Algorithm when to perform OCT to optimize efficiency can we overcome OCTS limitations
European Bifurcation Club 2019, EBC 2019 – Barcelona, Spain
CORONARY BIFURCATION IMAGING
Algorithm when to perform OCT to optimize efficiency can we overcome OCTS limitations
Author: Takayuki Okamura, MD, Yamaguchi University Hospital, Japan
SUMMARY
- 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.
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