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POTENTIAL SOURCES OF ERROR IN CORONARY ARTERIOGRAPHY

I. IN PERFORMANCE OF THE STUDY

DAVID C. LEVIN M.D.1, HAROLD A. BALTAXE M.D., JACK G. LEE M.D., and THOMAS A. SOS M.D.1

1 Departments of Radiology, Harvard Medical School and Peter Bent Brigham Hospital, Boston, Massachusetts.

Certain relatively common potential sources of error may be encountered during the performance of coronary arteriograms. These result from anomalous origins of vessels, absence or early bifurcation of the main left coronary artery, main left coronary artery stenosis, separate origin of the conus artery from the right sinus of Valsalva, eccentric plaques seen in only 1 projection, and spasm of vessels. Recognition of these situations is discussed and suggestions are made as to how to deal with them while the procedure is in progress.


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