Cataldo Pabla, Dauvergne Christian, Duarte Manuel, Julio Patricio, Méndez Manuel, Pineda Fernando, Uriarte Polentzi, Sandoval Jorge
Departamento de Cardiología, Instituto Nacional del Tórax, Santiago, Chile.
Departamento de Congénitos Adultos, Instituto Nacional el Tórax, Santiago, Chile.
Rev Med Chil. 2024 Nov;152(8):889-900. doi: 10.4067/s0034-98872024000800889.
Coronary angiography (CA) is the gold standard for identifying the presence and extent of atherosclerotic coronary artery disease or dynamic stenosis of the arteries.
Review of the literature and international clinical guidelines on the evidence of its indications in different clinical scenarios.
Qualitative study through a narrative review of the current indications of the technique, limitations, possible complications and contraindications.
Information on the different scenarios in which CA is requested is extensive, ranging from expert recommendations to evidence-based clinical guidelines that support its performance. Undoubtedly, technological advances have led to the understanding of coronary pathology with the contribution of complementary techniques that contribute not only to the diagnosis but also to its treatment. It is important to understand its potential complications in order not only to plan a procedure and avoid them, and not to subject patients to tests that will not contribute in their clinical context.
Since the first CA, performed by Mason Sones in 1958, there has been an exponential growth in interventional cardiology, where CA has improved its technique generating more evidence in its indications.
冠状动脉造影（CA）是识别动脉粥样硬化性冠状动脉疾病或动脉动态狭窄的存在及程度的金标准。
回顾关于其在不同临床场景中适应证证据的文献及国际临床指南。
通过对该技术当前适应证、局限性、可能的并发症及禁忌证进行叙述性回顾的定性研究。
关于要求进行CA的不同场景的信息广泛，从专家建议到支持其应用的循证临床指南。毫无疑问，技术进步借助辅助技术的作用，使人们对冠状动脉病变有了更深入的了解，这些辅助技术不仅有助于诊断，还能用于治疗。了解其潜在并发症很重要，这样不仅能规划手术并避免并发症，还能避免让患者接受在其临床情况下无帮助的检查。
自1958年梅森·索恩斯首次进行CA以来，介入心脏病学呈指数级增长，CA技术不断改进，在其适应证方面产生了更多证据。
