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Correlation of coronary angioscopic to angiographic findings in coronary artery disease
Authors:G Lee  J M Garcia  P J Corso  M C Chan  J L Rink  A Pichard  K K Lee  R L Reis  D T Mason
Affiliation:1. From the Northern California Heart and Lung Institute, Mt. Diablo Hospital Medical Center, Concord, California, USA;2. From the Washington Hospital Center, Washington, D.C., USA;3. From the Cedars Medical Center, Miami, Florida, USA;4. Western Heart Institute, St. Mary''s Hospital and Medical Center, San Francisco, California, USA;1. Department of Chemistry, NIT Silchar, Silchar, Assam 788010, India;2. Department of Chemistry, Gurucharan College, Silchar, Assam 788004, India;1. James Cook University, Townsville, Queensland, 4811, Australia;2. James Cook University, Cairns, Queensland, 4870, Australia;3. University of Tasmania, Hobart, Tasmania, 7005, Australia;4. Traditional Owner for Kakadu National Park, Jabiru, NT, Australia;5. University of Adelaide, South Australia, 5005, Australia;6. University of Western Australia, Perth, Western Australia, Australia
Abstract:An Olympus ultrathin fiberscope, 1.8 mm outer diameter, was inserted intraluminally into 11 stenoses of the left anterior descending and circumflex coronary arteries in 8 patients at coronary bypass surgery. Intraluminal views were obtained by coupling the angioscope to a color video camera and videotape recorder, and compared with preoperative coronary angiographic findings in right and left anterior oblique views. Atherosclerotic plaque was observed as yellow-white mass attached onto the luminal lining, which may be large enough to virtually obliterate the vascular lumen. Angioscopy provided a topographic view and cross-sectional picture of stenosis not observed by angiography. Single-plane angioscopic cross-sectional stenotic lumens correlated well (r = 0.90, p less than 0.001) with calculated angiographic luminal narrowings. However, with subtotal obstruction, lesion length must be assessed angiographically. Coronary angioscopy can be a useful adjunct to angiography by providing the added dimension of the true cross-sectional view of obstruction.
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