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Utility of Optical Coherence Tomography to Assess a Hazy Intracoronary Image after Percutaneous Coronary Intervention

  • Carrizo, Sebastian (University Hospital La Paz, Interventional Cardiology Department) ;
  • Salinas, Pablo (University Hospital La Paz, Interventional Cardiology Department) ;
  • Jimenez-Valero, Santiago (University Hospital La Paz, Interventional Cardiology Department) ;
  • Moreno, Raul (University Hospital La Paz, Interventional Cardiology Department)
  • Published : 2013.01.30

Abstract

Although its use in daily practice is not common, optical coherence tomography (OCT) is a powerful research tool in invasive cardiology. This report describes a hazy angiography image after percutaneous coronary intervention that has been assessed using OCT. Based on the results of the OCT, the patient underwent an elective coronary angioplasty with standard anticoagulation. After implantation of the stent, an intracoronary hazy image was seen on angiography. The use of OCT permitted a correct diagnosis and a successful treatment. This paper provides a discussion of the advantages and disadvantages of OCT, and a comparison with intravascular ultrasound.

Keywords

References

  1. Grewal J, Ganz P, Selwyn A, Kinlay S. Usefulness of intravascular ultrasound in preventing stenting of hazy areas adjacent to coronary stents and its support of support spot-stenting. Am J Cardiol 2001;87:1246-9. https://doi.org/10.1016/S0002-9149(01)01513-2
  2. Raffel OC, Akasaka T, Jang IK. Cardiac optical coherence tomography. Heart 2008;94:1200-10. https://doi.org/10.1136/hrt.2007.130765
  3. Stamper D, Weissman NJ, Brezinski M. Plaque characterization with optical coherence tomography. J Am Coll Cardiol 2006;47(8 Suppl): C69-79. https://doi.org/10.1016/j.jacc.2005.10.067
  4. Bourantas CV, Garg S, Naka KK, Thury A, Hoye A, Michalis LK. Focus on the research utility of intravascular ultrasound - comparison with other invasive modalities. Cardiovasc Ultrasound 2011;9:2. https://doi.org/10.1186/1476-7120-9-2
  5. Popma JJ, Berger P, Ohman EM, Harrington RA, Grines C, Weitz JI. Antithrombotic therapy during percutaneous coronary intervention: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest 2004;126(3 Suppl):576S-99S. https://doi.org/10.1378/chest.126.3_suppl.576S
  6. Rinaldi MJ, Kirtane AJ, Piana RN, et al. Clinical, procedural, and pharmacologic correlates of acute and subacute stent thrombosis: results of a multicenter case-control study with 145 thrombosis events. Am Heart J 2008;155:654-60. https://doi.org/10.1016/j.ahj.2007.11.028
  7. Iglesias D, Salinas P, Jiménez-Valero S. Spontaneous coronary artery dissection evaluated by optical coherence tomography. J Cardiovasc Med (Hagerstown) 2011;12:743-4. https://doi.org/10.2459/JCM.0b013e32834a138c
  8. Kawamori H, Shite J, Shinke T, et al. The ability of optical coherence tomography to monitor percutaneous coronary intervention: detailed comparison with intravascular ultrasound. J Invasive Cardiol 2010;22: 541-5.
  9. Kubo T, Imanishi T, Takarada S, et al. Assessment of culprit lesion mor-phology in acute myocardial infarction: ability of optical coherence tomography compared with intravascular ultrasound and coronary angioscopy. J Am Coll Cardiol 2007;50:933-9. https://doi.org/10.1016/j.jacc.2007.04.082
  10. Kawasaki M, Bouma BE, Bressner J, et al. Diagnostic accuracy of optical coherence tomography and integrated backscatter intravascular ultrasound images for tissue characterization of human coronary plaques. J Am Coll Cardiol 2006;48:81-8. https://doi.org/10.1016/j.jacc.2006.02.062
  11. Jang IK, Bouma BE, Kang DH, et al. Visualization of coronary atherosclerotic plaques in patients using optical coherence tomography: comparison with intravascular ultrasound. J Am Coll Cardiol 2002;39: 604-9. https://doi.org/10.1016/S0735-1097(01)01799-5
  12. Prati F, Stazi F, Dutary J, et al. Detection of very early stent healing after primary angioplasty: an optical coherence tomographic observational study of chromium cobaltum and first-generation drug-eluting stents. The DETECTIVE study. Heart 2011;97:1841-6. https://doi.org/10.1136/heartjnl-2011-300782