EBC - ON DEMAND
OCT guidance for distal LM lesions
European Bifurcation Club 2015 – EBC 2015 – Athens, Greece
Bifurcation PCI guidance: OCT, IVUS
OCT guidance for distal LM lesions
Author: FRANCESCO BURZOTTA, INSTITUTE OF CARDIOLOGY, CATHOLIC UNIVERSITY OF THE SACRED HEART, ROME, ITALY
CONCLUSION
In patients with angiographycally-intermediate distal LM disease:
- OCT is able to provide nice characterization of bifurcation disease
- OCT cut-offs to guide decisions on LM are lacking but probably the combination of %AS stenosis, plaque morphology and MLA values (lower than IVUS !!!) should be taken into account
- Preliminary observations suggest the possible safety of OCT-based revascularization deferral when %AS is <75%, MLA is >4 mm2 and LM ulceration is absent