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2014 ; 66
(1
): 31-7
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Optical coherence tomography guided PCI - initial experience at Apollo Health
City, Jubilee Hills, Hyderabad
#MMPMID24581093
Rath PC
; Reddy K
; Agarwal MK
; Purohit BV
; Deb T
; Reddy AM
Indian Heart J
2014[Jan]; 66
(1
): 31-7
PMID24581093
show ga
BACKGROUND: The capability of OCT to examine the structure of the arterial wall
before or after PCI is superior to those of other imaging modalities. Therefore
the application of OCT during PCI seems logical and has the potential to enhance
our performance during the PCI procedures. METHODS: OCT was performed in
fifty-two patients out of which, 45 patients underwent PCI. Out of these 45
patients, in 25 patients both pre and post PCI OCT assessment was done. In 20
patients only post PCI OCT assessment was done. In seven patients PCI was not
done due to nonsignificant obstruction, these seven patients were not included in
final analysis. RESULTS: Over all OCT leads to management changes in 65% of the
time it was used. Alteration of stent length was done in 56% of the cases when
evaluated pre PCI. Alteration of stent diameter was done in 36% cases when
evaluated pre PCI. Treatment of malapposition was done in 24% of total cases.
Further balloon dilatation for vessel expansion was done in 15% of total cases.
In one case left main stenting was done after proximal edge dissection.
CONCLUSION: OCT makes better visualization of plaque, thrombus, stent
malapposition, dissection, plaque prolapse and helps in optimization of PCI
results. More extensive, long-term studies will be needed to assess the
prognostic implications of these findings.