e-Anatomy

Radiological anatomy of the coronary arteries after cardiac catheterisation

Authors

Antoine Micheau , Denis Hoa

Published on

Friday 13 December 2019

Section

Thorax, Abdomen, Pelvis

DOI

https://doi.org/10.37019/e-anatomy/88366


Anatomical parts

Radiological anatomy of the coronary arteries after cardiac catheterisation

This e-Anatomy module is about the radiological anatomy of the coronary arteries in coronary angiography.

 

Coronary angiography : Coronary arteries - Anatomy

Coronary angiography : Coronary arteries , Anatomy

 

 

It allows you to view a catheterisation of the left and right coronary arteries as well as a ventriculography, using radiological impacts used in current practice in the coronary angiography room.
This module is intended for students of medicine and paramedical studies to understand the impacts on coronary angiography and to recognise the different coronary arteries and their collaterals.

 

Coronary-angiographic images:

Over 500 dynamic images of an angiogram of the coronary arteries are presented here, with the incidences used in clinical practice. Small pictures at the bottom of the module serve as benchmarks for understanding the position and angle of the arch (3D images of the patient and coronary arteries):

Left coronary artery
RAO: 20° - CAU: 20°
RAO: 30° - CRA: 30°
LAO: 0° - CRA: 30°
LAO: 45° - CRA: 20°
LAO: 30° - CAU: 30°
RAO: 0° - CAU: 30°
Right coronary artery
LAO: 45° - CAU: 15°
LAO: 45° - CRA: 20°
RAO: 30° - CAU: 0°
Ventriculography
RAO: 30° - CAU: 0°

 

 

Left coronary artery : Left anterior descending artery (LAD) - Left circumflex artery (LCx)

Left coronary artery : Left anterior descending artery (LAD) , Left circumflex artery (LCx) (Coronary angiography)

 

Anatomical structures of the heart labeled in a coronary angiography and ventriculography

Over 100 anatomical structures were labeled in this normal coronary angiogram:

  • Coronary arteries: the international nomenclature (Terminologia Anatomica) of right and left coronary arteries coupled with the nomenclature used in radiological practice (Cx, IVA, CT...).
  • Branches of the coronary arteries: includes the anatomical names of small branches of coronary arteries, less visible on a coronary angiography.
  • Digital nomenclature: shows the anatomy of the coronary arteries represented by numbers (followed by their angiographic name). This nomenclature is less commonly used, but is useful for some protocols in cardiological research.
  • Heart: shows the main radiological anatomical reference points of the heart in interventional radiology (apex, base of the heart, pulmonary face...).
  • Other structures: details of the extracardiac structures visible in this coronary angiography (lungs, diaphragm, spine, aorta).

 

Anatomy of the coronary arteries on a coronary angiography : Right coronary artery

Anatomy of the coronary arteries on a coronary angiography : Right coronary artery

 

Anatomical parts

The user can hide or show all the anatomical labels on this coronary angiography or to display only the most important anatomical structures avoiding the overloading of the images.

 

Series

The user can browse between the different radiological impacts in coronary angiography.

 

Ventriculography : Left ventricle, Aorta

Ventriculography : Left ventricle, Aorta

 

 

Language and anatomical terminology

We used the Terminologia Anatomica to label all the anatomical structures. Translations available in English, French, Japanese, German, Chinese, Portuguese, Russian, Polish, Korean, Italian and Spanish.

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