Optical coherence tomography guidance for the management of angiographically intermediate left main bifurcation lesions: Early clinical experience

Dato, Ilaria; Burzotta, Francesco; Trani, Carlo; Romano, Andrea; Paraggio, Lazzaro; Aurigemma, Cristina; Porto, Italo; Leone, Antonio Maria; Niccoli, Giampaolo; Crea, Filippo

doi:10.1016/j.ijcard.2017.06.125

Cited by 19 publications

(23 citation statements)

References 17 publications

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“…Data regarding the possible use of optical coherence tomography (OCT) as an alternative to IVUS in LM disease assessment are limited. OCT may offer a promising high-resolution imaging of the LM lumen in the distal segment 10 , while proximal/ostial LM disease assessment is often technically difficult. Of note, due to the different image-generation processes, IVUS treatment thresholds cannot be applied for OCT practice.…”

Section: Intravascular Imaging Assessmentmentioning

confidence: 99%

Percutaneous coronary intervention in left main coronary artery disease: the 13th consensus document from the European Bifurcation Club

Burzotta¹,

Lassen²,

Banning³

et al. 2018

EuroIntervention

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The 2017 European Bifurcation Club (EBC) meeting was held in Porto (Portugal) and allowed a multidisciplinary international faculty to review and discuss the latest data collected in the field of coronary bifurcation interventions. In particular, the topic of percutaneous coronary intervention (PCI) on left main coronary artery (LM) disease was highlighted as a contemporary priority. Herein, we summarise the key LM anatomy features, the diagnostic modalities and available data that are relevant for a patient's procedural management. Since the clinical outcomes of patients undergoing PCI on LM disease may depend on both PCI team organisation and PCI performance, the optimal catheterisation laboratory set-up and the rationales for device and technique selection are critically reviewed. The best lesion preparation modalities, the different DES implantation technique choices and the strategies to be considered during PCI on unprotected LM for optimal PCI results are reviewed step by step.

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Section: Intravascular Imaging Assessmentmentioning

confidence: 99%

Percutaneous coronary intervention in left main coronary artery disease: the 13th consensus document from the European Bifurcation Club

Burzotta¹,

Lassen²,

Banning³

et al. 2018

EuroIntervention

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“…[54][55][56] Optical coherence tomography is a feasible alternative to IVUS for the assessment of non-ostial LMCA disease prior and after stenting. 57,58 Physiology guidance…”

Section: Intravascular Imaging Guidancementioning

confidence: 99%

Management of left main disease: an update

Fajadet

Capodanno

Stone

2018

European Heart Journal

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A severe narrowing of the left main coronary artery (LMCA), usually due to atherosclerosis, jeopardizes a large area of myocardium and increases the risk of major adverse cardiac events. Management strategies for LMCA disease include coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI). In general, PCI offers more rapid recovery and a lower early adverse event rate, whereas CABG offers a more durable procedure. The largest of six LMCA trials comparing PCI with CABG recently reported that in patients with site-reported low or intermediate anatomical complexity PCI was non-inferior to CABG with respect to the composite of death, stroke, or myocardial infarction at 3 years. This result was obtained on a background of contemporary PCI standards, including safer and more effective stents, intravascular imaging and physiology assessment. This review updates on the current management of LMCA disease, with an emphasis on clinical data and procedural knowledge supporting the use of PCI in a growing proportion of patients.

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“…from one of the two principal branches of LM (LAD or LCX). FD-OCT analysis was performed dividing LM bifurcation area in three segments, which are distal LM, POC and ostial LAD/LCX, as reported in previous study [1] . FD-OCT analysis was performed according the last consensus document on OCT imaging [2] .…”

Section: Experimental Design Materials and Methodsmentioning

confidence: 99%

“… The data presented in this article are related to the research article entitled “Optical coherence tomography guidance for the management of angiographically intermediate left main bifurcation lesions: early clinical experience” [1] . In this article we reports details about our clinical experience with frequency domain-optical coherence tomography (FD-OCT) guidance for the management of patients with left main (LM) bifurcation lesions of intermediate angiographic severity.…”

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Data on optical coherence tomography guidance for the management of angiographically intermediate left main bifurcation lesions

et al. 2017

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The data presented in this article are related to the research article entitled “Optical coherence tomography guidance for the management of angiographically intermediate left main bifurcation lesions: early clinical experience” [1].In this article we reports details about our clinical experience with frequency domain-optical coherence tomography (FD-OCT) guidance for the management of patients with left main (LM) bifurcation lesions of intermediate angiographic severity. LM patients were assessed by FD-OCT and, on the bases of the findings, managed by myocardial revascularization or conservative treatment (revascularization deferral). The observed outcomes support the feasibility of FD-OCT guidance for LM bifurcated lesions and call for further clinical evaluations in appropriately designed prospective studies.

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Optical coherence tomography guidance for the management of angiographically intermediate left main bifurcation lesions: Early clinical experience

Cited by 19 publications

References 17 publications

Percutaneous coronary intervention in left main coronary artery disease: the 13th consensus document from the European Bifurcation Club

Percutaneous coronary intervention in left main coronary artery disease: the 13th consensus document from the European Bifurcation Club

Management of left main disease: an update

Data on optical coherence tomography guidance for the management of angiographically intermediate left main bifurcation lesions

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