EBC - ON DEMAND
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