OCT-Guided Treatment of Calcified Coronary Artery Disease: Breaking the Barrier to Stent Expansion

被引：9
作者：
Shlofmitz, Evan [1 ]
Sosa, Fernando A. [2 ]
Ali, Ziad A. [3 ,4 ,5 ]
Waksman, Ron [1 ]
Jeremias, Allen [3 ,4 ]
Shlofmitz, Richard [3 ]
机构：
[1] MedStar Washington Hosp Ctr, 110 Irving St NW,Suite 4B1, Washington, DC 20010 USA
[2] Abbott Vasc, Santa Clara, CA USA
[3] St Francis Hosp, Heart Ctr, Roslyn, NY USA
[4] Cardiovasc Res Fdn, New York, NY USA
[5] Columbia Univ, Med Ctr, New York, NY USA
来源：
CURRENT CARDIOVASCULAR IMAGING REPORTS | 2019年 / 12卷 / 08期
关键词：
Calcified lesion; Percutaneous coronary intervention; Optical coherence tomography; Intravascular lithotripsy; Orbital atherectomy; Rotational atherectomy; OPTICAL COHERENCE TOMOGRAPHY; TREATING DE-NOVO; ROTATIONAL ATHERECTOMY; ORBITAL ATHERECTOMY; INTRAVASCULAR ULTRASOUND; BALLOON ANGIOPLASTY; MULTICENTER REGISTRY; PLAQUE MODIFICATION; LESIONS; CALCIFICATION;
D O I：
10.1007/s12410-019-9509-1
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
Purpose of ReviewOur objective is to review the current status of OCT-guided treatment of calcified coronary artery disease.Recent FindingsNew treatment modalities provide multiple options for approaching interventions involving calcified lesions.SummaryCoronary artery calcification is associated with stent underexpansion and worse procedural outcomes. Optimizing stent expansion is essential to reduce restenosis and the need for revascularization. Optical coherence tomography (OCT) allows for accurate diagnosis and detailed characterization of calcified lesions. The features of coronary artery calcification are determinant of the optimal lesion preparation and treatment strategy. We recommend an OCT-guided treatment approach for calcified coronary lesions.
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页数：8
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