Advances in IVUS/OCT and Future Clinical Perspective of Novel Hybrid Catheter System in Coronary Imaging

Masafumi Ono; Hideyuki Kawashima; Hironori Hara; Chao Gao; Rutao Wang; Norihiro Kogame; Kuniaki Takahashi; Ply Chichareon; Rodrigo Modolo; Mariusz Tomaniak; Joanna J Wykrzykowska; Jan J Piek; Isao Mori; Brian K Courtney; William Wijns; Faisal Sharif; Christos Bourantas; Yoshinobu Onuma; Patrick W Serruys

doi:10.3389/fcvm.2020.00119

Advances in IVUS/OCT and Future Clinical Perspective of Novel Hybrid Catheter System in Coronary Imaging

Front Cardiovasc Med. 2020 Jul 31:7:119. doi: 10.3389/fcvm.2020.00119. eCollection 2020.

Authors

Masafumi Ono^{1

2}, Hideyuki Kawashima^{1

2}, Hironori Hara^{1

2}, Chao Gao^{2

3

4}, Rutao Wang^{2

3

4}, Norihiro Kogame¹, Kuniaki Takahashi¹, Ply Chichareon^{1

5}, Rodrigo Modolo^{1

6}, Mariusz Tomaniak^{7

8}, Joanna J Wykrzykowska¹, Jan J Piek¹, Isao Mori⁹, Brian K Courtney^{10

11}, William Wijns², Faisal Sharif², Christos Bourantas¹², Yoshinobu Onuma², Patrick W Serruys²

Affiliations

¹ Department of Clinical and Experimental Cardiology, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
² Department of Cardiology, National University of Ireland, Galway (NUIG), Galway, Ireland.
³ Department of Cardiology, Radboud University, Nijmegen, Netherlands.
⁴ Depatrment of Cardiology, Xijing hospital, Xi'an, China.
⁵ Division of Cardiology, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
⁶ Cardiology Division, Department of Internal Medicine, University of Campinas (UNICAMP), Campinas, Brazil.
⁷ Thoraxcentre, Erasmus Medical Centre, Rotterdam, Netherlands.
⁸ First Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
⁹ Terumo Corporation, Tokyo, Japan.
¹⁰ Schulich Heart Program, Sunnybrook Research Institute, University of Toronto, Toronto, ON, Canada.
¹¹ Conavi Medical, North York, ON, Canada.
¹² Barts Heart Centre, Barts Health NHS Trust, London, United Kingdom.

Abstract

Intravascular ultrasound (IVUS) and optical coherence tomography (OCT) have been developed and improved as both diagnostic and guidance tools for interventional procedures over the past three decades. IVUS has a resolution of 100 μm with a high tissue penetration and capability of assessing the entire structure of a coronary artery including the external elastic membrane, whereas OCT has a higher resolution of 10-20 μm to assess endoluminal structures with a limited tissue penetration compared to IVUS. Recently, two companies, CONAVI and TERUMO, integrated IVUS and OCT into a single catheter system. With their inherent strength and limitations, the combined IVUS and OCT probes are complementary and work synergistically to enable a comprehensive depiction of coronary artery. In this review, we summarize the performance of the two intracoronary imaging modalities-IVUS and OCT-and discuss the expected potential of the novel hybrid IVUS-OCT catheter system in the clinical field.

Keywords: hybrid IVUS–OCT catheter; intracoronary imaging; intravascular ultrasound; optical coherence tomography; percutaneous coronary intervention; vulnerable plaque.

Publication types

Review