Repository: Difference between revisions

From PCIpedia
Jump to navigation Jump to search
No edit summary
 
(38 intermediate revisions by 4 users not shown)
Line 1: Line 1:
{{IncludeFlash
==Table 2==
|flash_string=<flash>file=MM0041.swf|quality=best|align=center|width=400|height=400</flash>
{| class="wikitable" style="font-size:90%; border:1px solid darkgray;"  cellspacing="0"
|Description=LAD_6_AF_3_LCA_LAO
|file_name=MM0041
}}


{{IncludeFlash
|+'''Characteristics of Type A, B, and C Lesions'''
|flash_string=<flash>file=MM0042.swf|quality=best|align=center|width=400|height=400</flash>
|Description=LAD_6_AF_3_LCA_RAO_post
|file_name=MM0042
}}


{{IncludeFlash
|-
|flash_string=<flash>file=MM0043.swf|quality=best|align=center|width=400|height=400</flash>
! style="width:300px; border-bottom:1px solid darkgray; background-color:#f2f2f2" | Lesion-Specific Characteristics
|Description=LAD_6_AF_3_LCA_RAO_pre
|file_name=MM0043
}}


{{IncludeFlash
|-
|flash_string=<flash>file=MM0044.swf|quality=best|align=center|width=400|height=400</flash>
| style="border-bottom:1px solid darkgray" | '''Type A lesions (minimally complex)'''
|Description=LAD_6_AF_3_RCA_LAO
|-
|file_name=MM0044
| style="border-bottom:1px solid darkgray; padding-left:12px" | Discrete (length &lt;10 mm)
}}
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Concentric
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Readily accessible
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Nonangulated segment (&lt;45&deg;)
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Smooth contour
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Little or no calcification
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Less than totally occlusive
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Not ostial in location
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | No major side branch involvement
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Absence of thrombus


{{IncludeFlash
|-
|flash_string=<flash>file=MM0045.swf|quality=best|align=center|width=400|height=400</flash>
| style="border-bottom:1px solid darkgray" | '''Type B lesions (moderately complex)<sup>&lowast;</sup>'''
|Description=LAD_7_3_LCA_caudal_pre
|-
|file_name=MM0045
| style="border-bottom:1px solid darkgray; padding-left:12px" | Tubular (length 10 to 20 mm)
}}
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Eccentric
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Moderate tortuosity of proximal segment
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Moderately angulated segment (&gt;45&deg;, &lt;90&deg;)
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Irregular contour
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Moderate or heavy calcification
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Total occlusions &lt;3 mo old
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Ostial in location
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Bifurcation lesions requiring double guide wires
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Some thrombus present
 
|-
| style="border-bottom:1px solid darkgray" | '''Type C lesions (severely complex)'''
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Diffuse (length &gt;2 cm)
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Excessive tortuosity of proximal segment
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Extremely angulated segments &gt;90&deg;
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Total occlusions &gt;3 mo old and/or bridging collaterals
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Inability to protect major side branches
|-
| style="border-bottom:1px solid darkgray; padding-left:12px" | Degenerated vein grafts with friable lesions
 
|-
| <ul>
<li><sup>&lowast;</sup> Although the risk of abrupt vessel closure may be moderately high with Type B lesions, the likelihood of a major complication may be low in certain instances such as in the dilation of total occlusions &lt;3 mo old or when abundant collateral channels supply the distal vessel.</li>
</ul>
 
|}

Latest revision as of 05:54, 17 September 2009

Table 2

Characteristics of Type A, B, and C Lesions
Lesion-Specific Characteristics
Type A lesions (minimally complex)
Discrete (length <10 mm)
Concentric
Readily accessible
Nonangulated segment (<45°)
Smooth contour
Little or no calcification
Less than totally occlusive
Not ostial in location
No major side branch involvement
Absence of thrombus
Type B lesions (moderately complex)
Tubular (length 10 to 20 mm)
Eccentric
Moderate tortuosity of proximal segment
Moderately angulated segment (>45°, <90°)
Irregular contour
Moderate or heavy calcification
Total occlusions <3 mo old
Ostial in location
Bifurcation lesions requiring double guide wires
Some thrombus present
Type C lesions (severely complex)
Diffuse (length >2 cm)
Excessive tortuosity of proximal segment
Extremely angulated segments >90°
Total occlusions >3 mo old and/or bridging collaterals
Inability to protect major side branches
Degenerated vein grafts with friable lesions
  • Although the risk of abrupt vessel closure may be moderately high with Type B lesions, the likelihood of a major complication may be low in certain instances such as in the dilation of total occlusions <3 mo old or when abundant collateral channels supply the distal vessel.