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Interpretation of coronary angiograms prior to PTCA: Pitfalls and problems

  • Rüdiger Simon
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 173)

Abstract

The indication for coronary angioplasty and related techniques has widened dramatically since its first application in 1977 [1]. Enhanced operator skills and improved technology have permitted an expanded use of interventional catheter methods in patients that were previously deemed too high risk or impossible candidates such as elderly patients, those with multiple or complex lesions, those with lesions at vessel origins, or patients with poor left ventricular function or prior bypass surgery [2].

Keywords

Coronary Flow Reserve Coronary Angiogram Chronic Total Occlusion Left Main Coronary Artery Left Circumflex Artery 
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 A. Transluminal dilatation of coronary-artery stenosis. Lancet 1978; 1: 263.Google Scholar
  2. 2.
    Detre K, Holubhov R, Kelsey S et al. Percutaneous coronary angioplasty in 1985–1986 and 1977–1981. The National Heart, Lung and Blood Institute Registry. N Engl J Med 1988; 318: 265–70.PubMedCrossRefGoogle Scholar
  3. 3.
    Simon R. The filmless catheterization laboratory: When will it be reality? In: Reiber JHL, Serruys PW, editors. Advances in quantitative coronary arteriography. Dordrecht: Kluwer Academic Publishers, 1993: 113–24.CrossRefGoogle Scholar
  4. 4.
    Simon RWR. Interventional cardiology: The impact of digital imaging. Medica Mundi 1992; 37: 110–4.Google Scholar
  5. 5.
    Stone GW, Rutherford BD, McConahay DR et al. Procedural outcome of angioplasty for total coronary artery occlusion: An analysis of 971 lesions in 905 patients. J Am Coll Cardiol 1990; 15: 849–56.PubMedCrossRefGoogle Scholar
  6. 6.
    Reiber JHC, van der Zwet PMJ, von Land CD et al. Quantitative coronary arteriography: Equipment and technical requirements. In: Reiber JHC, Serruys PW, editors. Advances in quatitative coronary arteriography. Dordrecht: Kluwer Academic Publishers, 1993: 75–112.CrossRefGoogle Scholar
  7. 7.
    Nissen SE, Pepine CJ, Bashore TM et al. Cardiac angiography without cinefilm: Erecting a “tower of Babel” in the cardiac catheterization laboratory — an ACC position statement. J Am Coll Cardiol 1994; 24: 834–7.CrossRefGoogle Scholar
  8. 8.
    Simon R Brennecke R, Hess O et al. Report of the ESC Task Force on Digital Imaging in Angiocardiography. Eur Heart J 1994; 15: 1332–4.PubMedGoogle Scholar
  9. 9.
    Nissen SE, Gurley JC, Booth DC, Maria AN. Intravascular ultrasound of the coronary arteries: Current applications and future directions. Am J Cardiol 1992; 69: 18H–29H.PubMedCrossRefGoogle Scholar
  10. 10.
    Hodgson JM, Reddy KG, Suneja R et al. Intracoronary ultrasound imaging: Correlation of plague morphology with angiography, clinical syndrome, and procedural results in patients undergoing coronary angioplasty. J Am Coll Cardiol 1993; 21: 35–44.PubMedCrossRefGoogle Scholar
  11. 11.
    den Heijer P. Coronary angioscopy. Thesis. The Hague: Opmeer, 1994.Google Scholar
  12. 12.
    Porter TR, Sears T, Xie F et al. Intravascular ultrasound study of angiographically mildly diseased coronary arteries. J Am Coll Cardiol 1993; 22: 1858–65.PubMedCrossRefGoogle Scholar
  13. 13.
    Gould KL, Kirkeeide RL, Buchi M. Coronary flow reserve as a physiologic measure of stenosis severity. J Am Coll Cardiol 1990; 15: 459–74.PubMedCrossRefGoogle Scholar
  14. 14.
    Marcus ML, Harrison DG, White CW et al. Assessing the physiologic significance of coronary obstructions in patients: Importance of diffuse undetected atherosclerosis. Progr Cardiovasc Dis 1988; 31: 39–56.CrossRefGoogle Scholar
  15. 15.
    Lund GK, Nienaber CA, Hamm CW et al. One-session cardiac catheterization and balloon dilatation (“prima vista”-PTCA): Results and risks. Dtsch Med Wschr 1994; 119: 169–74.PubMedCrossRefGoogle Scholar

Copyright information

© Kluwer Academic Publishers 1996

Authors and Affiliations

  • Rüdiger Simon
    • 1
  1. 1.Klinik für Kardiologie, I. Medizinische Universitäts-KlinikChristian-Albrechts-UniversitätKielGermany

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