Coronary Angiography (Ms PW)

AT, a 55 year old female, underwent elective diagnostic coronary angiogram as a work up for renal transplantation. Her risk factors included obesity, diabetes and high blood pressure. She underwent a coronary angiogram with access through her right femoral artery with a 6F Impulse catheter. The test showed unobstructed (clean and opened) coronary arteries.

AS, a 71 year old woman, came in with recurrent chest pain and shortness of breath. Her risk factors included high cholesterol, high blood pressure and family history of coronary artery disease. She was offered coronary angiogram which was accessed through the right radial artery (in the wrist) with a 5F TIG diagnostic catheter. The test showed no abnormalities.

SA, a 59 year old male, underwent a coronary angiogram as part of the work up for a coronary artery bypass graft (CABG). He had a background of high blood pressure, obesity, ischaemic heart disease (with previous coronary angiogram) and smoking. He underwent a further coronary angiogram through the right radial artery (in the wrist) with a 6F TIG catheter. The test showed severe disease in the left circumflex and right coronary arteries, as well as a patent (opened) stent in the left anterior descending artery. Lesions were found to be suitable for angioplasty. The patient was referred back to the cardiothoracic surgeons for further discussion regarding his treatment.

FP, a male aged 83, presented with exertional stable angina. He has had a previous coronary artery bypass graft. His echocardiogram from a few months ago showed good overall biventricular systolic function with mildly dilated left atrium in size, alongside mitral regurgitation. Subsequently he underwent coronary angiography through the right radial artery (in the wrist) with a 6F Impulse FL3.5 catheter. The test showed all territories of the myocardium (heart muscle) were well vascularised (have adequate blood supply).

CT, a 64 year old male, presented with atypical chest pain. He had a medical background of type 2 diabetes mellitus and high cholesterol. His previous echocardiogram a few years ago showed good biventricular systolic function (good pumping action of the parts of the heart that pump blood to the rest of the body). A more recent ECG (electrocardiogram) showed left ventricular hypertrophy (thickening). He was offered a diagnostic coronary angiogram with the access point being through the right radial artery (in the wrist) using a 6F Impulse catheter. The test revealed mild disease within the left anterior descending artery.

PD, a male aged 64, presented with exertional shortness of breath, absent of chest pain. His medical background included high blood pressure, high cholesterol and a family history of coronary artery disease. He was offered to have a coronary angiogram through the right radial artery (in the wrist) using a TIG 5F Diagnostic catheter. The test revealed moderate ostial posterior descending artery stenosis which was crossed with a Verrata wire and no change in the pressures across the lesions were shown.