The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

EDITORIAL

Shining light on calcified lesions, plaque stabilisation and physiologic significance: new insights from intracoronary OCT

EuroIntervention 2018;13:e2105-e2108 published online e-edition April 2018. DOI: 10.4244/EIJV13I18A346

1. Center for Interventional Vascular Therapy, Division of Cardiology, Presbyterian Hospital and Columbia University, New York, NY, USA; 2. Cardiovascular Research Foundation, New York, NY, USA


Optical coherence tomography (OCT) allows detailed examination of coronary arteries, providing a wealth of information that is complementary to angiography1. Research into the use of this relatively new technology in interventional cardiology has established areas where OCT can be useful in guiding therapy (e.g., optimisation of percutaneous coronary intervention [PCI]). However, data on the long-term clinical impact of OCT-guided PCI optimisation are not yet available, but will be determined by ongoing randomised trials2.

Several questions remain regarding the potential use of OCT for following the natural history of coronary atherosclerosis and the acute and long-term biological response ...

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