Show Summary Details
Page of

Cardiac catheterization and angiography 

Cardiac catheterization and angiography

Chapter:
Cardiac catheterization and angiography
Author(s):

Edward D. Folland

DOI:
10.1093/med/9780199204854.003.160304_update_002

Update:

March 2014 – chapter reviewed; no significant changes required.

Updated on 27 Nov 2014. The previous version of this content can be found here.
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2015. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy).

date: 27 April 2017

Cardiac catheterization/angiography is indicated for evaluation of patients with coronary, valvular, and congenital heart disease in whom diagnostic or therapeutic decisions cannot be made on the basis of noninvasive tests. Most patients presenting for cardiac catheterization have coronary artery disease: catheterization and coronary angiography are integral parts of interventional treatments for patients experiencing ischaemic coronary syndromes.

Technique and diagnostic utility—vascular access is usually obtained percutaneously from the femoral, radial, or brachial artery (for the left heart), or the femoral, internal jugular, or brachial/antecubital vein (for the right heart). Key information that can be obtained by cardiac catheterization/angiography include (1) pressures within cardiac chambers; (2) cardiac output; (3) quantitative estimation of left ventricular function; (4) diagnosis and quantitation of intracardiac shunts; (5) calculation of systemic and pulmonary vascular resistances; (6) assessment of cardiac valves; and (7) details of coronary arterial anatomy and function.

Therapeutic utility—cardiac catheterization/angiography permits interventions, particularly coronary angioplasty/stenting (see Chapters 16.13.5 and 16.13.6), that are of great and increasing therapeutic importance.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.