Internal mammary angiography: a review of technical issues and newer methods

Catheterization and Cardiovascular Diagnosis
R E Kuntz, D S Baim

Abstract

Up to 90% of coronary bypass operations in some centers now include at least one IMA graft. In parallel with the increased use of IMA grafts, our catheterization laboratory records for 1986-7-8 demonstrate a progressive increase in IMA angiography, both absolutely (11, 28, 48 cases/yr) and as a percent of restudy procedures performed after prior bypass (14, 25, 43%). Unfortunately, these records also show that cannulation of the right and left IMAs may involve substantial technical hurdles, resulting in a mean time of 19 +/- 19 min from catheter insertion to selective IMA angiography. Based on this experience, we review a standard technique for IMA angiography using preformed catheters, and describe alternative methods (including use of PTCA guidewires with or without super-selective catheters, and non-selective angiography utilizing a specially designed balloon occlusion catheter).

References

Oct 1, 1996·Catheterization and Cardiovascular Diagnosis·S R BergerW H Matthai
Oct 24, 1998·Catheterization and Cardiovascular Diagnosis·H ZhengM Toussaint
Oct 3, 1999·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·G FinetJ Beaune
Jul 12, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Kwang Soo Cha, Moo Hyun Kim
Sep 13, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·J A EnglishH F Tripp
Sep 13, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·M H KimJ S Kim
Apr 1, 1995·Catheterization and Cardiovascular Diagnosis·S FrohweinJ J Marshall
Oct 1, 1995·Catheterization and Cardiovascular Diagnosis·S N BhattP R Mahrer
Nov 24, 1995·International Journal of Cardiology·J S SkinnerP C Adams
Jun 1, 1993·Journal of the American College of Cardiology·J A BreallD Kim
Jan 17, 2015·Texas Heart Institute Journal·Zeeshan KhanTarun W Dasari
Feb 1, 1996·American Heart Journal·M M RabahR D Safian
Apr 17, 2016·Acta Radiologica·Jung Suk OhHae Giu Lee
May 15, 2003·International Journal of Cardiovascular Interventions·Mitsuyoshi HadaseHiroki Sugihara
Feb 1, 1992·Catheterization and Cardiovascular Diagnosis·A FeitZ Zisbrod
Dec 2, 2009·Korean Circulation Journal·Jae Hoon LeeYoung Dae Kim
Aug 24, 2005·Journal of Interventional Cardiology·Dirk SkowaschGerhard Bauriedel

Citations

May 1, 1976·The American Journal of Cardiology·F D LoopM J Irarrazaval
Jan 1, 1985·Catheterization and Cardiovascular Diagnosis·S FarooqiM O'Keefe
Feb 1, 1987·The American Journal of Medicine·S Singh
Nov 1, 1987·Catheterization and Cardiovascular Diagnosis·C A PinkertonJ W VanTassel
Feb 1, 1988·Journal of the American College of Cardiology·M E SheltonJ B Atkinson
Sep 1, 1985·The American Journal of Cardiology·J CorbelliK Galan
Jan 1, 1986·Catheterization and Cardiovascular Diagnosis·G Dorros, R F Lewin
Jan 1, 1988·Catheterization and Cardiovascular Diagnosis·A L KleinL A Higginson
Nov 1, 1988·Journal of the American College of Cardiology·T M ShimshakG O Hartzler
Apr 15, 1985·The American Journal of Cardiology·D J KereiakesR K Myler
Jan 2, 1986·The New England Journal of Medicine·F D LoopW C Sheldon
Jan 1, 1980·Catheterization and Cardiovascular Diagnosis·R N Singh
Oct 1, 1984·Circulation·P J Cannon

Related Concepts

Thoracic Arteries
Graft Occlusion, Vascular
Internal Mammary-Coronary Artery Anastomosis
Structure of Internal Thoracic Artery
Percutaneous Transluminal Coronary Angioplasty
Postoperative Complications
Diagnostic Radiologic Examination
Coronary Heart Disease
Internal Mammary Artery Implantation

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Synapse Loss as Therapeutic Target in MS

As we age, the number of synapses present in the human brain starts to decline, but in neurodegenerative diseases this occurs at an accelerated rate. In MS, it has been shown that there is a reduction in synaptic density, which presents a potential target for treatment. Here is the latest research on synapse loss as a therapeutic target in MS.

Artificial Intelligence in Cardiac Imaging

Artificial intelligence (ai) techniques are increasingly applied to cardiovascular (cv) medicine in cardiac imaging analysis. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

Social Learning

Social learning involves learning new behaviors through observation, imitation and modeling. Follow this feed to stay up to date on the latest research.

Cell Atlas of the Human Eye

Constructing a cell atlas of the human eye will require transcriptomic and histologic analysis over the lifespan. This understanding will aid in the study of development and disease. Find the latest research pertaining to the Cell Atlas of the Human Eye here.

Single Cell Chromatin Profiling

Techniques like ATAC-seq and CUT&Tag have the potential to allow single cell profiling of chromatin accessibility, histones, and TFs. This will provide novel insight into cellular heterogeneity and cell states. Discover the latest research on single cell chromatin profiling here.

Genetic Screens in iPSC-derived Brain Cells

Genetic screening is a critical tool that can be employed to define and understand gene function and interaction. This feed focuses on genetic screens conducted using induced pluripotent stem cell (iPSC)-derived brain cells.