Algorithm when to perform OCT to optimize efficiency can we overcome OCTS limitations

CORONARY BIFURCATION IMAGING

• Pre-procedure OCT assessment in the main vessel provides useful information for bifurcation stenting. However, ostial assessment is fundamentally impossible, a potential disadvantage compared to IVUS, and more contrast media is used. Some ingenuities may overcome them.
• The biggest advantage of OCT compared to IVUS would be the guidance of the position of the guidewire into the jailed side branch when the side branch dilatation is performed.
• Further studies whether OCT guidance can improve clinical outcomes would be needed.