Clinical use of optical coherence tomography during percutaneous coronary intervention and coronary procedures in Southeast Asia: a survey-based expert consensus summary.
| Autor: | Low AF; National University Heart Centre Singapore, National University Hospital, Singapore., Wongpraparut N; Cardiac Catheterisation Laboratory, Siriraj Hospital, Mahidol University, Bangkok, Thailand., Chunhamaneewat N; Siriraj Hospital, Bangkok, Thailand., Jeamanukoolkit A; Police General Hospital, Bangkok, Thailand., Jhung LT; Institut Jantung Negara, Kuala Lumpur, Malaysia., Zhen-Vin L; University Malaya Medical Centre, Kuala Lumpur, Malaysia., Tan CT; Sarawak Heart Centre, Sarawak, Malaysia., Hwa HH; Tan Tock Seng Hospital, Singapore., Rajagopal R; Gleneagles JPMC Cardiac Centre, Jerudong, Brunei Darussalam., Yahya AF; Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital- Bandung, Indonesia., Kaur R; Abbott Vascular, Santa Clara, CA, USA., Narang M; Abbott Vascular, Santa Clara, CA, USA., West NEJ; Abbott Vascular, Santa Clara, CA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | AsiaIntervention [AsiaIntervention] 2023 Mar 15; Vol. 9 (1), pp. 25-31. Date of Electronic Publication: 2023 Mar 15 (Print Publication: 2023). |
| DOI: | 10.4244/AIJ-D-22-00059 |
| Abstrakt: | Optical coherence tomography (OCT), an established intravascular imaging technique, enables rapid acquisition of high-resolution images during invasive coronary procedures to assist physician decision-making. OCT has utility in identifying plaque/lesion morphology (e.g., thrombus, degree of calcification, and presence of lipid) and vessel geometry (lesion length and vessel diameter) and in guiding stent optimisation through identification of malapposition and underexpansion. The use of OCT guidance during percutaneous coronary interventions (PCI) has demonstrated improved procedural and clinical outcomes in longitudinal registries, although randomised controlled trial data remain pending. Despite growing data and guideline endorsement to support OCT guidance during PCI, its use in different countries is not well established. This article is based on an advisory panel meeting that included experts from Southeast Asia (SEA) and is aimed at understanding the current clinical utility of intracoronary imaging and OCT, assessing the barriers and enablers of imaging and OCT adoption, and mapping a path for the future of intravascular imaging in SEA. This is the first Southeast Asian consensus that provides insights into the use of OCT from a clinician's point of view. Competing Interests: R. Kaur, M. Narang, and N.E.J. West are employees of Abbott Vascular. The other authors have no conflicts of interest to declare. |
| Databáze: | MEDLINE |
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