Shlofmitz Evan, Sosa Fernando, Goldberg Alec, Maehara Akiko, Ali Ziad A, Mintz Gary S, Moses Jeffery W, Stone Gregg W, Shlofmitz Richard A, Jeremias Allen
St. Francis Hospital, Roslyn, NY, United States; Cardiovascular Research Foundation, New York, NY, United States.
Abbott/St. Jude Medical, Minneapolis, MN, United States.
Cardiovasc Revasc Med. 2018 Dec;19(8S):47-49. doi: 10.1016/j.carrev.2018.05.005. Epub 2018 May 6.
Stent placement guided by angiography alone is often inexact, but of increased importance with bifurcation percutaneous coronary intervention (PCI). We describe a novel technique using optical coherence tomography (OCT)-guided angiographic co-registration termed "Bifurcation and Ostial OCT Mapping" (BOOM). The technique is based on the precise identification and mapping of the side-branch ostium using co-registration to minimize protrusion of stent struts into the main branch while ensuring full coverage of the ostium in the side-branch.
仅通过血管造影引导的支架置入术往往不够精确,但在分叉处经皮冠状动脉介入治疗(PCI)中更为重要。我们描述了一种使用光学相干断层扫描(OCT)引导的血管造影共配准的新技术,称为“分叉和开口处OCT映射”(BOOM)。该技术基于通过共配准精确识别和映射侧支开口,以尽量减少支架小梁向主支的突出,同时确保侧支开口得到完全覆盖。