Intravascular OCT in PCI | 合法醫療器材資訊網

2016年6月13日—Intravascularopticalcoherencetomography(OCT)canaddvalueto...byintravascularimaginginverystenoticlesions,thecathetermaybe ...

Editors Note: This is Part I of a two-part Expert Analysis. Go to Part II[1].

Intravascular optical coherence tomography (OCT) can add value to angiography as a diagnostic and/or intervention tool for percutaneous coronary intervention (PCI) guidance. In diagnostic terms, it is essential to separate two very distinct populations: Stable coronary artery disease (CAD) and acute coronary syndromes (ACS). For both populations, the fundamental questions are the following: Is there a merit for intervention? If so, which vessel/lesion? In terms of procedure planning, intravascular OCT can help with planning every coronary intervention procedure. The following are common questions about lesion preparation: Is there a need for atherectomy? Is there a need for thrombectomy? If pre-dilatation is chosen over direct stenting, how aggressive should the procedure be (i.e., type of balloon [compliant, non-compliant...