Optical coherence tomography (OCT) has emerged as one of the most promising tools to assist the optimization of percu- taneous coronary intervention (PCI). Its ability to provide unique information on the plaque at high risk for rupture, plaque composition, the thickness of the fibrous cap, the presence of macrophage and thrombi has not only assisted simple PCI but also in many complex bifurcation lesions PCI. OCT has helped to provide valuable anatomic information to optimize stent implantation and adapt PCI strategy in individual patients. This review article summarizes the current role of OCT as an imaging technology and prediction of vulnerable plaque, its site and composition at the coronary bifurcation lesions for supporting the clinical decision. Keywords Optical coherence tomography · Coronary bifurcation · Vulnerable plaque · Coronary artery disease Introduction burden, its progression and regression after medications [4, 5]. However, because of its low spatial resolution Coronary artery disease still is a major disease leading to (100–150 µm), non-accurate plaque composition differen- morbidity and mortality in developed countries despite long- tiation and un-sufficient to predict an occurrence of subse- term approach for its significant prevention and treatment [1 , quent events in plaque progression, newer technologies have 2]. Among them coronary bifurcation
The International Journal of Cardiovascular Imaging – Springer Journals
Published: Jun 1, 2018
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