In June 1989, a third conference concentrating on the progress in quantita tive coronary angiography and related techniques was held in Rotterdam, again very successful as the two preceding events in 1985 and 1987. Tech nical as well as clinical aspects of digital and digitized coronarography, morphometry, parametric imaging and functional quantification of the human coronary circulation were presented and discussed by prominent exponents of those groups who have been active in this particular field for many years. This book contains the chapters representing the lectures held by leading experts during the symposium that update the knowledge currently available, including most recent aspects in angioscopy and intravascular ultrasound imaging. It also includes a historical review on the development of angiogra phic techniques from the very early days on to our times given by one of the pioneers in heart catheterization and angiography, Dr. Kurt Amplatz. Those who had the chance to listen to his talk, will surely remember his impressive, humorous lecture as one of the highlights of this meeting.
Table of ContentsI: Quantitative Coronary Arteriography: Methodologies.- 1. Quantitative and qualitative coronary arteriography.- 2. Digital coronary angiography; advantages and limitations.- 3. Advantages and limitations of videodensitometry in quantitative coronary angiography.- 4. An overview of coronary quantitation techniques as of 1989.- II: Quantitative Coronary Arteriography; Physiological Aspects.- 5. Peptides and the circulation.- 6. Quantitative coronary arteriography at rest and during exercise.- III: Coronary Angioscope; Epicardial and Intravascular Echocardiography.- 7. Coronary angioscopy.- 8. Intervascular ultrasound: direct visualization of atheroma within the arterial wall.- 9. Current intra-arterial ultrasound imaging systems and automatic contour detection.- IV: Coronary Blood Flow and Flow Reserve.- 10. Assessment of coronary blood flow and velocity in the catheterization laboratory.- 11. Coronary obstructions, morphology and physiologic significance.- 12. Application of indicator dilution principles to regional assessment of coronary flow reserve from digital angiography.- 13. 3D reconstruction of the coronary arterial tree from multiview digital angiography: a study of reconstruction accuracy.- V: Intracoronary Prostheses.- 14. Stenting of coronary arteries. Are we the sorcerer’s apprentice?.- 15. Coronary stenting, report of the initial clinical experience with the Palmaz-Schatz balloon expandable stent.- VI: Recanalization Techniques.- 16. Laser balloon angioplasty (LBA).- 17. Mechanical recanalization of coronary arteries.- 18. Videometric, angiographic and angioscopic assessment of atherectomy; correlations and discrepancies.- VII: Historic Perspective.- 19. The history of coronary angiography.