{"id":21671,"date":"2016-11-10T05:54:41","date_gmt":"2016-11-10T00:24:41","guid":{"rendered":"https:\/\/cardiophile.org\/?p=21671"},"modified":"2022-02-06T20:45:59","modified_gmt":"2022-02-06T15:15:59","slug":"spider-view-lao-caudal-view-coronary-angiogram","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/spider-view-lao-caudal-view-coronary-angiogram\/","title":{"rendered":"Spider view \u2013 LAO caudal view &#8211; coronary angiogram"},"content":{"rendered":"<h2><span style=\"color: #008000;\">Spider view \u2013 LAO caudal view &#8211; coronary angiogram<\/span><\/h2>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/7xIRJbu-dX4\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<div class=\"mceTemp\"><\/div>\n<figure id=\"attachment_53021\" aria-describedby=\"caption-attachment-53021\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-53021\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2016\/11\/Spider-view.jpg\" alt=\"Spider view\" width=\"1200\" height=\"1218\" srcset=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2016\/11\/Spider-view.jpg 1200w, https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2016\/11\/Spider-view-296x300.jpg 296w, https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2016\/11\/Spider-view-1009x1024.jpg 1009w, https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2016\/11\/Spider-view-768x780.jpg 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-53021\" class=\"wp-caption-text\">Spider view<\/figcaption><\/figure>\n<p><span style=\"color: #0000ff;\">Spider view \u2013 LAO (left anterior oblique) caudal view<\/span> [1] is often the first view taken during diagnostic coronary angiography. It has the advantage of visualizing the proximal left anterior descending coronary artery (LAD) and left circumflex (LCX) coronary artery along with the left main coronary artery. In this case the left main is not seen well as it is a delayed image. <span style=\"color: #0000ff;\">Proximal tight stenosis of the left anterior descending (LAD) coronary artery<\/span> is seen, as well as significant stenosis of an obtuse marginal (OM) branch of the left circumflex (LCX) coronary artery. This view is not good for visualizing the distal parts of the left system and fore shortens the coronary branches. Yet this view is useful during coronary angioplasty to check whether a stent placed in the proximal LAD is impinging on the left main or likely to pinch the ostium of the LCX. <span style=\"color: #0000ff;\">Dye reflux in the left aortic sinus of Valsalva<\/span> is seen, indicating that there is no wedging of the catheter in the left coronary ostium. If there is wedging, the pressure monitored from the catheter tip will be damped and angina, ST segment elevation or hypotension are likely if the catheter is not promptly withdrawn and repositioned. Wedging at the left main ostium should also alert us to the possibility of significant left main ostial stenosis. Injecting into the left main ostium in a wedged position can cause ostial dissection and catastrophic outcome unless it is promptly recognized and managed.<\/p>\n<p>A large coronary aneurysm of the left anterior descending coronary artery in Bechet\u2019s Disease has been described as a spider in the spider view [2]!<\/p>\n<p><span style=\"color: #0000ff;\"><strong>References<\/strong><\/span><\/p>\n<ol>\n<li>O Aquilina, V Grech, H Felice, J Debono, A Fenech. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3232562\/\">Normal adult coronary angiography<\/a>. Images Paediatr Cardiol. 2006 Apr;8(2):1-16.<\/li>\n<li>Servet Altay, Muhammet G\u00fcrdo\u011fan, Mustafa Adem Y\u0131lmaztepe. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7094191\/\">A Spider in the Spider\u2019s View: Beh\u00e7et\u2019s Disease-related Giant Coronary Aneurysm<\/a>. Balkan Med J. 2020 Feb 28;37(2):112.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Spider view \u2013 LAO caudal view &#8211; coronary angiogram Spider view \u2013 LAO (left anterior oblique) caudal view [1] is often the first view taken during diagnostic coronary angiography. It has the advantage of visualizing the proximal left anterior descending coronary artery (LAD) and left circumflex (LCX) coronary artery along with the left main coronary [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":53021,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[18,2],"tags":[1234,2024,2032,2063,2077,2082,2105,2115,2653,2673,3604,3645,3920,3921],"class_list":["post-21671","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-angiography-and-interventions","category-cardiology","tag-dye-reflux","tag-lad","tag-lao-caudal-view","tag-lcx","tag-left-anterior-descending-coronary-artery","tag-left-anterior-oblique-caudal-view","tag-left-circumflex","tag-left-main-coronary-artery","tag-obtuse-marginal","tag-om","tag-sinus-of-valsalva","tag-spider-view","tag-tight-stenosis-of-lad","tag-tight-stenosis-of-the-left-anterior-descending-coronary-artery"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Spider view \u2013 LAO caudal view - coronary angiogram<\/title>\n<meta name=\"description\" content=\"Spider view \u2013 LAO caudal view has the advantage of visualizing the proximal LAD and left circumflex along with the left main coronary artery.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/spider-view-lao-caudal-view-coronary-angiogram\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Spider view \u2013 LAO caudal view - coronary angiogram\" \/>\n<meta property=\"og:description\" content=\"Spider view \u2013 LAO caudal view has the advantage of visualizing the proximal LAD and left circumflex along with the left main coronary artery.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/spider-view-lao-caudal-view-coronary-angiogram\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2016-11-10T00:24:41+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-02-06T15:15:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2016\/11\/Spider-view.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"1218\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/spider-view-lao-caudal-view-coronary-angiogram\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/spider-view-lao-caudal-view-coronary-angiogram\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Spider view \u2013 LAO caudal view &#8211; 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