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Chapter 21 – Coronary Arteriography

Jeffrey J. Popma

  INDICATIONS FOR CORONARY ARTERIOGRAPHY, 406
  Complications of Coronary Arteriography, 408

  TECHNIQUE OF CORONARY ARTERIOGRAPHY, 408
  Drugs Used During Coronary Arteriography, 410
  Anatomy and Variations of the Coronary Arteries, 412
  Congenital Anomalies of the Coronary Circulation, 419
  Coronary Artery Spasm, 422
  Lesion Complexity, 423
  Coronary Collateral Circulation, 428
  Quantitative Angiography, 429

  PITFALLS OF CORONARY ARTERIOGRAPHY, 431
  REFERENCES, 431
  GUIDELINES, 433

Coronary arteriography remains the standard for identifying the presence or absence of arterial narrowings related to atherosclerotic coronary artery disease (CAD) and provides the most reliable anatomic information for determining the appropriateness of medical therapy, percutaneous coronary intervention (PCI), or coronary artery bypass graft (CABG) surgery in patients with ischemic CAD. First performed by Sones in 1959, coronary arteriography has subsequently become one of the most …