Coronary angioscopy during cardiac catheterization and surgery
Summary
Using angioscopes of 1.0 and 1.5 mm outer diameter (o.d.) coronary angioscopy was performed in 42 patients with coronary heart disease during cardiac catheterization and cardiac surgery without severe complications.
Our success rate of angioscopy was 47% during cardiac catheterization and 86% intra-operatively.
Angioscopy provides novel information concerning the morphology of atherosclerotic plaques, represents the best method for immediate, direct control of surgical interventions, and guarantees the performance of intraoperative balloon dilatation. Current indications for angioscopy lie in the area of intraoperative application. In the cardiac catheterization laboratory this method must still be regarded as experimental, because of unsolved technical problems.
Angioscopy may provide a means for delivering visually directed intravascular laser irradiation.
Keywords
Stable Angina Vein Graft Laser Angioplasty Irrigation Catheter Coronary AngioscopyPreview
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References
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