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We pioneered and continue to advance the concept
that complete evaluation can reduce complications at
time of intervention and later.
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Through panning and rotational cine,we obtain over 2,500 select views per patient rather than the usua l 5-7-10 views |
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| Ventriculogram of the left ventricle end diastole and end systole shows normal pump function RAO view | |||||||||
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| Ventriculogram of the left ventricle end diastole and end systole shows normal pump function LAO view | |||||||||
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However, the right coronary (LAO view) is 90% obstructed |
Major vessel collateralized and fills in reverse | ||||||||
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| RAO view showing narrowed right cornary artery |
Active life led to collateralization as disease progressed
Vessel fills in reverse to save heart (arrows) |
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| Left main coronary (LAO view) also 90% obstructed |
(LCA-RAO view) Mild stress could have caused death* |
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*Excitement, |
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Even highly detailed coronary examination like the one above is of little value if the patient is sent to surgery without knowing whether or not conditions exist like these shown on the next page. In our commitment to do complete studies, we have found that 25% of patients have cardiovascular problems in areas other than the heart which could cause life-threatening complications during or shortly after surgery.
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Tortuous abdominal aorta with thrombus |
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| Atherosclerotic coarctation of abdominal aorta | Critical bilateral renal arterial stenosis | |||||||||||||||||||||||
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| Internal carotid arterial stenosis with aneurysm & clot | Internal carotid with severe narrowing | |||||||||||||||||||||||
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| Left renal with mild blockage |
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