Institute for Cardiovascular Translational Research of the Atlantic, Vigo (Pontevedra), Spain.
Eur Heart J Cardiovasc Imaging. 2012 May;13(5):370-84. doi: 10.1093/ehjci/jes025. Epub 2012 Feb 13.
Optical coherence tomography (OCT) is a high-resolution imaging technique with great versatility of applications. In cardiology, OCT has remained hitherto as a research tool for characterization of vulnerable plaques and evaluation of neointimal healing after stenting. However, OCT is now successfully applied in different clinical scenarios, and the introduction of frequency domain analysis simplified its application to the point it can be considered a potential alternative to intravascular ultrasound for clinical decision-making in some cases. This article reviews the use of OCT for assessment of lesion severity, characterization of acute coronary syndromes, guidance of intracoronary stenting, and evaluation of long-term results.
光学相干断层扫描(OCT)是一种具有广泛应用的高分辨率成像技术。在心脏病学中,OCT 一直是一种研究工具,用于表征易损斑块和评估支架置入后的新生内膜愈合。然而,OCT 现在已成功应用于不同的临床情况,并且频域分析的引入简化了其应用,使其在某些情况下可以被认为是血管内超声的潜在替代方法,用于临床决策。本文综述了 OCT 在评估病变严重程度、急性冠状动脉综合征的特征、冠状动脉内支架置入的指导以及长期结果的评估中的应用。