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DOI: 10.1055/s-0034-1391137
Optische Kohärenztomografie
Publication History
Publication Date:
21 January 2015 (online)
Abstract
Optical coherence tomography (OCT) is an intracoronary imaging system, which produces cross-sectional images of the coronary arteries using near infra-red light with a high resolution (10 – 20 μm). This technique visualizes various patterns of atherosclerotic features of the coronary artery in vivo and may differentiate lipid-rich, calcified and fibrous plaques as well as vulnerable and stable coronary plaques. Moreover, OCT may contribute to an optimization and guidance of percutaneous coronary interventions by detecting several features of inadequate stent implantation, such as stent-malapposition, stent edge dissections, tissue or thrombus protrusion through the stent struts or during follow-up an insuffizient stent endothelialization.
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Literatur
- 1 Tearney GJ 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: 1058-1072
- 2 Gutierrez-Chico JL et al. Optical coherence tomography: from research to practice. Eur Heart J Cardiovasc Imaging 2012; 13: 370-384
- 3 Prati F 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: 401-415
- 4 Burgmaier M et al. A score to quantify coronary plaque vulnerability in high-risk patients with type 2 diabetes: an optical coherence tomography study. Cardiovasc Diabetol 2014; 13: 117
- 5 Kubo T et al. Assessment of culprit lesion morphology in acute myocardial infarction: ability of optical coherence tomography compared with intravascular ultrasound and coronary angioscopy. J Am Coll Cardiol 2007; 50: 933-939
- 6 Stone GW et al. A prospective natural-history study of coronary atherosclerosis. N Engl J Med 2011; 364: 226-235
- 7 Reith S et al. Relationship between optical coherence tomography derived intraluminal and intramural criteria and haemodynamic relevance as determined by fractional flow reserve in intermediate coronary stenoses of patients with type 2 diabetes. Heart 2013; 99: 700-707
- 8 Reith S et al. Predictors and incidence of stent edge dissections in patients with type 2 diabetes as determined by optical coherence tomography. Int J Cardiovasc Imaging 2013; 29: 1237-1247
- 9 Prati F 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: 823-829
- 10 Meneveau N et al. Does optical coherence tomography optimize results of stenting? Rationale and study design. . Am Heart J 2014; 168: 175-181