Published in:
01-11-2018 | Review Paper
A review in enormity of OCT and its enduring understanding of vulnerable plaque in coronary bifurcation lesion
Authors:
Rajiv Shrestha, Aanchal Shrestha, Jing Kan, Shaoliang Chen
Published in:
The International Journal of Cardiovascular Imaging
|
Issue 11/2018
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Abstract
Optical coherence tomography (OCT) has emerged as one of the most promising tools to assist the optimization of percutaneous coronary intervention (PCI). Its ability to provide unique information on the plaque at high risk for rupture, plaque composition, the thickness of the fibrous cap, the presence of macrophage and thrombi has not only assisted simple PCI but also in many complex bifurcation lesions PCI. OCT has helped to provide valuable anatomic information to optimize stent implantation and adapt PCI strategy in individual patients. This review article summarizes the current role of OCT as an imaging technology and prediction of vulnerable plaque, its site and composition at the coronary bifurcation lesions for supporting the clinical decision.