Coronary angiography in the angioplasty era: projections with a meaning

di Mario, Carlo; Sutaria, Nilesh
July 2005
Heart;Jul2005, Vol. 91 Issue 7, p968
Academic Journal
journal article
The article reports that the percutaneous transluminal coronary angioplasty (PTCA) has now become the dominant method for coronary revascularisation. It has the ratio of PTCA: coronary artery bypass graft surgery (CABG) of between 4-8:1 in most European countries and 2.1:1 in the UK in 2003. 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. 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. Nowadays, a limited number of projections are used to provide an overview of the status of the coronary arterial tree and to identify the ideal projections to be used as working views for coronary angioplasty.


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