PMID- 22209497
OWN - NLM
STAT- MEDLINE
DCOM- 20140212
LR  - 20130527
IS  - 1874-1754 (Electronic)
IS  - 0167-5273 (Linking)
VI  - 166
IP  - 3
DP  - 2013 Jul 1
TI  - Frequency domain optical coherence tomography for guidance of coronary stenting.
PG  - 722-8
LID - S0167-5273(11)02147-4 [pii]
LID - 10.1016/j.ijcard.2011.11.090 [doi]
AB  - OBJECTIVE: To evaluate the role of Frequency domain optical coherence tomography 
      (FD-OCT) in guiding stent implantation procedures. METHODS: Dragonfly-imaging 
      catheter was used pre-intervention, after pre-dilatation or at various stages of 
      stent deployment/post-dilatation to assess lesion severity, characteristics and 
      guide stent expansion/apposition. RESULTS: We performed 398 OCT pull-backs in 108 
      consecutive patients. The 371 pull-backs analysable, had an average length of 35 
      mm and encompassed 193 lesions (1.8 lesions per patient). Seventy-six percent of 
      patient had AHA-ACC-class B-C lesions. In the pre-intervention group deferral of 
      treatment was decided for 13/68 pullbacks (19.1%), whereas strategies different 
      from conventional predilatation (e.g. thrombectomy, rotablator, cutting-balloon) 
      were decided in 23 cases (33.8%). After full lesion dilatation 96 pullbacks 
      (25.9%, pre-stenting group) were performed, 46 (47.9%) of which suggested 
      proceeding directly with stenting while 50 (52.1%) suggesting further treatment. 
      Out of the 207 pullbacks in post-stenting group, 29 (14%) suggested new stent 
      implantation because of dissection or residual stenosis; 64 (30.9%) suggested 
      further optimization with high pressure/larger-sized balloon. Average number of 
      pull-backs per patient was 3.4 requiring 75.8 +/- 19.3 ml of iopamidol. No major 
      complications were observed. Five cases (4.6%) of contrast-induced nephropathy 
      were reported. CONCLUSIONS: Repeated examinations with FD-OCT can be safely used 
      to guide stent selection and improve stent expansion and apposition.
CI  - Copyright (c) 2011 Elsevier Ireland Ltd. All rights reserved.
FAU - Viceconte, Nicola
AU  - Viceconte N
AD  - Cardiovascular Biomedical Research Unit, Royal Brompton Hospital, London, UK.
FAU - Chan, Pak Hei
AU  - Chan PH
FAU - Barrero, Eduardo Alegria
AU  - Barrero EA
FAU - Ghilencea, Liviu
AU  - Ghilencea L
FAU - Lindsay, Alistair
AU  - Lindsay A
FAU - Foin, Nicolas
AU  - Foin N
FAU - Di Mario, Carlo
AU  - Di Mario C
LA  - eng
PT  - Journal Article
DEP - 20111230
PL  - Netherlands
TA  - Int J Cardiol
JT  - International journal of cardiology
JID - 8200291
SB  - IM
MH  - Adult
MH  - Angioplasty, Balloon, Coronary/*methods
MH  - Coronary Artery Disease/*diagnosis/*surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Stents
MH  - Time Factors
MH  - Tomography, Optical Coherence/*methods
MH  - Ultrasonography, Interventional/methods
EDAT- 2012/01/03 06:00
MHDA- 2014/02/13 06:00
CRDT- 2012/01/03 06:00
PHST- 2011/07/08 00:00 [received]
PHST- 2011/10/01 00:00 [revised]
PHST- 2011/11/27 00:00 [accepted]
PHST- 2012/01/03 06:00 [entrez]
PHST- 2012/01/03 06:00 [pubmed]
PHST- 2014/02/13 06:00 [medline]
AID - S0167-5273(11)02147-4 [pii]
AID - 10.1016/j.ijcard.2011.11.090 [doi]
PST - ppublish
SO  - Int J Cardiol. 2013 Jul 1;166(3):722-8. doi: 10.1016/j.ijcard.2011.11.090. Epub 
      2011 Dec 30.