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Int J Angiol 2021; 30(01): 029-039
DOI: 10.1055/s-0041-1724019
Review Article

Optical Coherence Tomography of the Coronary Arteries

Robert Roland
1   Department of Cardiology, Motol University Hospital, Charles University, Prague, Czech Republic
,
Josef Veselka
1   Department of Cardiology, Motol University Hospital, Charles University, Prague, Czech Republic
› Author Affiliations Funding None.
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Abstract

Intravascular imaging, particularly optical coherence tomography, has brought significant improvement in diagnostic and therapeutical approaches to coronary artery disease and has offered superior high-resolution visualization of coronary arteries. The ability to obtain images of intramural and transmural coronary structures allows the study of the process of atherosclerosis, effect of therapies, mechanism of acute coronary syndrome and stent failure, and performance of new devices and enables the interventional cardiologist to optimize the effect of percutaneous coronary intervention. In this review, we provide the summary of the latest published data on clinical use of optical coherence tomography as well as practical algorithm for optical coherence tomography-guided percutaneous coronary intervention for daily interventional practice.

Keywords

optical coherence tomography - intravascular imaging - PCI - stent optimization protocol - coronary intervention - myocardial infarction - atherosclerosis

Disclosure

Both authors have nothing to disclose.




Publication History

Article published online:
12 February 2021

© 2021. International College of Angiology. This article is published by Thieme.

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