OCT is not “ Obsessive compulsive tomography ”

This is the story of PCI to LAD from the customary bifurcation workshop for the budding experts, which ended up with a compulsive final OCT run-through, triggering a debate on what to do with the side branch. What shall we do next? Just balloon dilate the distal strut Would consider a second stent. Maybe a TAP  depending upon LCX morphology At this stage, I would like to know the FFR or iFR across LCX Jail. Get rid of this OCT, Let me have look at regular CAG. I bet I can make a better decision. Leave it alone if the clinical status & profile is good Leave it alone? Is it not an incomplete Job? Definitely incomplete. Please realize, No job is complete in interventional cardiology. If we believe so, it exposes our Ignorance ( & some arrogance). Intentional side branch jailing is an integral part of  PCI techniques. Are we not ignoring day in and day out.  Someone in the audience asked Why did you do OCT at all?  The chief operator quipped “You can’t ask this silly question in a scientific workshop. We bought the OCT kit to improve the quality of PCI. We are proud of it. Really feel blessed to use it and I am sure my patients will benefit from it”. We have to agree with him. These new Imaging techniques though give us extra high-definition, but it comes with troubling revelations with their new vision. If you are pathologically honest and believe in empowering patients, it is absolutely necessary to convey the following facts...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: Uncategorized coronary Imaging ILUMEN study oct opitical coherence tomography Source Type: blogs