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OCT and long term bifurcation evolution

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OCT and long term bifurcation evolution

European Bifurcation Club 2012 – EBC 2012 – Castelldefels, Spain

Parallel Session 2 – OCT imaging session

OCT and long term bifurcation evolution

Author: Dr. Juan Luis Gutiérrez-Chico

 

CONCLUSION

  • Coverage by OCT estimates the degree of neointimal healing
  • Association coverage/risk of thrombosis
    • Still not clear at all
  • Dettached struts(ISA,NASB)
    • Delayed healing
    • Higher risk of stent thrombosis (ISA)
  • ISA tends to be reduced overtime
    • Max ISA distance <270 μm: 100% corrected
    • Max ISA distance <400 μm: 92% corrected
  • Double metallic layers: heterogeneous response
    • Some cases thicker NIH (than in monolayer)
    • Some cases more delayed healing (than in monolayer)
  • Scarce evidence on bifurcations
    • No comparative study

 

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