Cardiophile MD

Archive for the ‘Angiography and Interventions’ Category

Levophase of coronary angiogram

Posted by: Johnson Francis on: 18 Mar, 2010

Levophase of left coronary angiogram showing tributaries of coronary sinus
Levophase of left coronary angiogram showing the coronary sinus and its tributaries. Levophase of the angiogram is obtained when you continue the cine recording till the contrast passes from the arterial tree through the capillaries to the venous system. Levophase angiogram gives an outline of the [...]

Right coronary artery spasm

Posted by: Johnson Francis on: 18 Mar, 2010

Spasm of right coronary artery
Spasm of right coronary artery (RCA) noted as a discrete narrowing in the proximal RCA without any significant lesion elsewhere. This is a quite common observation in the RCA and can be related to irritation by the catheter tip. It may subside spontaneously on withdrawl of the catheter. Sometimes intra coronary [...]

Pericardiocentesis

Posted by: Johnson Francis on: 18 Mar, 2010

Pericardiocentesis is often done therapeutically, but may occasionally be done for diagnostic purpose alone. In the interventional era, an important situation in which pericardiocenetesis is done is when cardiac tamponade develops following an interventional procedure. This is often life saving or gives time for definitive repair of a perforation.
In the non-interventional setting, pericardiocentesis is done [...]

Left internal mammary artery (LIMA) angiogram

Posted by: Johnson Francis on: 17 Mar, 2010

Left internal mammary artery (LIMA) angiogram
Left internal mammary artery can be cannulated by access through the left subclavian artery. Selective cannulation is not essential for visualising the LIMA. The left frame shows the initial portion of the artery while the second frame shows the artery branching into superior epigastric and musculophrenic arteries. The musculophrenic artery supplies [...]

Thrombus aspiration during primary angioplasty

Posted by: Johnson Francis on: 08 Mar, 2010

Primary angioplasty is currently the best method for treating persons with acute ST elevation myocardial infarction presenting during the window period. Embolisation of atherothrombotic material during primary angioplasty often leads to obstructionof microvasculature and the well known ’slow flow phenomenon’. Various methods have been evaluated for reducing the chance for microvascular obstruction during primary angioplasty. [...]