Technique and catheters.
This article reviews the current technique of coronary angiography, focusing on the choice of arterial access site; navigation from the arterial access site to the ascending thoracic aorta; cannulation of the native coronary arteries in their normal, variant, and anomalous locations; and cannulation of saphenous vein and arterial graft conduits. The authors conclude that, although no didactic training can substitute for the hands-on apprenticeship obtained during general cardiology and interventional cardiology fellowships, the intellectual elements fundamental to coronary angiography outlined here will result in a more efficient, effective, and safe procedure for patients.
Casserly
Ivan P
IP
University of Colorado Hospital, Anschutz Medical Campus, Leprino Building, Room #524, 12401 E. 17th Ave., P.O. Box 6511, Aurora, CO 80045, USA. ivan.casserly@ucdenver.edu
Messenger
John C
JC
D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods*; D017023:Coronary Angiography / Q000379:methods*; D001026:Coronary Artery Bypass; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging; D003331:Coronary Vessels / Q000033:anatomy & histology; D005263:Femoral Artery; D006801:Humans; D017534:Radial Artery