PubMed · 8768603
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F Quijano-Pitman. [First coronarographies].. https://pubmed.ncbi.nlm.nih.gov/8768603/
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Left main coronary artery compression by the pulmonary artery may be seen in patients with pulmonary hypertension who are undergoing cardiac catheterization. Cardiac magnetic resonance imaging is useful in these patients to document extrinsic compression, which might otherwise be mistaken for intrinsic atherosclerotic disease.
Cine replacement or cineless angiography is now a serious consideration for any new cardiac catheterization laboratory installation. Standards have been set by the Dicom committee, and CD's are rapidly appearing instead of angiogram film. Core labs. are geared to perform CD interpretation as well as film during this transition phase. Attempts are made to network multiple labs. and maintain the same kind of flow encountered in an analog lab. Labour and material costs seem to be cheaper for cineless labs. The future will see faster and deeper storage and commercially available means to network hospitals. This technology may be the forerunner of the digital patient record.
At present times the medical cardiology imaging is still arguing about the usefulness of X-Ray Cine film in comparison with digital and filmless imaging. It is clear that both techniques have their advantages. X-Ray Cine film is a well established technique of which the possibilities are well known. At a first glance filmless imaging offers nothing but advantages. However the whole picture becomes clear when trying to implement these systems in a clinical environment, because at that time aspects of investments, technological continuity and risks, needed skills and effects on the workflow appear. This article has the purpose to clarify some of these aspects and give guidance in the difficult process of making the right decision.