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  3. Medical: Cardiology

Intermediär-Ast

English translation: intermediate branch

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
German term or phrase:Intermediär-Ast
English translation:intermediate branch
Entered by: Patricia Daehler

17:37 Sep 10, 2013
German to English translations [PRO]
Medical - Medical: Cardiology / Coronary angiography
German term or phrase: Intermediär-Ast
I am currently working on a German coronary angiography report. Here is the text:

LAD: Mittlerer Abschnitt der LAD (32/1) 80%
CX: ***Intermediär-Ast*** (50/0) 50%
CX-Abschnitt vor Abgang aller Äste (51/4) 50%
2. Posterolateralast der CX (58/2) 50%
RCA: RCA 2. Drittel (2/3) 0% Z. n. Intervention am [Datum]
RCA 3. Drittel (3/1) 70%
Rdp (6/0) 70%
LAD: filiforme In-Stent-Stenose der mittleren LAD. Unverändert geringgradige Stenosen des ***R. intermedius***, der proximalen RCX und des 2. Posterolateralastes. RCA gutes Ergebnis nach Intervention im mittleren Abschnitt, relevante de-novo Stenose im distalen Abschnitt, Stenose im Rdp (schmalkalibriges Gefäß).

As far as I know, the "ramus intermedius" or "intermediate branch" is a third branch in about 15% of the patients, located between the LAD and Cx. I would have thought that the "Intermediär-Ast" and the "R. intermedius" is the same. However, the "Intermediär-Ast" has a stenosis of 50%, the "R. intermedius" a "geringgradige Stenose". Is 50% considered "geringgradig"? Is it the same branch? And if so, why is it listed twice, once under LAD and once under Cx? And what would be the correct translation?

Thank you so much in advance!!!
Patricia Daehler
United States
Local time: 14:00
intermediary branch
Explanation:
Ich verstehe das so, dass im ersten Teil die Messwerte angegeben sind und im 2. Teil (also ab "LAD: filiforme ...) diese Ergebnisse als Befund noch einmal ausformuliert wurden (und es sich um denselben Ast handelt).

In an estimated 70% of patients, a coronary branch (termed ramus medianus, intermedius, or intermediate branch) arises early off the left coronary system to supply an area between diagonal branches from the LAD and obtuse branches from the Cx systems.
http://emedicine.medscape.com/article/895854-overview

Bis 50 % wird eine Stenose als "geringgradig" bezeichnet:

Stenosegrad-Einteilung nach AHA
25-50% geringgradige Stenose
http://www.broesel-brzelius.de/uni/zeug/i-klic_kardiologie.p...
Selected response from:

Susanne Schiewe
Germany
Local time: 20:00
Grading comment
Herzlichen Dank für die Erklärung!!!
4 KudoZ points were awarded for this answer



Summary of answers provided
5Cx means ramus circumflexus or circumflex branch
Elisabeth Moser
3 +2intermediary branch
Susanne Schiewe


  

Answers


18 mins   confidence: Answerer confidence 5/5
Cx means ramus circumflexus or circumflex branch


Explanation:
Circumflex branch of left coronary artery - Wikipedia, the free ...
en.wikipedia.org/wiki/Circumflex_branch_of_left_coronary_artery‎
Base of ventricles exposed by removal of the atria. (Circumflex branch not visible, but bifurcation of left coronary artery visible at left.) Latin, ramus circumflexus ...

Elisabeth Moser
United States
Local time: 14:00
Specializes in field
Native speaker of: Native in GermanGerman
PRO pts in category: 4
Login to enter a peer comment (or grade)

52 mins   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +2
intermediary branch


Explanation:
Ich verstehe das so, dass im ersten Teil die Messwerte angegeben sind und im 2. Teil (also ab "LAD: filiforme ...) diese Ergebnisse als Befund noch einmal ausformuliert wurden (und es sich um denselben Ast handelt).

In an estimated 70% of patients, a coronary branch (termed ramus medianus, intermedius, or intermediate branch) arises early off the left coronary system to supply an area between diagonal branches from the LAD and obtuse branches from the Cx systems.
http://emedicine.medscape.com/article/895854-overview

Bis 50 % wird eine Stenose als "geringgradig" bezeichnet:

Stenosegrad-Einteilung nach AHA
25-50% geringgradige Stenose
http://www.broesel-brzelius.de/uni/zeug/i-klic_kardiologie.p...

Susanne Schiewe
Germany
Local time: 20:00
Specializes in field
Native speaker of: German
PRO pts in category: 168
Grading comment
Herzlichen Dank für die Erklärung!!!

Peer comments on this answer (and responses from the answerer)
agree  Anne Schulz: Verstehe ich auch so.
46 mins
  -> danke, Anne - das ist immer ein gutes Zeichen :-)
agree  uyuni
10 hrs
  -> danke, uyuni!
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