Algorithmic Approach for Optical Coherence Tomography-Guided Stent Implantation During Percutaneous Coronary Intervention

Evan Shlofmitz; Richard A Shlofmitz; Keyvan Karimi Galougahi; Hussein M Rahim; Renu Virmani; Jonathan M Hill; Mitsuaki Matsumura; Gary S Mintz; Akiko Maehara; Ulf Landmesser; Gregg W Stone; Ziad A Ali

doi:10.1016/j.iccl.2018.03.001

Algorithmic Approach for Optical Coherence Tomography-Guided Stent Implantation During Percutaneous Coronary Intervention

Interv Cardiol Clin. 2018 Jul;7(3):329-344. doi: 10.1016/j.iccl.2018.03.001. Epub 2018 Jun 29.

Authors

Affiliations

¹ Center for Interventional Vascular Therapy, Division of Cardiology, NewYork-Presbyterian Hospital, Columbia University Medical Center, 161 Fort Washington Avenue, New York, NY 10032, USA; Department of Cardiology, St. Francis Hospital, 100 Port Washington Boulevard, Suite 105, Roslyn, NY 11576, USA; Clinical Trials Center, Cardiovascular Research Foundation, 1700 Broadway 9th Floor, New York, NY 10019, USA.
² Department of Cardiology, St. Francis Hospital, 100 Port Washington Boulevard, Suite 105, Roslyn, NY 11576, USA.
³ Center for Interventional Vascular Therapy, Division of Cardiology, NewYork-Presbyterian Hospital, Columbia University Medical Center, 161 Fort Washington Avenue, New York, NY 10032, USA.
⁴ CVPath Institute, 19 Firstfield Road, Gaithersburg, MD 20878, USA.
⁵ London Bridge Hospital, 2nd Floor, St Olaf House, London SE1 2PR, UK; Department of Cardiology, King's College Hospital, Denmark Hill, London, SE5 9RS, UK.
⁶ Clinical Trials Center, Cardiovascular Research Foundation, 1700 Broadway 9th Floor, New York, NY 10019, USA.
⁷ Center for Interventional Vascular Therapy, Division of Cardiology, NewYork-Presbyterian Hospital, Columbia University Medical Center, 161 Fort Washington Avenue, New York, NY 10032, USA; Clinical Trials Center, Cardiovascular Research Foundation, 1700 Broadway 9th Floor, New York, NY 10019, USA.
⁸ Department of Cardiology, Charité - Universitätsmedizin Berlin, Hindenburgdamm 30, Berlin 12200, Germany.
⁹ Center for Interventional Vascular Therapy, Division of Cardiology, NewYork-Presbyterian Hospital, Columbia University Medical Center, 161 Fort Washington Avenue, New York, NY 10032, USA; Department of Cardiology, St. Francis Hospital, 100 Port Washington Boulevard, Suite 105, Roslyn, NY 11576, USA; Clinical Trials Center, Cardiovascular Research Foundation, 1700 Broadway 9th Floor, New York, NY 10019, USA. Electronic address: [email protected].

PMID: 29983145
DOI: 10.1016/j.iccl.2018.03.001

Abstract

Intravascular imaging plays a key role in optimizing outcomes for percutaneous coronary intervention (PCI). Optical coherence tomography (OCT) utilizes a user-friendly interface and provides high-resolution images. OCT can be used as part of daily practice in all stages of a coronary intervention: baseline lesion assessment, stent selection, and stent optimization. Incorporating a standardized, algorithmic approach when using OCT allows for precision PCI.

Keywords: Intravascular imaging; Optical coherence tomography; Percutaneous coronary intervention; Stent.

Publication types

Review

MeSH terms

Algorithms
Computed Tomography Angiography / instrumentation
Computed Tomography Angiography / methods
Coronary Angiography / instrumentation
Coronary Angiography / methods
Coronary Artery Disease / diagnostic imaging
Coronary Artery Disease / surgery*
Coronary Vessels / diagnostic imaging
Drug-Eluting Stents
Epidemiologic Methods
Equipment Failure
Humans
Percutaneous Coronary Intervention / methods*
Practice Guidelines as Topic
Prosthesis Implantation / methods
Surgery, Computer-Assisted / methods
Tomography, Optical Coherence / instrumentation
Tomography, Optical Coherence / methods