Coronary cineangiography reports are based on description of visible lesions and anatomy by narrative technique.Without a well-prepared diagram, these reports generally do not supply enough practical information to the clinicians.We developed a new systematic reporting system for coronary cineangiography based on coding and formulating.
Main principle of this method, called “comprehensive segmental coding system”(CSCS), is based on creating a kind of mapping system.A part of the coronary artery (CA) that located between its two subsequent branches is called as an “angiographic segment unit”, and anatomical borders of these segments are called as “anatomic marker points”.Any visible intraluminal and extraluminal condition is localized according to its relationship with angiographic segment(s) and anatomic markers.Every unique condition that can be imagined regarding CA system is described with its exact localization (coordinates) and listed by using special formulas consists of letters, numbers, signs and symbols.CSCS also capable to describe all types of CA variations and anomalies, filling directions with grading and collateral system, and left ventricular function.The system marks every unique condition for each patient to rule out misunderstandings and allow a healthy comparison of follow-up reports of the same patient.
Eighty different angiograms from the books and atlasses were formulated individually by each author and the formulas were compared.It was noted that, for each picture, all authors created the same formule.Then, more than 600 cineangiography were reported using CSCS.According to our experience, CSCS supplied more objective, detailed, practical, and even correct information than the current narrative reporting system.The definitions were very precise and clear.CONCLUSIONS: Because it is based on a logical principle, CSCS describes all types of lesions that can be imagined, and lists without missing any of them.It is definitely more advantageous on archiving, researching, and comparing of subsequent reports of the same patient.
By its logical and systematical approach, CSCS introduces us a new dimension on reporting system.We believe, by introducing the clinical practice, CSCS will be a very useful tool for both cardiologists and surgeons.
C. Konuralp, None.