[Coronary Angiography in Clinical Practice: Update on Indications, Complications, and Contraindications]

Area of Science:

• Cardiology
• Diagnostic Imaging
• Interventional Cardiology

Background:

• Coronary angiography (CA) is the established gold standard for detecting atherosclerotic coronary artery disease and dynamic arterial stenosis.
• Technological advancements have significantly improved the understanding and treatment of coronary pathology.

Purpose of the Study:

• To review the literature and international guidelines on the indications for coronary angiography in various clinical scenarios.
• To analyze the evidence supporting the use of CA across different patient presentations.

Main Methods:

• A qualitative, narrative review of current CA indications, limitations, complications, and contraindications.
• Synthesis of information from expert recommendations and evidence-based clinical guidelines.

Main Results:

• Extensive information exists on CA indications, supported by expert consensus and clinical guidelines.
• Complementary techniques enhance the diagnostic and therapeutic capabilities of CA.
• Understanding potential complications is crucial for procedure planning and patient selection.

Conclusions:

• Coronary angiography has a long history, with its technique and evidence base expanding significantly since its inception.
• The field of interventional cardiology has seen exponential growth, driven by advancements in CA and related procedures.