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Jolly Angiography

RCA-PDA, LCA-CIRC, heart views

QuestionAnswer
What comes off of the Left Main Artery? LAD-Diagonals, Septals. Circumflex-Obtuse Marginals, PDA IF left dominant
What comes off of the Right Coronary Artery? SA Nodal Artery (also AVN if seen), Acute Marginals, Posterior Lateral Branch, PDA (if RIGHT dominant)
What shape is the RCA? "C" artery
What do collateral vessels indicate? 100% blockage of vessel
Name the arteries that develop to shunt blood to a point below a total occlusion: Contra-laterals and Ipsi-laterals
What is Nature's Own Bypass Surgery Collateral vessels
Where do collaterals supply blood to? The blocked side
Name the three types of occlusions? Partial, Sub-totaled, Complete
What do you look for when viewing a coronary angiogram? *Entire vessel should fill with contrast in one smooth injection *Lesions *collateral flow *competitive flow (if grafts present) *Myocardial "Bridging"- artery pinches down
Name vessel projections AP (straight down), Cranial (head), Caudal (feet), Right Anterior Oblique (RAO), Left Anterior Oblique (LAO), combinations of preceding, Orthagonals
Two projections of the same anatomy seen at different angles Orthogonal views
If spine is on the right, it's what view? LAO
If spine is on the left, what view is it? RAO
What shadows should you look for to find the spine? Rib shadows and catheter within the aorta
What direction do the ribs turn into? Ribs head towards the spine
What view to the the circumflex/OMB and grafts Primarily caudal views
The primary cranial views show what? LAD/DIagonals and grafts
In RAO apex of heart points to where? Right of screen
In LAO, the RCA resembles what? A "C" shape
In LAO, the LAD lies where? To the left
Which artery USUALLY lies closest to the spine? Circumflex
In projections of the left coronary system, look for what part of the heart to identify the LAD? Apex
In the left coronary system, look for the apex of the heart to identify the what? Left Anterior Descending artery
What coronary system do you look to for septal perforators to identify the LAD? Left coronary system
What do you look for in the left coronary system? Septal perforators to identify the LAD
What is the name of the system of rating quality/quantity of blood flow through vessels during angiography? TIMI Scale
No flow, completely occluded vessel TIMI 0
TIMI 0 No flow, completely occluded vessel
TIMI 1 Very limited flow, distal vessel not adequately seen
Very limited flow, distal vessel not adequately seen TIMI 1
TIMI 2 Moderate flow, entire lumen seen but still overall slow flow
Moderate flow, entire lumen seen but still overall slow flow TIMI 2
TIMI 3 Normal flow, all anatomy seen
Normal flow, all anatomy seen TIMI 3
RCA and associated branches are seen in what leads? II, III, aVF
Inferior myocardium is monitored in what leads? II, III, aVF
LAD and associated branches seen in which leads? All V-leads, I AND aVL LEADS
All V-leads and I and aVL see what LAD and associated branches, anterior and lateral myocardium
Circumflex and associated branches seen in which lead? V1-V4
Posterior myocardium seen where? Circumflex and associated branches in the posterior myocardium.
Created by: CVTMom