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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
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Modern atlas of invasive coronary angiography views: a practical approach for fellows and young interventionalists

Gianluca Rigatelli1,2, Filippo Gianese3, Marco Zuin4

  • 1Division of Cardiology, Department of Specialistic Medicine, Rovigo General Hospital, Rovigo, Italy. jackyheart@libero.it.

The International Journal of Cardiovascular Imaging
|December 28, 2021
PubMed

Insights

Coronary angiography (CA) remains the gold standard for assessing coronary artery disease (CAD) and guiding percutaneous coronary interventions (PCI). This guide details essential CA projections for interventional cardiologists, enhancing diagnostic and interventional capabilities.

Area of Science:

  • Cardiovascular Imaging
  • Interventional Cardiology
  • Radiology

Background:

  • Computed tomographic (CT) assessment is increasingly used for coronary artery disease (CAD).
  • Coronary angiography (CA) remains the gold standard for CAD diagnosis and percutaneous coronary interventions (PCI).
  • Invasive cardiologists require updated knowledge of CA projections for optimal patient care.

Purpose of the Study:

  • To provide an updated overview of modern angiographic views in coronary angiography.
  • To guide fellows and young interventionalists in utilizing various CA projections.
  • To highlight the diagnostic and interventional utility of different CA views.

Main Methods:

  • Review of established and emerging angiographic projections in CA.
  • Discussion of radioprotection principles and radiological equipment management.
  • Practical guidance on replicating and interpreting CA views in clinical settings.

Main Results:

  • Detailed presentation of standard and under-used CA projections.
  • Explanation of the practical application of these views in diagnosis and intervention.
  • Emphasis on the importance of mastering diverse CA projections for interventional cardiologists.

Conclusions:

  • Proficiency in a wide range of CA projections is crucial for interventional cardiologists.
  • Updated knowledge of angiographic views improves diagnostic accuracy and interventional success.
  • This article serves as a practical resource for enhancing CA procedural skills.

Keywords:
AngiographyCoronary artery diseaseRadiologyX-ray

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