.
ISSN:1355-6037
1468-201X
DOI:10.1136/hrt.2005.063107