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OCT guided Rotablation in bifurcation lesions

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OCT guided Rotablation in bifurcation lesions

European Bifurcation Club 2017 – EBC 2017 – Porto, Portugal

Imaging Session : OCT and New IVUS

OCT guided Rotablation in bifurcation lesions

Author: Yoichi Nozaki, MD, Caress Sapporo, Hokko Memorial Hospital

 

SUMMARY

  • Know plaque distribution
  • Know carina shift
  • Know wire bias
  • Appropriate debulking (rotabla0on/DCA) may achieve good stent expansion but also reduce a chance of compromising of side branch and finally avoid complex stenting
  • OCT/OFDI can identify the thickness of calcified plaque, so we can recognize the capacity of ablation of Rotablator in bifurcation site.
  • OCT/OFDI is very useful imaging guidance for treatment bifurcation lesion, especially in lesion containing of hard and calcified plaque using Rotablator

 

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