PMID- 23065096
OWN - NLM
STAT- MEDLINE
DCOM- 20131216
LR  - 20211021
IS  - 1875-8312 (Electronic)
IS  - 1569-5794 (Linking)
VI  - 29
IP  - 4
DP  - 2013 Apr
TI  - Unrestricted utilization of frequency domain optical coherence tomography in 
      coronary interventions.
PG  - 741-52
LID - 10.1007/s10554-012-0135-0 [doi]
AB  - Frequency domain optical coherence tomography (FD-OCT) has shown promise to 
      evaluate coronary devices in clinical trials, however, little is known about its 
      application in clinical practice. This prospective, single center initiative 
      planned for 100 % FD-OCT utilization in all patients undergoing coronary 
      interventions during a 60-day period. Operators pre-specified the planned 
      intervention based on angiography alone. FD-OCT success was defined as 
      acquisition of good quality images enabling adequate quantification of vessel 
      dimensions and lesion/percutaneous coronary intervention (PCI) assessment. Impact 
      on management occurred when angiography-based planning was altered based on 
      FD-OCT data. There were 297 FD-OCT acquisitions performed in 155 vessels from 150 
      patients. There were no FD-OCT procedural related cardiac adverse events and 
      success was obtained in 85.7 % of all target vessels (pre-PCI = 76.8 % vs. 
      post-PCI = 90.1 %, p = 0.004). Success on the first pullback occurred in 80.3 % 
      overall (61.9 % in the initial operator experience and 85.5 % after the third 
      procedure). FD-OCT impact on management was 81.8 % pre-PCI and 54.8 % post-PCI. 
      Stent malapposition was detected in 39.2 % (89.4 % underwent further 
      intervention) and edge dissection in 32.5 % (21.1 % treated with stent). FD-OCT 
      success and management impact were similar in ACS and non-ACS patients (82.1 vs. 
      81.1 %, p = 1.000, and 62.5 vs. 65.1 %, p = 0.854, respectively). FD-OCT is safe, 
      can successfully be incorporated into routine practice, and alters procedural 
      strategy in a high proportion of patients undergoing PCI.
FAU - Stefano, Gregory T
AU  - Stefano GT
AD  - Harrington-McLaughlin Heart and Vascular Institute, University Hospitals Case 
      Medical Center, Case Western Reserve University School of Medicine, 11100 Euclid 
      Avenue, Lakeside 3001, Cleveland, OH 44106-5038, USA.
FAU - Bezerra, Hiram G
AU  - Bezerra HG
FAU - Mehanna, Emile
AU  - Mehanna E
FAU - Yamamoto, Hirosada
AU  - Yamamoto H
FAU - Fujino, Yusuke
AU  - Fujino Y
FAU - Wang, Wei
AU  - Wang W
FAU - Attizzani, Guilherme
AU  - Attizzani G
FAU - Chamie, Daniel
AU  - Chamie D
FAU - Simon, Daniel I
AU  - Simon DI
FAU - Costa, Marco A
AU  - Costa MA
LA  - eng
PT  - Journal Article
DEP - 20121012
PL  - United States
TA  - Int J Cardiovasc Imaging
JT  - The international journal of cardiovascular imaging
JID - 100969716
SB  - IM
MH  - Aged
MH  - Coronary Angiography
MH  - Coronary Artery Disease/*diagnosis/*therapy
MH  - Coronary Vessels/diagnostic imaging/*pathology
MH  - Female
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Odds Ratio
MH  - Ohio
MH  - *Percutaneous Coronary Intervention/adverse effects/instrumentation
MH  - Predictive Value of Tests
MH  - Prospective Studies
MH  - Stents
MH  - *Tomography, Optical Coherence
MH  - Treatment Outcome
EDAT- 2012/10/16 06:00
MHDA- 2013/12/18 06:00
CRDT- 2012/10/16 06:00
PHST- 2012/01/25 00:00 [received]
PHST- 2012/09/25 00:00 [accepted]
PHST- 2012/10/16 06:00 [entrez]
PHST- 2012/10/16 06:00 [pubmed]
PHST- 2013/12/18 06:00 [medline]
AID - 10.1007/s10554-012-0135-0 [doi]
PST - ppublish
SO  - Int J Cardiovasc Imaging. 2013 Apr;29(4):741-52. doi: 10.1007/s10554-012-0135-0. 
      Epub 2012 Oct 12.