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

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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.

 

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