Open AccessLeft main coronary artery stenosis: angiographic determination.
Author(s) -
Airlie Cameron,
Harvey G. Kemp,
Lloyd D. Fisher,
Arthur J. Gosselin,
Melvin P. Judkins,
John W. Kennedy,
Jacques Lespérance,
J. Gerard Mudd,
Thomas J. Ryan,
J F Silverman,
Felix E. Tristani,
R E Vlietstra,
Laura Wexler
Publication year - 1983
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.68.3.484
Subject(s) - medicine , ectasia , lesion , stenosis , cardiology , artery , coronary arteries , radiology , coronary artery calcium , coronary artery ectasia , coronary artery disease , coronary angiography , surgery , myocardial infarction
Reliability of angiographic assessment of the left main coronary artery segment was evaluated by review of 106 coronary cineangiograms from the Coronary Artery Surgery Study. The films were interpreted by three groups of angiographers: those at a clinical site, those at a quality control site, and those on a study census panel. Among the readings of these three groups, there was 41% to 59% agreement on the severity of the lesion, with 80% agreement on whether the lesion was greater or less than 50%. The severity of lesion, its location, or presence of ectasia or calcium did not affect the discrepancy rate, whereas segments that were unusually short, diffusely diseased, or obscured by overlapping vessels were especially difficult to interpret.
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