Imaging in Bifurcation – Parallel Session Summary

European Bifurcation Club 2019, EBC 2019 - Barcelona, Spain IMAGING IN BIFURCATION - PARALLEL SESSION SUMMARY Author: Zlatko Mehmedbegovic, MD, Clinical Center of Serbia, Belgrade, Serbia Balloons & stent sizing…

Imaging-guided rewiring in bifurcation : 2D and 3D OCT

European Bifurcation Club 2019, EBC 2019 - Barcelona, Spain CORONARY BIFURCATION IMAGING Imaging-guided rewiring in bifurcation : 2D and 3D OCT Author: Ryoji Nagoshi, MD, Osaka Saiseikai Nakatsu Hospital, Japan OBJECTIVE The aim of the study is to assess the impact of 3D-OCT on the procedures for bifurcation stenting including the guide wire (GW) distal rewiring rates. SUMMARY The rate of the distal GW rewiring can be higher by referring to the 3D image than only with the 2D image. The stent link loca0on over Sb orifice is important. The optimal GW rewiring position may depend on the stent link location over carina. In the LC type, it is better to consider the difference of the GW rewiring position in not only the longitudinal but also the short axis directions. CONCLUSION Three-dimensional OCT is useful for the attainment of the GW distal rewiring and provides the important information of the stent link location which cannot be revealed by the other intravascular imaging modalities.

Flow Modeling based on 3D OCT reconstructions

European Bifurcation Club 2014 - EBC 2014 - Bordeaux, France Bifurcation stenting: learning from bench and simulation Flow Modeling based on 3d oct reconstructions Author: Gabriele Dubini, MD, Politecnico di Milano, Italy AIM Development of an automated reconstruction method of a stented coronary bifurcation model starting from OCT images Construction of a 3D model of the bifurcation to perform a Computational Fluid Dynamic (CFD) simulation and calculate hemodynamic quantities related to restenosis CONCLUSION An automated reconstruction method of an in-vitro stented coronary bifurcation model starting from OCT images was developed The 3D geometry obtained from this reconstruction method can be used to perform CFD simulations to quantify hemodynamic variables related to restenosis on the basis of OCT exams, to predict the regions with the highest risk of restenosis

3D-OCT New implications of optimal SB re-crossing

European Bifurcation Club 2014, EBC 2014 - Bordeaux, France LIVE BIFURCATION STENTING GUIDANCE: OCT, IVUS, FFR & ANGIO 3D-OCT New implications of optimal SB re-crossing Author: Yoshinobu Onuma, MD, PhD, Horax Centre, Erasmus MC, Rotterdam, The Netherlands BACKGROUND With advent of the new-generation OCT/OFDI system (C7/8 LightLab, OFDI Terumo) with a high frame rate (100-180fps) and fast pull-back speed (20-40mm/s), 3- dimensional reconstruction of OCT became feasible due to elimination of motion artefacts. 3-dimensional OCT reconstruction gives us better understanding of complex coronary anatomy such as bifurcation, compared to the conventional 2-D OCT. CONCLUSION In 2009-2010, with advance of OCT/OFDI technology, 3D-reconstruction became feasible. In 2011-2013, the potential of the technology was demonstrated in off- line 3D-OCT with manual strut detection. In bifurcation, 3D-OCT may guide positioning of the wire through the appropriate (distal) cell. The early study suggests that such a guidance strategy reduced the incidence of malapposition in bifurcation. In 2014, the on-line 3D OCT/OFDI with automatic strut detection is available. The equipped “real-time” 3D OFDI will help utilization of 3D in clinical situation.

Summary and take home messages from Parallel 2

European Bifurcation Club 2014, EBC 2014 - Bordeaux, France PARALLEL SESSIONS SYNOPSIS The Top 3 take home messages from the bifurcation quantitative analysis parallel session Author: Patrick Serruys, MD, PhD, Imperial College London, UK

3D OCT of ABSORB vs. DESolve vs. FANTOM BRS

European Bifurcation Club 2015 - EBC 2015 - Athens, Greece Bifurcation PCI guidance: OCT, IVUS 3D OCT of ABSORB vs. DESolve vs. FANTOM BRS Author: Emil Nielsen Holck, Aarhus University Hospital, Denmark