Skip to main content
Top
Published in: Current Cardiovascular Imaging Reports 5/2013

01-10-2013 | Intravascular Imaging (U Landmesser, Section Editor)

OCT Guidance to Improve Clinical Outcome of Coronary Interventions: What Have We Learnt?

Authors: Luca Di Vito, Francesco Prati

Published in: Current Cardiovascular Imaging Reports | Issue 5/2013

Login to get access

Abstract

Optical coherence tomography (OCT) is the current state-of-the-art intravascular imaging technique which so far has been mainly used for research purpose. The clinical impact of an OCT-guided percutaneous coronary intervention is a field of controversy, although recent non randomized data has shown its potential clinical benefit. Many features that are clearly visualized by OCT are missed by both angiography and other intravascular imaging techniques due to their limited resolution. On the contrary, OCT allows visualization of detailed morphological characteristics of both atherosclerotic plaque and stent. This may translate in an improved clinical outcome of OCT-guided procedures. This article reviews the current evidence supporting a possible clinical effect of OCT guidance during coronary interventions.
Literature
1.
go back to reference Prati F, Regar E, Mintz GS, et al. Expert review document on methodology, terminology, and clinical applications of optical coherence tomography: physical principles, methodology of image acquisition, and clinical application for assessment of coronary arteries and atherosclerosis. Eur Heart J. 2010;31:401–15.PubMedCrossRef Prati F, Regar E, Mintz GS, et al. Expert review document on methodology, terminology, and clinical applications of optical coherence tomography: physical principles, methodology of image acquisition, and clinical application for assessment of coronary arteries and atherosclerosis. Eur Heart J. 2010;31:401–15.PubMedCrossRef
2.
go back to reference •• Prati F, Guagliumi G, Mintz GS, et al. Expert review document part 2: Methodology, terminology and clinical applications of optical coherence tomography for the assessment of interventional procedures. Eur Heart J. 2012;33:2513–20. A consensus statement that highlights most of the definitions used during OCT analysis.PubMedCrossRef •• Prati F, Guagliumi G, Mintz GS, et al. Expert review document part 2: Methodology, terminology and clinical applications of optical coherence tomography for the assessment of interventional procedures. Eur Heart J. 2012;33:2513–20. A consensus statement that highlights most of the definitions used during OCT analysis.PubMedCrossRef
3.
go back to reference Mintz GS, Weissman NJ. Intravascular ultrasound in the drug-eluting stent era. J Am Coll Cardiol. 2006;48:421–9.PubMedCrossRef Mintz GS, Weissman NJ. Intravascular ultrasound in the drug-eluting stent era. J Am Coll Cardiol. 2006;48:421–9.PubMedCrossRef
4.
go back to reference Kern MJ, Samady H. Current concepts of integrated coronary physiology in the catheterization laboratory. J Am Coll Cardiol. 2010;55:173–85.PubMedCrossRef Kern MJ, Samady H. Current concepts of integrated coronary physiology in the catheterization laboratory. J Am Coll Cardiol. 2010;55:173–85.PubMedCrossRef
5.
go back to reference Spaan JA, Piek JJ, Hoffman JI, Siebes M. Physiological basis of clinically used coronary hemodynamic indices. Circulation. 2006;113:446–55.PubMedCrossRef Spaan JA, Piek JJ, Hoffman JI, Siebes M. Physiological basis of clinically used coronary hemodynamic indices. Circulation. 2006;113:446–55.PubMedCrossRef
6.
go back to reference Takarada S, Imanishi T, Liu Y, et al. Advantage of next-generation frequency-domain optical coherence tomography compared with conventional time-domain system in the assessment of coronary lesion. Catheter Cardiovasc Interv. 2010;75:202–6.PubMedCrossRef Takarada S, Imanishi T, Liu Y, et al. Advantage of next-generation frequency-domain optical coherence tomography compared with conventional time-domain system in the assessment of coronary lesion. Catheter Cardiovasc Interv. 2010;75:202–6.PubMedCrossRef
7.
go back to reference Jang IK, Tearney GJ, MacNeill B, et al. In vivo characterization of coronary atherosclerotic plaque by use of optical coherence tomography. Circulation. 2005;111:1551–5.PubMedCrossRef Jang IK, Tearney GJ, MacNeill B, et al. In vivo characterization of coronary atherosclerotic plaque by use of optical coherence tomography. Circulation. 2005;111:1551–5.PubMedCrossRef
8.
go back to reference Tearney GJ, Regar E, Akasaka T, et al. Consensus standards for acquisition, measurement, and reporting of intravascular optical coherence tomography studies: a report from the international working group for intravascular optical coherence tomography standardization and validation. J Am Coll Cardiol. 2012;59:1058–72.PubMedCrossRef Tearney GJ, Regar E, Akasaka T, et al. Consensus standards for acquisition, measurement, and reporting of intravascular optical coherence tomography studies: a report from the international working group for intravascular optical coherence tomography standardization and validation. J Am Coll Cardiol. 2012;59:1058–72.PubMedCrossRef
9.
go back to reference Suh WM, Seto AH, Margey RJ, Cruz-Gonzalez I, Jang IK. Intravascular detection of the vulnerable plaque. Circ Cardiovasc Imaging. 2011;4:169–78.PubMedCrossRef Suh WM, Seto AH, Margey RJ, Cruz-Gonzalez I, Jang IK. Intravascular detection of the vulnerable plaque. Circ Cardiovasc Imaging. 2011;4:169–78.PubMedCrossRef
10.
go back to reference Ozaki Y, Kitabata H, Tsujioka H, et al. Comparison of contrast media and low-molecular-weight dextran for frequency-domain optical coherence tomography. Circ J. 2012;76:922–7.PubMedCrossRef Ozaki Y, Kitabata H, Tsujioka H, et al. Comparison of contrast media and low-molecular-weight dextran for frequency-domain optical coherence tomography. Circ J. 2012;76:922–7.PubMedCrossRef
11.
go back to reference Yoon JH, Di Vito L, Moses JW, et al. Feasibility and safety of the second-generation, frequency domain optical coherence tomography (FD-OCT): a multicenter study. J Invasive Cardiol. 2012;24:206–9.PubMed Yoon JH, Di Vito L, Moses JW, et al. Feasibility and safety of the second-generation, frequency domain optical coherence tomography (FD-OCT): a multicenter study. J Invasive Cardiol. 2012;24:206–9.PubMed
12.
go back to reference Guagliumi G, Bezerra HG, Sirbu V, et al. Serial assessment of coronary artery response to paclitaxel-eluting stents using optical coherence tomography. Circ Cardiovasc Interv. 2012;5:30–8.PubMedCrossRef Guagliumi G, Bezerra HG, Sirbu V, et al. Serial assessment of coronary artery response to paclitaxel-eluting stents using optical coherence tomography. Circ Cardiovasc Interv. 2012;5:30–8.PubMedCrossRef
13.
go back to reference Suzuki N, Guagliumi G, Bezerra HG, et al. The impact of an eccentric intravascular imagewire during coronary optical coherence tomography imaging. EuroIntervention. 2011;6:963–9.PubMedCrossRef Suzuki N, Guagliumi G, Bezerra HG, et al. The impact of an eccentric intravascular imagewire during coronary optical coherence tomography imaging. EuroIntervention. 2011;6:963–9.PubMedCrossRef
14.
go back to reference Imola F, Mallus MT, Ramazzotti V, et al. Safety and feasibility of frequency domain optical coherence tomography to guide decision making in percutaneous coronary intervention. EuroIntervention. 2010;6:575–81.PubMedCrossRef Imola F, Mallus MT, Ramazzotti V, et al. Safety and feasibility of frequency domain optical coherence tomography to guide decision making in percutaneous coronary intervention. EuroIntervention. 2010;6:575–81.PubMedCrossRef
15.
go back to reference Lee CH, Tai BC, Soon CY, et al. New set of intravascular ultrasound-derived anatomic criteria for defining functionally significant stenoses in small coronary arteries (results from intravascular ultrasound diagnostic evaluation of atherosclerosis in singapore [ideas] study). Am J Cardiol. 2010;105:1378–84.PubMedCrossRef Lee CH, Tai BC, Soon CY, et al. New set of intravascular ultrasound-derived anatomic criteria for defining functionally significant stenoses in small coronary arteries (results from intravascular ultrasound diagnostic evaluation of atherosclerosis in singapore [ideas] study). Am J Cardiol. 2010;105:1378–84.PubMedCrossRef
16.
go back to reference Briguori C, Nishida T, Adamian M, et al. Assessment of the functional significance of coronary lesions using a monorail catheter. J Invasive Cardiol. 2001;13:279–86.PubMed Briguori C, Nishida T, Adamian M, et al. Assessment of the functional significance of coronary lesions using a monorail catheter. J Invasive Cardiol. 2001;13:279–86.PubMed
17.
go back to reference Ben-Dor I, Torguson R, Gaglia MA, et al. Correlation between fractional flow reserve and intravascular ultrasound lumen area in intermediate coronary artery stenosis. EuroIntervention. 2011;7:225–33.PubMedCrossRef Ben-Dor I, Torguson R, Gaglia MA, et al. Correlation between fractional flow reserve and intravascular ultrasound lumen area in intermediate coronary artery stenosis. EuroIntervention. 2011;7:225–33.PubMedCrossRef
18.
go back to reference Jamil Z, Tearney G, Bruining N, et al. Interstudy reproducibility of the second generation, fourier domain optical coherence tomography in patients with coronary artery disease and comparison with intravascular ultrasound: A study applying automated contour detection. Int J Cardiovasc Imaging. 2013;29:39–51.PubMedCrossRef Jamil Z, Tearney G, Bruining N, et al. Interstudy reproducibility of the second generation, fourier domain optical coherence tomography in patients with coronary artery disease and comparison with intravascular ultrasound: A study applying automated contour detection. Int J Cardiovasc Imaging. 2013;29:39–51.PubMedCrossRef
19.
go back to reference de Jaegere P, Mudra H, Figulla H, et al. Intravascular ultrasound-guided optimized stent deployment. Immediate and 6 months clinical and angiographic results from the multicenter ultrasound stenting in coronaries study (music study). Eur Heart J. 1998;19:1214–23.PubMedCrossRef de Jaegere P, Mudra H, Figulla H, et al. Intravascular ultrasound-guided optimized stent deployment. Immediate and 6 months clinical and angiographic results from the multicenter ultrasound stenting in coronaries study (music study). Eur Heart J. 1998;19:1214–23.PubMedCrossRef
20.
go back to reference Chieffo A, Latib A, Caussin C, et al. A prospective, randomized trial of intravascular-ultrasound guided compared to angiography guided stent implantation in complex coronary lesions: The avio trial. Am Heart J. 2013;165:65–72.PubMedCrossRef Chieffo A, Latib A, Caussin C, et al. A prospective, randomized trial of intravascular-ultrasound guided compared to angiography guided stent implantation in complex coronary lesions: The avio trial. Am Heart J. 2013;165:65–72.PubMedCrossRef
21.
go back to reference Roy P, Steinberg DH, Sushinsky SJ, et al. The potential clinical utility of intravascular ultrasound guidance in patients undergoing percutaneous coronary intervention with drug-eluting stents. Eur Heart J. 2008;29:1851–7.PubMedCrossRef Roy P, Steinberg DH, Sushinsky SJ, et al. The potential clinical utility of intravascular ultrasound guidance in patients undergoing percutaneous coronary intervention with drug-eluting stents. Eur Heart J. 2008;29:1851–7.PubMedCrossRef
22.
go back to reference Bezerra HG, Costa MA, Guagliumi G, Rollins AM, Simon DI. Intracoronary optical coherence tomography: a comprehensive review clinical and research applications. JACC Cardiovasc Interv. 2009;2:1035–46.PubMedCrossRef Bezerra HG, Costa MA, Guagliumi G, Rollins AM, Simon DI. Intracoronary optical coherence tomography: a comprehensive review clinical and research applications. JACC Cardiovasc Interv. 2009;2:1035–46.PubMedCrossRef
23.
go back to reference • Prati F, Di Vito L, Biondi-Zoccai G, et al. Angiography alone versus angiography plus optical coherence tomography to guide decision-making during percutaneous coronary intervention: The Centro per la Lotta contro l’Infarto-optimisation of percutaneous coronary intervention (CLI-OPCI) study. EuroIntervention. 2012;8:823–9. The first non randomized study that investigates the clinical impact of OCT guided interventions.PubMedCrossRef • Prati F, Di Vito L, Biondi-Zoccai G, et al. Angiography alone versus angiography plus optical coherence tomography to guide decision-making during percutaneous coronary intervention: The Centro per la Lotta contro l’Infarto-optimisation of percutaneous coronary intervention (CLI-OPCI) study. EuroIntervention. 2012;8:823–9. The first non randomized study that investigates the clinical impact of OCT guided interventions.PubMedCrossRef
24.
go back to reference Parodi G, La Manna A, Di Vito L, et al. Stent and antiplatelet therapy-related defects in patients presenting with stent thrombosis: Differences between subacute and late/very late thrombosis results from the mechanism of stent thrombosis (most) study. EuroIntervention. 2013, In press Parodi G, La Manna A, Di Vito L, et al. Stent and antiplatelet therapy-related defects in patients presenting with stent thrombosis: Differences between subacute and late/very late thrombosis results from the mechanism of stent thrombosis (most) study. EuroIntervention. 2013, In press
25.
go back to reference • Porto I, Di Vito L, Burzotta F, et al. Predictors of periprocedural (type iva) myocardial infarction, as assessed by frequency-domain optical coherence tomography. Circ Cardiovasc Interv. 2012;5:89–96. Shows how small intra-stent thrombus formation seen with OCT but invisible at angiography are associated to subsequent myocardial damage.PubMedCrossRef • Porto I, Di Vito L, Burzotta F, et al. Predictors of periprocedural (type iva) myocardial infarction, as assessed by frequency-domain optical coherence tomography. Circ Cardiovasc Interv. 2012;5:89–96. Shows how small intra-stent thrombus formation seen with OCT but invisible at angiography are associated to subsequent myocardial damage.PubMedCrossRef
Metadata
Title
OCT Guidance to Improve Clinical Outcome of Coronary Interventions: What Have We Learnt?
Authors
Luca Di Vito
Francesco Prati
Publication date
01-10-2013
Publisher
Springer US
Published in
Current Cardiovascular Imaging Reports / Issue 5/2013
Print ISSN: 1941-9066
Electronic ISSN: 1941-9074
DOI
https://doi.org/10.1007/s12410-013-9220-6

Other articles of this Issue 5/2013

Current Cardiovascular Imaging Reports 5/2013 Go to the issue