Optical Coherence Tomography-Guided Primary Percutaneous Coronary Intervention in ST-Segment Elevation Myocardial Infarction Patients: A Pilot Study

Červinka, Pavel; Špaček, Radim; Bystroň, Marian; Kvašňák, Martin; Kupec, Andrej; Červinková, Michaela; Kala, Petr

doi:10.1016/j.cjca.2013.12.016

Cited by 10 publications

(3 citation statements)

References 26 publications

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“…7 In a small study of 100 patients treated with thrombus aspiration followed by OCT, no stent was implanted if the occlusion was mostly thrombotic and no significant coronary narrowing was detected by OCT, provided that the patient was symptom-free and TIMI flow was ≥2 (20 patients). 30 Follow-up OCT studies showed a ''normal vessel'' and there were no adverse events at 12-month follow-up. The safety and feasibility of medical management without stent placement in selected ACS patients with large thrombus burden detected by OCT has also been reported in other studies, in which OCT revealed lesion characteristics that were not disclosed by angiography and facilitated treatment decisions.…”

Section: Percutaneous Coronary Intervention Guided By Optical Coherenmentioning

confidence: 83%

Coronary optical coherence tomography: A practical overview of current clinical applications

Ferreira

Pereira-da-Silva

Patrício

et al. 2016

Revista Portuguesa de Cardiologia (English Edition)

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Coronary optical coherence tomography has emerged as the most powerful in-vivo imaging modality to evaluate vessel structure in detail. It is a useful research tool that provides insights into the pathogenesis of coronary artery disease. This technology has an important clinical role that is still being developed. We review the evidence on the wide spectrum of potential clinical applications for coronary optical coherence tomography, which encompass the successive stages in coronary artery disease management: accurate lesion characterization and quantification of stenosis, guidance for the decision to perform percutaneous coronary intervention and subsequent planning, and evaluation of immediate and long-term results following intervention. © 2016 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. All rights reserved. PALAVRAS-CHAVEAplicação clínica; Doença coronária; Intervenção coronária percutânea; Tomografia de coerência ótica Tomografia de coerência ótica coronária: uma revisão prática das aplicações clínicas atuaisResumo A tomografia de coerência ótica coronária surgiu como a modalidade de imagem in-vivo que permite a avaliação estrutural vascular mais detalhada. Trata-se de uma ferramenta valiosa em investigação, tendo contribuído para melhor entendimento da patogénese da doença coronária. Apresenta igualmente um papel importante na prática clínica, e o leque de sua aplicabilidade tem aumentado. Enquadrando na evidência disponível, discutimos neste artigo as principais aplicações da tomografia de coerência ótica coronária na prática clínica, que englobam as diferentes etapas na abordagem da doença coronária, incluindo a caracterização da lesão e quantificação da estenose, o papel na decisão de realizar angioplastia, o contributo na planificação da mesma e a avaliação dos resultados a curto e a longo prazo após a intervenção.

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Section: Percutaneous Coronary Intervention Guided By Optical Coherenmentioning

confidence: 83%

Coronary optical coherence tomography: A practical overview of current clinical applications

Ferreira

Pereira-da-Silva

Patrício

et al. 2016

Revista Portuguesa de Cardiologia (English Edition)

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“…After the intervention, OCT allows a complete assessment of the size, and proper abutment of the struts. To date, there are no randomized trials that support the routine use of OCT to guide coronary intervention (31). Use of OCT has been expanding in recent years; however, it is well recognized that its main disadvantages are the inability to visualize ostial lesions, difficulty providing a ''blood-free environment'' in the coronary ostium and insufficient evidence related to its use for the evaluation of clinical significance of these lesions ( Figure 4).…”

Section: Optical Coherence Tomography (Oct)mentioning

confidence: 99%

Coronary Atherosclerosis and Interventional Cardiology

Peña‐Duque

Romero-Ibarra

Gaxiola-Macías

et al. 2015

Archives of Medical Research

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“…40) OCT guidance can also guide intevention to avoid balloon angioplasty (POBA) and stenting in specific lesion subset. In a study by Cervinka et al 41) OCT showed clear differentiation between real lesions and thrombus formation in the setting of ST segment elevation MI and led to the avoidance of POBA and stenting. However, the OCT criteria to guide PCI and long-term clinical follow-up of OCT-guided PCI remain undefined; further studies are warranted to clarify the role of OCT in PCI guidance or optimization.…”

Section: Optical Coherence Tomographymentioning

confidence: 99%

Practical Application of Coronary Imaging Devices in Cardiovascular Intervention

Hur

2015

Korean Circ J

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The significant morbidity and mortality associated with coronary artery disease has spurred the development of intravascular imaging devices to optimize the detection and assessment of coronary lesions and percutaneous coronary interventions. Intravascular ultrasound (IVUS) uses reflected ultrasound waves to quantitatively and qualitatively assess lesions; integrated backscatter and virtual histology IVUS more precisely characterizes plaque composition; angioscopy directly visualize thrombus and plaque; optical coherence tomography using near-infrared (NIR) light with very high spatial resolution provides more accurate images; and the recently introduced NIR spectroscopy identifies chemical components in coronary artery plaques based on differential light absorption in the NIR spectrum. This article reviews usefulness of these devices and hybrids thereof.

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Optical Coherence Tomography-Guided Primary Percutaneous Coronary Intervention in ST-Segment Elevation Myocardial Infarction Patients: A Pilot Study

Cited by 10 publications

References 26 publications

Coronary optical coherence tomography: A practical overview of current clinical applications

Coronary optical coherence tomography: A practical overview of current clinical applications

Coronary Atherosclerosis and Interventional Cardiology

Practical Application of Coronary Imaging Devices in Cardiovascular Intervention

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