Abstract
An aging population makes multiple vascular distributions more likely in patients arriving at the cath lab for coronary artery angiography or complete cardiac catheterization. Whether or not screening angiography of supraaortic vessels can be performed at the time of cardiac catheterization by the invasive cardiologist is still debatable. We sought to determine safety and utility of performing angiography of supraaortic vessels during cardiac catheterization. Medical records of all patients undergoing combined coronary and noncoronary angiography between May 1998 and December 2002 was retrospectively reviewed. One hundred and forty patients (80 males, mean age 67.8 ± 5.4 years) underwent combined cardiac catheterization and angiography of supraaortic vessels. Carotid artery angiography was performed at the same time of cardiac catheterization in 62 patients and subclavian artery angiography in the other 78 patients. Significant findings were reported in 32 (22.8%) patients. Complications included 1 transient ischemic attack and 2 carotid spasm resolved with nitrates infusion. In most cases the same standard catheters used during coronary angiography were used also for noncoronary angiography (119 patients, 85%). The incidence of significant angiographic findings and the relatively frequent association of CAD with supraaortic vessel atherosclerosis supports combined cardiac catheterization and angiography of supraaortic arteries but only in patients with multivessel coronary artery disease.
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Rigatelli G, Zanchetta M. Interventional treatment of noncoronary atherosclerosis: what the cardiologist would know. Italian Heart Journal, in press.
G Rigatelli GF Franco G Rigatelli (2001) ArticleTitleComplete angiographic view of the coronary-subclavian steal syndrome Heart 85 22 Occurrence Handle10.1136/heart.85.1.22 Occurrence Handle1:STN:280:DC%2BD3M7ksFaqtA%3D%3D Occurrence Handle11119455
A Feit CV Reddy C Cowley et al. (1992) ArticleTitleInternal mammary artery angiography should be a routine component of diagnostic coronary angiography Cathet Cardiovasc Diagn 25 85–90 Occurrence Handle1:STN:280:By2C1czhslA%3D Occurrence Handle1347484
KS Cha MH Kim (2002) ArticleTitleFeasibility and safety of concomitant left internal mammary arteriography at the setting of the right transradial coronary angiography Catheter Cardiovasc Interv 56 188–195 Occurrence Handle10.1002/ccd.10164 Occurrence Handle12112911
JE Alcala M Alvarez L Tercedor et al. (1997) ArticleTitleUsefulness of the angiographic examination of the left internal mammary artery in patients candidates for coronary bypass surgery Rev Esp Cardiol 50 113–116 Occurrence Handle1:STN:280:ByiB3Mzltl0%3D Occurrence Handle9091998
RA Archbold K Barakat P Magee N Curzen (2001) ArticleTitleScreening for carotid artery disease before cardiac surgery: is current clinical practice evidence based? Clin Cardiol 24 26–32 Occurrence Handle1:STN:280:DC%2BD3MzmslSmsA%3D%3D Occurrence Handle11195603
BJ Brener DK Brief J Alpert et al. (1984) ArticleTitleA four-year experience with preoperative noninvasive carotid evaluation of two thousand twenty-six patients undergoing cardiac surgery J Vasc Surg 1 326–338 Occurrence Handle1:STN:280:BiqD3cbptF0%3D Occurrence Handle6332923
E Ascher A Hingorani W Yorkovich et al. (2001) ArticleTitleRoutine preoperative carotid duplex scanning in patients undergoing open heart surgery: is it worthwhile? Ann Vasc Surg 15 669–678 Occurrence Handle1:STN:280:DC%2BD38%2FktFWksw%3D%3D Occurrence Handle11769149
I Fukuda S Gomi K Watanabe J Seita (2000) ArticleTitleCarotid and aortic screening for coronary artery bypass grafting Ann Thorac Surg 70 2034–2039 Occurrence Handle1:STN:280:DC%2BD3M%2FpvFChsg%3D%3D Occurrence Handle11156116
SJ Busuttil DP Franklin JR Youkey JR Elmore (1996) ArticleTitleCarotid duplex overestimation of stenosis due to severe contralateral disease Am J Surg 172 144–147 Occurrence Handle1:STN:280:BymA1cfhtFI%3D Occurrence Handle8795517
AF AbuRahma JA Pollack PA Robinson D Mullins (1997) ArticleTitleThe reliability of color duplex ultrasound in diagnosing total carotid artery occlusion Am J Surg 174 185–187 Occurrence Handle1:STN:280:ByiH3sfgs1I%3D Occurrence Handle9293841
MK O’Boyle NI Vibhakar J Chung et al. (1996) ArticleTitleDuplex sonography of the carotid arteries in patients with isolated aortic stenosis: imaging findings and relation to severity of stenosis AJR Am J Roentgenol 166 197–202 Occurrence Handle1:STN:280:BymC3M%2Flt1E%3D Occurrence Handle8571875
GL Faggioli GR Curl JJ Ricotta (1990) ArticleTitleThe role of carotid screening before coronary artery bypass J Vasc Surg 12 724–729 Occurrence Handle1:STN:280:By6D2Mnmt1M%3D Occurrence Handle2243408
G Rigatelli M Gemelli A Zamboni et al. (2003) ArticleTitleSignificance of selective carotid angiography during complete cardiac catheterization in patients candidates to combined aortic valve and carotid surgery Minerva Cardioangiol 51 305–309 Occurrence Handle1:STN:280:DC%2BD3szjsFGqsg%3D%3D Occurrence Handle12867882
KS Cha MH Kim YD Kim JS Kim (2001) ArticleTitleCombined right transradial coronary angiography and selective carotid angiography: safety and feasibility in unselected patients Catheter Cardiovasc Interv 53 380–385 Occurrence Handle1:STN:280:DC%2BD3MvgsF2msQ%3D%3D Occurrence Handle11458419
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Rigatelli, G., Rigatelli, G. Screening angiography of supraaortic vessels performed by invasive cardiologists at the time of cardiac catheterization: indications and results. Int J Cardiovasc Imaging 21, 179–183 (2005). https://doi.org/10.1007/s10554-004-3900-x
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DOI: https://doi.org/10.1007/s10554-004-3900-x