Update on Intracoronary Optical Coherence Tomography: a Review of Current Concepts

Abstract Purpose of review The advent of intracoronary optical coherence tomography (OCT) has been a significant leap forward in the ability to visualize coronary structures with unprecedented resolution. However, the clinical application of this imaging modality has lagged behind rapid technological advances. One of the main reasons for the lack of wider clinical uptake has been the paucity of appropriately designed prospective randomized studies to demonstrate the impact of OCT on outcome measures after percutaneous coronary intervention (PCI). Recent findings Over the last couple of years, studies from large registries have shown the impact of OCT in decision-making in PCI, with several further reports providing valuable insights into the natural history of the atherosclerotic disease process and the modulating effects of therapies. Furthermore, guidance of PCI by OCT, including the appropriate use of newer generations of coronary stents, has been the focus of multiple studies. Summary In this contemporary review, we provide a brief overview of the recently published data and highlight the multiple areas that need further clarification as OCT is further incorporated into routine clinical practice.
Source: Current Cardiovascular Imaging Reports - Category: Radiology Source Type: research