Angiography and CAD

Question 1

LAO-Caudal view:

description of the view

Answer 1

40 to 60 LAO and 10 to 30 caudal

Question 2

LAO-Caudal view - utility?

Answer 2

Best for visualizing left main, proximal LAD and proximal LCx

Question 3

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

Answer 3

LAO-Caudal view

Question 4

What are the standard left angiographic views

Answer 4

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

Question 5

RAO-Caudal view:

technical description of the view?

Answer 5

RAO-Caudal view:

10 to 20 RAO and 15 to 20 caudal

Question 6

RAO-Caudal view:

what is its diagnostic utility ?

Answer 6

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

Question 7

Standard Right views

Answer 7

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

Question 8

What angiographic view separates out the diag from septal branches

Answer 8

shallow RAO-Cranial view:

LAO-Cranial view:

Question 9

Best view for visualizing ostial and proximal RCA

Answer 9

LAO 30: 30 LAO

Best for visualizing ostial and proximal RCA

Question 10

Best view for visualizing mid-RCA and PDA

Answer 10

RAO 30: 30 RAO

Best for visualizing mid-RCA and PDA

Question 11

Best for visualizing distal RCA bifurcation and the PDA

Answer 11

PA Cranial: PA and 30 cranial

Best for visualizing distal RCA bifurcation and the PDA

Question 12

CABG survival benefit for single vessel diseae witout proximal LAD

Answer 12

No survival benefit

Question 13

SYNTAX Data

3 year Survial DES vs CABG

for left main disease

Answer 13

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%

Question 14

By ACC/ AHA 2014 Reccomendations for Stable Coronary artery disease

CABG vs DES for left main disease

Answer 14

Equivalent Survival but higher revascularization rate for PCI

Question 15

EUROSCORE - high risk level

Answer 15

> 5

Question 16

STS Recomendations for arterial revascularization

Answer 16

• 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