Chonnam National University Hospital, Gwangju, Republic of Korea.
Bristol Heart Institute, Bristol, United Kingdom.
J Cardiol. 2018 Sep;72(3):186-192. doi: 10.1016/j.jjcc.2018.03.004. Epub 2018 Apr 9.
In recent years, intravascular imaging-guided percutaneous coronary intervention (PCI) has been increasing in patients with acute myocardial infarction (AMI). However, the role of optical coherence tomography (OCT) has not been established in the setting of AMI despite OCT providing superior resolution (10μm axial resolution) and facilitating assessment of baseline lesion characteristics and post-intervention evaluation of the acute result of stent implantation, including visualization of procedural dissections, malapposition, tissue prolapse, and thrombus. We provide an overview of the potential benefits of OCT-guidance in various situations of AMI.
近年来，急性心肌梗死（AMI）患者中血管内影像学指导的经皮冠状动脉介入治疗（PCI）的应用越来越多。然而，尽管光学相干断层扫描（OCT）具有更高的分辨率（轴向分辨率 10μm），并有助于评估基线病变特征和支架植入后的急性结果，包括显示程序夹层、贴壁不良、组织脱垂和血栓，但在 AMI 中 OCT 的作用尚未确定。我们概述了 OCT 指导在 AMI 各种情况下的潜在益处。
