CBS 2019
CBSMD教育中心
中 文

科学研究

Abstract

Recommended Article

Cholesterol-Lowering Agents Chronic Kidney Disease and Coronary Artery Disease The Current State of Left Main Percutaneous Coronary Intervention SGLT2 Inhibitors in Patients With Heart Failure With Reduced Ejection Fraction: A Meta-Analysis of the EMPEROR-Reduced and DAPA-HF Trials Know Diabetes by Heart: A Partnership to Improve Cardiovascular Outcomes in Type 2 Diabetes Mellitus Prevention of Bleeding in Patients with Atrial Fibrillation Undergoing PCI Mortality Differences Associated With Treatment Responses in CANTOS and FOURIER: Insights and Implications Effect of empagliflozin on exercise ability and symptoms in heart failure patients with reduced and preserved ejection fraction, with and without type 2 diabetes

Review Article2018 Jan;33(1):1-10.

JOURNAL:Cardiovasc Interv Ther. Article Link

Current clinical applications of coronary optical coherence tomography

Kume T, Uemura S. Keywords: Coronary intervention; Imaging; Optical coherence tomography; Thrombus; Vulnerable plaque

ABSTRACT


Optical coherence tomography (OCT) is an intra-coronary diagnostic technique that provides detailed imagings of blood vessels in the current cardiac catheterization laboratory. The higher resolution of OCT often provides superior delineation of each structure compared with intravascular ultrasound (IVUS), and it can reliably visualize the microstructure of normal and diseased arteries. The capabilities of OCT are well suited for the identification of calcified plaque and neointima formation after stent implantation. It has been reported that OCT-guided percutaneous coronary intervention (PCI) resulted in equivalent clinical and angiographic outcomes in comparison with IVUS-guided PCI. Recently, the three-dimensional reconstruction of OCT and a real-time point-to-point correspondence between coronary angiographic and OCT/OFDI images have been developed and provide useful information to PCI operators. The unique capabilities of OCT as an investigational tool for high-risk lesions will serve the cardiology community well, as it moves us toward a better understanding of atherosclerotic plaque. In addition, because of the development of new OCT technology, OCT has become a notable catheter-based imaging technology that can provide practical guidance for PCI in clinical settings.