Subban Vijayakumar, Raffel Owen Christopher
Institute of Cardiovascular Diseases, The Madras Medical Mission, Chennai, India.
CardioVascular Clinics, St. Andrews War Memorial Hospital, Queensland, Australia.
Cardiovasc Diagn Ther. 2020 Oct;10(5):1389-1414. doi: 10.21037/cdt-20-253.
Although coronary angiography is the standard method employed to assess the severity of coronary artery disease and to guide treatment strategies, it provides only 2D image of the intravascular lesions. In contrast, intravascular imaging modalities such as optical coherence tomography (OCT) produce cross-sectional images of the coronary arteries at a far greater spatial resolution, capable of accurately determining vessel size as well as plaque morphology, eliminating many of the disadvantages inherent to angiography. This review will discuss the role of OCT in the catherization laboratory for the assessment and management of coronary disease.
尽管冠状动脉造影是用于评估冠状动脉疾病严重程度和指导治疗策略的标准方法，但它仅提供血管内病变的二维图像。相比之下，诸如光学相干断层扫描（OCT）等血管内成像方式能以高得多的空间分辨率生成冠状动脉的横截面图像，能够准确确定血管大小以及斑块形态，消除了血管造影固有的许多缺点。本综述将讨论OCT在导管室中对冠状动脉疾病评估和管理的作用。
