CORONARY ANGIOGRAPHY INTERPRET.pptx

Coronary Angiography Interpretetion

1. INTERPRETING CORONARY ANGIOGRAPHY

2. EXPECTATION

3. REALITY

4. EYE EXERCISE

5. ORIENTATION

6. THE LEFT CORONARY SYSTEM 4 MAIN VIEWS RAO CRANIAL LAO CRANIAL RAO CAUDAL LAO CAUDAL 2 SUPPLEMENTARY VIEWS AP CRANIAL AP CAUDAL

7. CAUDAL = CIRCUMFLEX CRANIAL = LAD BRANCHES OSTIA TOWARDS CRANIAL OPENS BRANCHING TERMINAL VESSELS TOWARDS CAUDAL BIFURCATION BODY OF MAIN VESSELS

8. CAUDAL = CIRCUMFLEX CRANIAL = LAD BRANCHES OSTIA TOWARDS CRANIAL OPENS BRANCHING TERMINAL VESSELS TOWARDS CAUDAL BIFURCATION BODY OF MAIN VESSELS LEFT MAIN CAUDAL = CIRC BIFURCATION. LCX – 6, LAD 12 RAMUS SPIDER VIEW

9. LAO Caudal

10. CAUDAL = CIRCUMFLEX CRANIAL = LAD BRANCHES OSTIA TOWARDS CRANIAL OPENS BRANCHING TERMINAL VESSELS TOWARDS CAUDAL BIFURCATION BODY OF MAIN VESSELS CAUDAL = CIRC BEST FOR OM BODY OF LCx PROX LAD – STRAIGHT AND ACROSS

11. RAO Caudal

12. CAUDAL = CIRCUMFLEX CRANIAL = LAD BRANCHES OSTIA TOWARDS CRANIAL OPENS BRANCHING TERMINAL VESSELS TOWARDS CAUDAL BIFURCATION BODY OF MAIN VESSELS CRANIAL = LAD. LAD = MIDDLE. CIRC = AWAY. DIAGONALS. SEPTALS.

13. RAO Cranial

14. CAUDAL = CIRCUMFLEX CRANIAL = LAD BRANCHES OSTIA TOWARDS CRANIAL OPENS BRANCHING TERMINAL VESSELS TOWARDS CAUDAL BIFURCATION BODY OF MAIN VESSELS CRANIAL = LAD. LAD = STRAIGHT DOWN. DIAGONALS = GOOD. TERMINAL = GOOD. OSTIUM = GOOD.

15. LAO Cranial

16. THE RIGHT CORONARY SYSTEM 2 views. LAO View RAO View

17. LAO = C SHAPED RCA. BODY = GOOD. DISTAL AND BRANCHING = NOT GOOD.

18. LAO

19. RAO = L SHAPED BIFURCATION = GOOD. PDA TOWARDS; PLV AWAY

20. RAO

21. LEFT MAIN CAUDAL = CIRC BIFURCATION. LCX – 6, LAD 12 RAMUS SPIDER VIEW CAUDAL = CIRC BEST FOR OM BODY OF LCx PROX LAD – STRAIGHT AND ACROSS CRANIAL = LAD. LAD = MIDDLE. CIRC = AWAY. DIAGONALS. SEPTALS. CRANIAL = LAD. LAD = STRAIGHT DOWN. DIAGONALS = GOOD. TERMINAL = GOOD. OSTIUM = GOOD. CAUDAL = CIRCUMFLEX CRANIAL = LAD BRANCHES OSTIA

22. LAO = C SHAPED RCA. BODY = GOOD. DISTAL AND BRANCHING = NOT GOOD. RAO = L SHAPED BIFURCATION = GOOD. PDA SEPTALS.

23. CATHETERS CATHETER RETRACTED / FOLDED UPON ITSELF = RAO VIEW CATHETER OPEN / L SHAPE = LAO VIEW

24. PRACTICE ANGIOS.

25. FRACTIONAL FLOW RESERVE

26. It takes into account the following factors before providing a functional severity of the coronary artery stenosis. The length and degree of narrowing of the coronary stenosis Presence of serial stenosis along the same vessel Presence of collateral circulation Size of the perfusion territory Size of the vessel

27. Thank you…. Again.