Optical coherence tomography: The next ACE in CTO interventions?

When used to guide percutaneous coronary interventions (PCI), intracoronary imaging is associated with improved clinical outcomes [1 –4]. Intracoronary imaging guidance during PCI reduces in-stent restenosis and repeat revascularization after bare-metal stent placement [1] and has been shown to reduce major adverse cardiac events (MACE), stent thrombosis, target vessel myocardial infarction, and target lesion revascularization after drug-eluting stent (DES) placement [2–4]. These benefits have been attributed to the use of larger diameter stents and more aggressive post-dilation when intracoronary imaging is used to guide PCI, thus achieving larger lumen areas within the stent than are achieved with angiographic guidanc e alone [1,2].

Source: Cardiovascular Revascularization Medicine - September 30, 2016 Category: Cardiology Authors: Ryan D. Madder Tags: Editorial Source Type: research