1 From the Departments of Surgery, Medicine and Radiology, Montreal Heart Institute and University of Montreal School of Medicine, Montreal, Quebec, Canada.
In 28 consecutive patients who died following coronary artery grafting and within 30 days of a previous coronary cineangiogram, a study was undertaken to compare the findings at autopsy and those at angiography. In five instances, such a comparison could not be made: in one instance, no postmortem examination was obtained, and in four additional cases, the quality of the cineangiographic document (three instances) or the pathological specimen (one instance) did not permit a reliable comparison. In the remaining 23 cases, there were nine specimens in which an appreciable difference (
Submitted on October 23, 1973
© 1974 American Heart Association, Inc.
Discrepancies Between Cineangiographic and Postmortem Findings in Patients with Coronary Artery Disease and Recent Myocardial Revascularization
25%) was noted in the severity of the coronary artery lesions. In four of these nine cases, failure of cineangiography to assess the degree of coronary arterial narrowing led to incomplete myocardial revascularization and contributed, in retrospect, to the surgical failure. Most discrepancies occurred in the left coronary artery system, despite the fact that in all instances, four projections had been obtained of the left coronary artery in the transverse plane. Because of the particular orientation of the initial portion of the left coronary artery and its major divisions, it is recommended that additional projections in the sagittal plane be included to eliminate angiographic superimposition of multiple branches, which often cannot be properly separated in the standard transverse plane.
Key Words: Aortocoronary vein grafts • Technique of cinecoronary arteriography • Early postoperative mortality in coronary artery grafting
Accepted on December 11, 1973
This article has been cited by other articles:
 |
|
 |
|
  L HUSMANN, O GAEMPERLI, I VALENTA, T SCHEPIS, H SCHEFFEL, P STOLZMANN, S LESCHKA, L DESBIOLLES, B MARINCEK, H ALKADHI, et al. Impact of vessel attenuation on quantitative coronary angiography with 64-slice CT Br. J. Radiol., August 1, 2009; 82(980): 649 - 653. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. M. Takakuwa and E. J. Halpern Evaluation of a "Triple Rule-Out" Coronary CT Angiography Protocol: Use of 64-Section CT in Low-to-Moderate Risk Emergency Department Patients Suspected of Having Acute Coronary Syndrome Radiology, August 1, 2008; 248(2): 438 - 446. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Berry, P. L. L'Allier, J. Gregoire, J. Lesperance, S. Levesque, R. Ibrahim, and J.-C. Tardif Comparison of Intravascular Ultrasound and Quantitative Coronary Angiography for the Assessment of Coronary Artery Disease Progression Circulation, April 10, 2007; 115(14): 1851 - 1857. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Repetto, B. D. Bello, M. Pasotti, M. Agozzino, M. Vigano, C. Klersy, L. Tavazzi, and E. Arbustini Coronary atherosclerosis in end-stage idiopathic dilated cardiomyopathy: an innocent bystander? Eur. Heart J., August 1, 2005; 26(15): 1519 - 1527. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. O. Jensen, P. Thayssen, K. E. Pedersen, S. Stender, and T. Haghfelt Regression of Coronary Atherosclerosis by Simvastatin: A Serial Intravascular Ultrasound Study Circulation, July 20, 2004; 110(3): 265 - 270. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. DeFranco Understanding the pathophysiology of the arterial wall: which method should we choose? Intra-vascular ultrasound Eur. Heart J. Suppl., September 1, 2002; 4(suppl_F): F29 - F40. [Abstract] [PDF]
|
|
|
|
 |
|
 L. Schwartz and M. G. Bourassa Evaluation of Patients With Chest Pain and Normal Coronary Angiograms Arch Intern Med, August 13, 2001; 161(15): 1825 - 1833. [Full Text] [PDF]
|
|
|
|
 |
|
 R. Haberl, A. Becker, A. Leber, A. Knez, C. Becker, C. Lang, R. Bruning, M. Reiser, and G. Steinbeck Correlation of coronary calcification and angiographically documented stenoses in patients with suspected coronary artery disease: results of 1,764 patients J. Am. Coll. Cardiol., February 1, 2001; 37(2): 451 - 457. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. E. Nissen and P. Yock Intravascular Ultrasound : Novel Pathophysiological Insights and Current Clinical Applications Circulation, January 30, 2001; 103(4): 604 - 616. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. G. Hundley, L. D. Hillis, C. A. Hamilton, R. J. Applegate, D. M. Herrington, G. D. Clarke, G. A. Braden, M. S. Thomas, R. A. Lange, R. M. Peshock, et al. Assessment of Coronary Arterial Restenosis With Phase-Contrast Magnetic Resonance Imaging Measurements of Coronary Flow Reserve Circulation, May 23, 2000; 101(20): 2375 - 2381. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. S. Abizaid, G. S. Mintz, A. Abizaid, R. Mehran, A. J. Lansky, A. D. Pichard, L. F. Satler, H. Wu, K. M. Kent, and M. B. Leon One-year follow-up after intravascular ultrasound assessment of moderate left main coronary artery disease in patients with ambiguous angiograms J. Am. Coll. Cardiol., September 1, 1999; 34(3): 707 - 715. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. S. Abizaid, G. S. Mintz, R. Mehran, A. Abizaid, A. J. Lansky, A. D. Pichard, L. F. Satler, H. Wu, C. Pappas, K. M. Kent, et al. Long-Term Follow-Up After Percutaneous Transluminal Coronary Angioplasty Was Not Performed Based on Intravascular Ultrasound Findings : Importance of Lumen Dimensions Circulation, July 20, 1999; 100(3): 256 - 261. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M R Bell, L O Lerman, and J A Rumberger Validation of minimally invasive measurement of myocardial perfusion using electron beam computed tomography and application in human volunteers Heart, June 1, 1999; 81(6): 628 - 635. [Abstract] [Full Text]
|
|
|
|
|
|
P. J. Scanlon, D. P. Faxon, A.-M. Audet, B. Carabello, G. J. Dehmer, K. A. Eagle, R. D. Legako, D. F. Leon, J. A. Murray, S. E. Nissen, et al. ACC/AHA guidelines for coronary angiography: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Coronary Angiography) developed in collaboration with the Society for Cardiac Angiography and Interventions J. Am. Coll. Cardiol., May 1, 1999; 33(6): 1756 - 1824. [Full Text] [PDF]
|
|
|
|
|
|
Y. Ozaki, A. G. Violaris, T. Kobayashi, D. Keane, E. Camenzind, C. Di Mario, P. de Feyter, J. R. T. C. Roelandt, and P. W. Serruys Comparison of Coronary Luminal Quantification Obtained From Intracoronary Ultrasound and Both Geometric and Videodensitometric Quantitative Angiography Before and After Balloon Angioplasty and Directional Atherectomy Circulation, July 15, 1997; 96(2): 491 - 499. [Abstract] [Full Text]
|
|
|
|
|
|
M. C. Fishbein and R. J. Siegel How Big Are Coronary Atherosclerotic Plaques That Rupture? Circulation, November 15, 1996; 94(10): 2662 - 2666. [Full Text]
|
|
|
|
|
|
J. Escaned, J. Baptista, C. Di Mario, J. Haase, Y. Ozaki, D. T. Linker, P. J. de Feyter, J. R.T.C. Roelandt, and P. W. Serruys Significance of Automated Stenosis Detection During Quantitative Angiography: Insights Gained From Intracoronary Ultrasound Imaging Circulation, September 1, 1996; 94(5): 966 - 972. [Abstract] [Full Text]
|
|
|
|
|
|
S. Molloi, A. Ersahin, J. Tang, J. Hicks, and C. Y. Leung Quantification of Volumetric Coronary Blood Flow With Dual-Energy Digital Subtraction Angiography Circulation, May 15, 1996; 93(10): 1919 - 1927. [Abstract] [Full Text]
|
|
|
|
|
|
E. J. Topol and S. E. Nissen Our Preoccupation With Coronary Luminology : The Dissociation Between Clinical and Angiographic Findings in Ischemic Heart Disease Circulation, October 15, 1995; 92(8): 2333 - 2342. [Abstract] [Full Text]
|
|
|
|
 |
|
 R. Altstidl, H. Dill, M. Regenfus, H. Lehmkuhl, and K. Bachmann Prestenotic and Poststenotic Flow Measurement to Assess Severity of Coronary Artery Stenosis Vascular and Endovascular Surgery, May 1, 1995; 29(3): 189 - 197. [Abstract] [PDF]
|
|
|
|
 |
|
 J. J. Popma and G. J. Dehmer Care of the Patient after Coronary Angioplasty Ann Intern Med, April 1, 1989; 110(7): 547 - 559. [Abstract] [PDF]
|
|
|
|
|
|
E. N. ARNETT, J. M. ISNER, D. R. REDWOOD, K. M. KENT, W. P. BAKER, H. ACKERSTEIN, and W. C. ROBERTS Coronary Artery Narrowing in Coronary Heart Disease: Comparison of Cineangiographic and Necropsy Findings Ann Intern Med, September 1, 1979; 91(3): 350 - 356. [Abstract] [PDF]
|
|
|
|
 |
|
 Y. Kishon, S. Yerushalmi, V. Deutsch, H. N. Neufeld, and A. Koprak Measurement of Coronary Arterial Lumen by Densitometric Analysis of Angiograms Angiology, May 1, 1979; 30(5): 304 - 312. [PDF]
|
|
|
|
 |
|
 J. E. Galbraith, M. L. Murphy, and N. de Soyza Coronary Angiogram Interpretation: Interobserver Variability JAMA, November 3, 1978; 240(19): 2053 - 2056. [Abstract] [PDF]
|
|
|
|
|
|
W. B. DUNKMAN, J. K. PERLOFF, J. A. KASTOR, and J. C. SHELBURNE Medical Perspectives in Coronary Artery Surgery--A Caveat Ann Intern Med, December 1, 1974; 81(6): 817 - 837. [Abstract] [PDF]
|
|