Karanasos Antonios, Ligthart Jurgen, Witberg Karen, van Soest Gijs, Bruining Nico, Regar Evelyn
Department of Cardiology, Erasmus University Medical Center, Thoraxcenter, BA-585, 's Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands.
Curr Cardiovasc Imaging Rep. 2012 Aug;5(4):206-220. doi: 10.1007/s12410-012-9140-x. Epub 2012 May 3.
Optical coherence tomography (OCT) is a novel intravascular imaging modality using near-infrared light. By OCT it is possible to obtain high-resolution cross-sectional images of the vascular wall structure and assess the acute and long-term effects of percutaneous coronary intervention. For the time being OCT has been mainly used in research providing new insights into the pathophysiology of the atheromatic plaque and of the vascular response to stenting, however, it seems that there is potential for clinical application of OCT in various fields, such as pre-interventional evaluation of coronary arteries, procedural guidance in coronary interventions, and follow-up assessment of vascular healing after stent implantation. This review will focus on the potential and advantages of OCT in the clinical practice of a catheterization laboratory.
光学相干断层扫描(OCT)是一种使用近红外光的新型血管内成像方式。通过OCT可以获得血管壁结构的高分辨率横截面图像,并评估经皮冠状动脉介入治疗的急性和长期效果。目前,OCT主要用于研究,为动脉粥样硬化斑块的病理生理学以及血管对支架置入的反应提供了新的见解。然而,OCT似乎在各个领域都有临床应用潜力,例如冠状动脉介入前评估、冠状动脉介入手术指导以及支架植入后血管愈合的随访评估。本综述将聚焦于OCT在导管实验室临床实践中的潜力和优势。