Screening angiography of supraaortic vessels performed by invasive cardiologists at the time of cardiac catheterization: indications and results

Abstract

An aging population makes multiple vascular distributions more likely in patients arriving at the cath lab for coronary artery angiography or complete cardiac catheterization. Whether or not screening angiography of supraaortic vessels can be performed at the time of cardiac catheterization by the invasive cardiologist is still debatable. We sought to determine safety and utility of performing angiography of supraaortic vessels during cardiac catheterization. Medical records of all patients undergoing combined coronary and noncoronary angiography between May 1998 and December 2002 was retrospectively reviewed. One hundred and forty patients (80 males, mean age 67.8 +/- 5.4 years) underwent combined cardiac catheterization and angiography of supraaortic vessels. Carotid artery angiography was performed at the same time of cardiac catheterization in 62 patients and subclavian artery angiography in the other 78 patients. Significant findings were reported in 32 (22.8%) patients. Complications included 1 transient ischemic attack and 2 carotid spasm resolved with nitrates infusion. In most cases the same standard catheters used during coronary angiography were used also for noncoronary angiography (119 patients, 85%). The incidence of significant angiographic findings and the relatively frequent association of CAD with supraaortic vessel atherosclerosis supports combined cardiac catheterization and angiography of supraaortic arteries but only in patients with multivessel coronary artery disease.

Prevalence of concomitant atherosclerotic arterial diseases in patients with significant cervical carotid artery stenosis in Taiwan

“…Systematic angiographic evaluation of concurrent disease has been reported in patients with significant carotid or coronary stenosis [39][40][41], and our data also support this practice. Potential drawbacks of this invasive approach, such as increased contrast usage and risks associated with coronary catheterization, were not seen in our study.…”

‘New Developed Femoral-S Carotid Catheter’ is Very Effective and Safe in Carotid Angiography: A Retrospective Study

“…However, the tips of JR catheter can friction to the aortic wall if it is rotated within the aorta without guidewire. This condition can cause complications [1,15].…”

“…The Invasive carotid angiography is also needed for diagnosis and treatment of neck malformations, carotid tumours, vascular malformations and injuries as well as USG, MR angiography, CT angiography [1][2][3][4][5][6].…”

Peripheral vascular disease endovascular management in patients scheduled for cardiac surgery: a clinical-angiographic approach

“…Proximal subclavian artery occlusive disease associated with patent internal mammary artery used as a conduit for coronary artery bypass graft procedure may cause the reversal of the internal mammary artery flow (coronary-subclavian steal) leading to myocardial ischemia [11]. In order to prevent this catastrophic occurrence, all patients undergoing cardiac catheterization prior to coronary artery bypass grafting using the internal mammary artery should be evaluated for upper extremity and cerebrovascular ischemia, cervical or supraclavicular bruits, and an upper extremity blood pressure differential of 10-20 mmHg or greater [12].…”