Visualization of the Coronary Circulation by Occlusion Aortography: A Practical Method

Dotter, Charles T.; Frische, Louis H.

doi:10.1148/71.4.502

Cited by 71 publications

(12 citation statements)

References 39 publications

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“…It is presumed that the split lumen appearance is due to blood clearing opaque medium from the central parts of the lumen with medium persisting in the more slowly flowing recesses bordering atheromatous plaques. Nevertheless in some cases this appearance may be mistaken for laminar flow in a normal artery (Dotter and Frische, 1958).…”

Section: Discussionmentioning

confidence: 99%

Technique and Interpretation of Selective Coronary Arteriography in Man

Hale¹,

Jefferson²

1963

Heart

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The radiographic study of coronary arteries in man has been attempted only in recent years. The earliest workers in this sphere employed thoracic aortography, the opaque medium being introduced by needle puncture (Radner, 1945) (1960), the aim being to fill the aortic sinuses so that a high proportion of the medium enters the coronary arteries. In our animal experiments we found that cardiac arrest induced by acetylcholine (Sloman and Jefferson, 1960) and timed diastolic injections of contrast medium (Michell and Jefferson, 1962) gave encouraging results, but we considered that cardiac arrest was potentially too dangerous to use in man. Although Thal et al. (1958) have applied timed diastolic injections successfully in man, our experience convinced us that it was unreliable in filling diseased coronary arteries. Failure to fill a severely diseased right coronary artery is illustrated by Case 4 ( Fig. 1 and 2). This patient, a man aged 44, had had severe angina of effort for five years. Aortography with 75 ml. opaque medium showed occlusion of the anterior descending artery but failed to outline the right coronary artery (Fig. 1). Selective coronary arteriography was subsequently performed, and the right coronary artery was successfully cannulated and clearly outlined by an injection of only 2 ml. (Fig. 2).Thus, in 1960, faced with the problem of how to improve aortography without increasing the hazards of the procedure, we decided to investigate selective coronary arteriography, introduced by Sones in 1960 and practised by him with success and safety. Apart from Sones, who has had an extensive experience with selective coronary arteriography (Sones and Shirley, 1962), Lang and Sabiston (1961) and Tapia, Bolton, and Mazel (1961) have also reported favourably.

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Section: Discussionmentioning

confidence: 99%

Technique and Interpretation of Selective Coronary Arteriography in Man

Hale¹,

Jefferson²

1963

Heart

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“…Building on the pioneering work of Charles Dotter from Portland, Oregon (Figure 11) [17], Andreas Grüntzig (University Hospital of Zurich), starting in 1977, extended coronary catheterization to therapeutic uses (Figure 12) [1819]. …”

Section: Vascular Access (From Puncture To Catheterism)mentioning

confidence: 99%

“…Assembled catheter with constant cross-section balloon for axial use (B). Animal catheter with balloon fully inflated (C) [17]. …”

Section: Vascular Access (From Puncture To Catheterism)mentioning

confidence: 99%

The Rise of Contrast-enhanced Roentgenology: An Illustrated and Chronological Overview

Tiggelen¹

2016

Journal of the Belgian Society of Radiology

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Contrast opacification of the vascular system has become the mainstay of radiological examinations. This brief illustrated and chronological historical overview commences with the vascular opacification on a corpse via direct puncture of the aorta at both the thoracic and the abdominal levels and ends with the analogous exams on computed tomography (CT) and magnetic resonance imaging (MRI) via peripheral venous puncture.

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“…Dotter and Frische (30) used occlusion aortography to produce vivid visualization of the coronary circulation in dogs. This was performed with a double-lumen catheter with a balloon located a few centimeters proximal to the end-hole tip.…”

Section: Coronary Arteriographymentioning

confidence: 99%

Cardiac Radiology: Centenary Review

Roos¹,

Higgins²

2014

Radiology

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During the past century, cardiac imaging technologies have revolutionized the diagnosis and treatment of acquired and congenital heart disease. Many important contributions to the field of cardiac imaging were initially reported in Radiology. The field developed from the early stages of cardiac imaging, including the use of coronary x-ray angiography and roentgen kymography, to nowadays the widely used echocardiographic, nuclear medicine, cardiac computed tomographic (CT), and magnetic resonance (MR) applications. It is surprising how many of these techniques were not recognized for their potential during their early inception. Some techniques were described in the literature but required many years to enter the clinical arena and presently continue to expand in terms of clinical application. The application of various CT and MR contrast agents for the diagnosis of myocardial ischemia is a case in point, as the utility of contrast agents continues to expand the noninvasive characterization of myocardium. The history of cardiac imaging has included a continuous process of advances in our understanding of the anatomy and physiology of the cardiovascular system, along with advances in imaging technology that continue to the present day.

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Visualization of the Coronary Circulation by Occlusion Aortography: A Practical Method

Cited by 71 publications

References 39 publications

Technique and Interpretation of Selective Coronary Arteriography in Man

Technique and Interpretation of Selective Coronary Arteriography in Man

The Rise of Contrast-enhanced Roentgenology: An Illustrated and Chronological Overview

Cardiac Radiology: Centenary Review

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