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Flashcards in Angiography and CAD Deck (16)
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1

LAO-Caudal view: 

description of the view 

40 to 60 LAO and 10 to 30 caudal

 

2

LAO-Caudal view - utility? 

 

Best for visualizing left main, proximal LAD and proximal LCx

3

 

what view is Best for visualizing left main, proximal LAD and proximal LCx? 

LAO-Caudal view

4

What are the standard left angiographic views 

  1. LAO-Caudal view: 
  2. RAO-Caudal view:  
  3. Shallow RAO-Cranial 
  4. LAO-Cranial view

 

5

RAO-Caudal view: 

technical description of the view?

RAO-Caudal view: 

10 to 20 RAO and 15 to 20 caudal

 

6

RAO-Caudal view: 

what is its diagnostic utility ? 

 

Best for visualizing left main bifurcation, proximal LAD and the proximal to mid LCx

7

Standard Right views 

 

  1. LAO 30:  30 LAO
    • Best for visualizing ostial and proximal RCA
  2. RAO 30:  30 RAO
    • Best for visualizing mid RCA and PDA
  3. PA Cranial:  PA and 30 cranial
    • Best for visualizing distal RCA bifurcation and the PDA

8

What angiographic view separates out the diag from septal branches 

shallow RAO-Cranial view: 

LAO-Cranial view:

9

 Best view for visualizing ostial and proximal RCA

 

LAO 30:  30 LAO

Best for visualizing ostial and proximal RCA

10

Best view  for visualizing mid-RCA and PDA

 

RAO 30:  30 RAO

Best for visualizing mid-RCA and PDA

 

11

Best for visualizing distal RCA bifurcation and the PDA

PA Cranial:  PA and 30 cranial

Best for visualizing distal RCA bifurcation and the PDA

12

CABG survival benefit for single vessel diseae witout proximal LAD 

No survival benefit 

 

13

SYNTAX  Data 

3 year Survial DES vs CABG 

for left main disease 

low or intermediate SYNTAX scores (< 33) :

3.7%  after DES and 9.1% after CABG (P - .03),

high SYNTAX score ( 33), t

he incidence of death DES: 13.4%  

CABG:  7.6% 

14

By ACC/ AHA 2014 Reccomendations for Stable Coronary artery disease 

CABG vs DES for left main disease 

Equivalent Survival but higher revascularization rate for PCI 

15

EUROSCORE - high risk level 

> 5 

 

16

STS Recomendations for arterial revascularization 

  • Patients less than or equal to 60 years of age with few or no comorbidities.
  • Arterial grafting of the right coronary artery may be reasonable when a critical (90%) stenosis is present
  • Use of a radial artery graft may be reasonable when grafting left-sided coronary arteries with severe stenoses (70%) and rightsided arteries with critical stenoses (90%) that