Guillon Benoit, Tauzin Hélène, Ecarnot Fiona, Meneveau Nicolas
Department of Cardiology, University Hospital Besançon, Besançon, France.
EA3920, University of Franche-Comté, Besançon, France.
Cardiovasc Diagn Ther. 2020 Oct;10(5):1415-1428. doi: 10.21037/cdt.2020.04.02.
Optical coherence tomography (OCT) imaging provides high resolution assessment of coronary parietal and endoluminal abnormalities. Clinical evidence and intuitive utilization make this tool relevant for use in daily practice in the catheterization laboratory. In the present review, we summarize the benefits of OCT for the optimization of percutaneous coronary intervention (PCI) in daily practice. First, we focus on the characterization of lesion type with a view to anticipating challenges during PCI. Then, we describe the utility of OCT to identify culprit lesions and ambiguous angiographic findings. Finally, we outline targets for optimization after PCI and the mechanisms underlying stent failure.
光学相干断层扫描（OCT）成像可对冠状动脉壁内和管腔内异常进行高分辨率评估。临床证据和直观的实用性使该工具适用于导管实验室的日常实践。在本综述中，我们总结了OCT在日常实践中优化经皮冠状动脉介入治疗（PCI）的益处。首先，我们着重于病变类型的特征描述，以期预测PCI过程中的挑战。然后，我们描述OCT在识别罪犯病变和血管造影模糊发现方面的效用。最后，我们概述了PCI术后优化的目标以及支架失败的潜在机制。
