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Main Artery (main + artery)
Selected AbstractsThe importance of gender on coronary artery size: In-vivo assessment by intravascular ultrasoundCLINICAL CARDIOLOGY, Issue 5 2004Sang-Gon Kim M.D. Abstract Background: It remains controversial whether women have smaller coronary arteries than men because of a gender-specific trait, or whether the observed differences are primarily due to a difference in body size. Intravascular ultrasound (IVUS), with its ability to provide unique coronary images that allow precise measurement of arterial size in vivo, is ideally suited to address this issue. Hypothesis: Female gender, independent of body size, is associated with smaller coronary artery size as measured by intracoronary ultrasound. Methods: Intravascular ultrasound images of normal left main arteries were identified retrospectively from a single center database. Associations between demographic and clinical characteristics (including body size) and left main coronary dimensions were assessed with univariant and multivariate regression analyses. Results: We identified 257 completely normal left main arteries. Mean left main arterial areas were smaller in women than in men (17.2 vs. 20.6 mm2, p < 0.001), as were mean luminal areas (14.0 vs. 16.7 mm2, p < 0.001). By multiple regression analysis, the independent predictors of left main lumen were body surface area (p < 0.001) and gender (p = 0.003). Conclusions: Body surface area and gender are both independent predictors of coronary artery size, although body size has a greater influence than gender. [source] In vivo MR imaging of pulmonary arteries of normal and experimental emboli in small animalsJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 6 2006Mathieu Lederlin MD Abstract Purpose To demonstrate the feasibility of pulmonary MRA in living rodents. Materials and Methods A three-dimensional (3D) gradient echo sequence was adapted to perform a time-of-flight (TOF) angiography of rat lung. Angiogram with a spatial resolution of 195 × 228 × 228 ,m3 was acquired in around 33 minutes. The method was then applied in animals before and after pulmonary embolism (PE) induction. Section of the proximal right pulmonary artery was measured and compared between the two populations. Results Good quality images were obtained with a contrast-to-noise ratio (CNR) of 9 ± 3 in the proximal part of the pulmonary artery. Cross-section areas of the right main artery are statistically different before (3.45 ± 0.69 mm2) and after induction of PE (4.3 ± 0.86 mm2). Conclusion This noninvasive tool permits angiogram acquisition at around 200 ,m spatial resolution and objective distinction between healthy and embolized arteries. J. Magn. Reson. Imaging 2006. © 2006 Wiley-Liss, Inc. [source] Is the left anterior descending artery really absent?,A decisive input from coronary CT angiography,CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, Issue 1 2010Yalcin Hacioglu MD Abstract This case report emphasizes the importance of coronary CT angiography (CTA) as a backup imaging modality in patients with suspected coronary anomalies and difficult canulation, during invasive coronary angiography by catheterization (Cath). In this patient, the numerous canulation attempts during Cath failed to identify a left anterior descending artery (LAD) leading to the diagnosis of absent LAD. CTA was done for further clarification, which easily visualized LAD originating from a separate ostium at the left sinus of Valsalva finalizing the diagnosis as absent left main artery with dual left coronary ostia. © 2010 Wiley-Liss, Inc. [source] Present Status of Coronary Bifurcation StentingCLINICAL CARDIOLOGY, Issue 2 2008Rishi Sukhija M.D. Abstract Percutaneous coronary intervention (PCI) for bifurcation lesions is technically limited by the risk of side branch occlusion. In comparison with nonbifurcation interventions, bifurcation interventions have a lower rate of procedural success, higher procedural costs and a higher rate of clinical and angiographic restenosis. The recent introduction of drug-eluting stents (DES) has resulted in reduced incidence of main vessel restenosis compared with historical controls. However, side-branch ostial residual stenosis and long-term restenosis still remain problematic. In the era of DES, techniques employing two stents have emerged that allow stenting of the large side branch in addition to the main artery. Stenting of the main vessel with provisional side branch stenting seems to be the prevailing approach. This paper reviews outcome data with different treatment modalities for this complex lesion with particular emphasis on the use of DES as well as potential new therapeutic approaches. Copyright © 2008 Wiley Periodicals, Inc. [source] | ||||||||||