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Coronary angiography 

Coronary angiography
Chapter:
Coronary angiography
Author(s):

Andrew Mitchell

, Giovanni Luigi De Maria

, and Adrian Banning

DOI:
10.1093/med/9780198705642.003.0006
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date: 25 January 2022

This chapter describes coronary angiography. It starts by describing coronary anatomy, and then the choice of catheters and catheter manipulation, including engaging the left and right coronary arteries and the use of radial catheters. Next, imaging planes for the left and right coronary arteries are described, with clinical images and schematic illustrations included to aid understanding. The use of nitrates and coronary spasm are then covered, along with the quantification of stenoses, tips for interpretation, common pitfalls in coronary angiography. Finally, unusual coronary anatomy is described, including some tips for selective intubation of anomalous coronaries.

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