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Optimization of Percutaneous Coronary Intervention Using Optical Coherence Tomography

Korean Circulation Journal 2019년 49권 9호 p.771 ~ 793
 ( Lee Cheol-Hyun ) - Keimyung University Dongsan Hospital Department of Internal Medicine

 ( Hur Seung-Ho ) - Keimyung University Dongsan Hospital Department of Internal Medicine


Compared to the luminogram obtained by angiography, intravascular modalities produce cross-sectional images of coronary arteries with a far greater spatial resolution. It is capable of accurately determining the vessel size and plaque morphology. It also eliminates some disadvantages such as contrast streaming, foreshortening, vessel overlap, and angle dependency inherent to angiography. Currently, the development of its system and the visualization of coronary arteries has shown significant advancement. Of those, optical coherence tomography (OCT) makes it possible to obtain high-resolution images of intraluminal and transmural coronary structures leading to navigation of the treatment strategy before and after stent implantations. The aim of this review is to summarize the published data on the clinical utility of OCT, focusing on the use of OCT in interventional cardiology practice to optimize percutaneous coronary intervention.


Coronary artery disease; Percutaneous coronary intervention; Optical coherence tomography
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