State of the Art in Quantitative Coronary Arteriography

1. Front Matter

   Pages I-XII

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2. Technical developments in coronary angiography

   1. Front Matter

      Pages 1-1

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   2. Quality considerations on cine-imaging and PTCA-fluoroscopy anticipating a digital future

      • Paul de Leeuw

      Pages 3-16

   3. Digital coronary arteriography

      • Robert A. Vogel

      Pages 17-31

   4. Digital imaging modalities for coronary and myocardial wall studies

      • Joachim H. Bürsch, P. H. Heintzen, K. Moldenhauer

      Pages 33-49

   5. Myocardial densograms from digital subtraction angiography with apparent cardiac arrest

      • Tjeerd van der Werf, H. Stegehuis, R. M. Heethaar

      Pages 51-65

   6. A tomographic approach to intravenous coronary arteriography

      • Erik L. Ritman, A. A. Bove

      Pages 67-78

   7. CT of the heart

      • Martin J. Lipton

      Pages 79-100

3. Quantitative coronary cineangiography

   1. Front Matter

      Pages 101-101

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   2. Quantitation of coronary artery stenosis severity: Limitations of angiography and computerized information extraction

      • J. Richard Spears, T. Sandor

      Pages 103-124

   3. A second look at quantitative coronary angiography: some unexpected problems

      • Robert H. Selzer, A. Shircore, P. L. Lee, L. Hemphill, D. H. Blankenhorn

      Pages 125-143

   4. Approaches towards standardization in acquisition and quantitation of arterial dimensions from cineangiograms

      • Johan H. C. Reiber, P. W. Serruys, C. J. Kooijman, C. J. Slager, J. H. C. Schuurbiers, A. den Boer

      Pages 145-172

4. Can we measure coronary blood flow from contrast injection?

   1. Front Matter

      Pages 173-173

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   2. Determination of coronary blood flow and myocardial perfusion by digital image processing

      • Paul Spiller, F.-K. Schmiel

      Pages 175-192

   3. Densitometric assessment of coronary blood velocity and flow in man from coronary angiography: possibilities and problems

      • Rüdiger Simon, I. Amende, G. Herrmann, W. Quante, P. R. Lichtlen

      Pages 193-206

5. Coronary obstruction and its physiologic significance

   1. Front Matter

      Pages 207-207

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   2. Assessment of stenosis severity

      • K. Lance Gould, R. L. Kirkeeide

      Pages 209-228

   3. Effects of coronary atherosclerosis on coronary reserve

      • Melvin L. Marcus, D. G. Harrison, C. W. White, L. F. Hiratzka

      Pages 229-237

   4. Effects of coronary artery stenosis, aortic insufficiency and aortic stenosis on coronary blood flow in the dog

      • C. Richard Conti, R. L. Feldman, W. W. Nichols, R. G. MacDonald, C. J. Pepine

      Pages 239-249

   5. Pressure gradient, exercise thallium 201 scintigraphy, quantitative coronary cineangiography: in what sense are these measurements related?

      • Patrick W. Serruys, W. Wijns, R. Geuskens, P. de Feyter, M. van den Brand, J. H. C. Reiber

      Pages 251-270

Over the past twenty years, technical advances in coronary arteriography have contributed to our understanding of the pathophysiologic aspects and natural history of coronary artery disease. Probably more than 700. 000 coronary arterio­ grams are performed annually throughout the world. Usually, these arteriograms are interpreted visually to determine the morphologic extent and severity of coronary artery disease. These subjective determinations, which are hampered . by relatively large intra- and interobserver variations, are used as a basis for critically important therapeutic decisions: Which arteries are to be revascular­ ized, which lesions are suitable for coronary bypass surgery or for percutaneous coronary angioplasty? To improve on this clinical decision making, on the treat­ ment and follow-up of such patients, new, objective and reproducible techniques for the assessment of the extent and severity of coronary artery disease, both in terms of anatomy and functional significance of the lesions, must be made widely available. With such new procedures and technologies the efficacy of new thera­ peutic procedures, the effects of vasodilating and constricting drugs, and the results of long-term studies on the regression and progression of atherosclerotic plaque can be determined in an objective and cost-effective manner.

• Bypass
• anatomy
• angiography
• coronary artery disease
• coronary heart disease
• drugs
• heart

`...an important and stimulating volume for all interventional cardiologists, radiologists, and physicistst involved in interpretation, progress, and research in cardiac imaging.'
Radiology, Feb. 1988

• Department of Cardiology, Thorax Center, Erasmus University, Rotterdam, The Netherlands

  J. H. C. Reiber, P. W. Serruys

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