van der Sijde Johannes N, Guagliumi Giulio, Sirbu Vasile, Shimamura Kunihiro, Borghesi Marco, Karanasos Antonios, Regar Evelyn
Department of Cardiology, Thoraxcenter, Erasmus MC, Rotterdam; The Netherlands.
EuroIntervention. 2016 Sep 18;12(7):855-60. doi: 10.4244/EIJV12I7A140.
The efficacy of an IVUS-guided stent implantation strategy to improve acute results and clinical outcome has been described previously. OCT is another technique which allows high-resolution intracoronary imaging. However, the use of invasive imaging modalities to guide PCI has, as yet, played a limited role in current clinical practice. This may be partly explained by the expertise required for interpretation and clinical decision making. We present a novel technology which enables real-time co-registration of OCT images with angiography. This will simplify matching cross-sectional images to their geographic position on the angiogram, thereby facilitating imaging-guided PCI.
血管内超声(IVUS)引导的支架植入策略改善急性手术效果和临床结局的疗效此前已有描述。光学相干断层扫描(OCT)是另一种可进行高分辨率冠状动脉内成像的技术。然而,在当前临床实践中,使用侵入性成像方式来指导经皮冠状动脉介入治疗(PCI)的作用仍然有限。这可能部分是由于解读和临床决策所需的专业知识所致。我们提出了一种新技术,能够将OCT图像与血管造影进行实时协同配准。这将简化将横截面图像与其在血管造影片上的地理位置进行匹配的过程,从而便于进行成像引导的PCI。