Rathod Krishnaraj S, Hamshere Stephen M, Jones Daniel A, Mathur Anthony
Department of Cardiology, Barts Health NHS Trust.
Department of Clinical Pharmacology, William Harvey Research Institute, Queen Mary University.
Interv Cardiol. 2015 Mar;10(1):8-15. doi: 10.15420/icr.2015.10.1.8.
Intravascular imaging has advanced our understanding of coronary artery disease and facilitated decision-making in percutaneous coronary intervention (PCI). In particular, intravascular ultrasound (IVUS) has contributed significantly to modern PCI techniques. The recent introduction of optical coherence tomography (OCT) has further expanded this field due to its higher resolution and rapid image acquisition as compared with IVUS. Furthermore, OCT allows detailed planning of interventional strategies and optimisation before stent deployment, particularly with complex lesions. However, to date it is unclear whether OCT is superior to IVUS as an intracoronary imaging modality with limited data supporting OCT use in routine clinical practice. This review aims to compare these two intracoronary imaging techniques and the recent evidence for their use in this ever-changing field within interventional cardiology.
血管内成像增进了我们对冠状动脉疾病的理解，并有助于经皮冠状动脉介入治疗（PCI）中的决策制定。特别是，血管内超声（IVUS）对现代PCI技术做出了重大贡献。光学相干断层扫描（OCT）的最新引入进一步扩展了这一领域，因为与IVUS相比，它具有更高的分辨率和更快的图像采集速度。此外，OCT允许在支架置入前对介入策略进行详细规划和优化，尤其是对于复杂病变。然而，迄今为止，尚不清楚OCT作为一种冠状动脉内成像方式是否优于IVUS，因为支持OCT在常规临床实践中应用的数据有限。本综述旨在比较这两种冠状动脉内成像技术以及它们在介入心脏病学这一不断变化的领域中应用的最新证据。
