Abstract
Coronary angiography alone is often insufficient in the evaluation of coronary artery disease (CAD). In certain scenarios, more information is required before and after percutaneous coronary revascularization (PCI). Determination of degree of calcification may be important to determine if further vessel modification is required with either higher pressure non-compliant balloons and/or mechanical rotablation atherectomy. Longer stent length may be necessary if there is lipid rich plaque at the margins of the lesion being treated. Ambiguities of angiography may need to be further delineated prior to committing to PCI. After PCI, determination of stent results maybe suboptimal with angiography alone with significant limitations involving stent malapposition or underexpansion, proximal or distal dissections, and angiographic haziness due to clot or tissue prolapse. This chapter will highlight the role of OCT in coronary artery disease and intervention.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Tearney G, Regar E, Akasaka T, Adriaenssens T, Barlis P, Bezerra HG, et al. Consensus standard for acquisition, measurement, and reporting of intravascular optical coherence tomography studies. J Am Coll Cardiol. 2012;12:1058–72.
Takarada S, Imanishi T, Liu Y, Ikejima H, Tsujioka H, Kuroi A, et al. Advantage of next-generation frequency-domain optical coherence tomography compared with conventional time-domain system in the assessment of coronary lesion. Catheter Cardiovasc Interv. 2010;75:202–6.
Ozaki Y, Kitabata H, Tsujioka H, Hosokawa S, Kashiwagi M, Ishibashi K, et al. Comparison of contrast media and low-molecular-weight dextran for frequency-domain optical coherence tomography. Circ J. 2012;76:922–7.
Bezerra HG, Costa MA, Guagliumi G, et al. Intracoronary optical coherence tomography: a comprehensive review. J Am Coll Cardiol Intv. 2009;2:1035–46.
Tearney GJ, Waxman S, Shishkov M, et al. Three-dimensional coronary artery microscopy by intracoronary optical frequency domain imaging. J Am Coll Cardiol Img. 2008;1:752–61.
Barlis P, Schmitt JM. Current and future developments in intracoronary optical coherence tomography imaging. EuroIntervention. 2009;4:529–33.
Prati F, Regar E, Mintz GS, et al. Expert review on methodology, terminology, and clinical applications of optical coherence tomography: physical principles, methodology of immune acquisition, and clinical application for assessment of coronary arteries and atherosclerosis. Eur Heart J. 2010;31(4):401–15.
Burke AP, Farb A, Malcom GT, et al. Coronary risk factors and plaque morphology in men with coronary disease who died suddenly. N Engl J Med. 1997;336:1276–82.
Tanaka A, Imanishi T, Kitabata H, et al. Distribution and frequency of thin-capped fibroatheromas and ruptured plaques in the entire culprit coronary artery in patients with acute coronary syndrome as determined by optical coherence tomography. Am J Cardiol. 2008;102:975–9.
Kubo T, Xu C, Wang Z, van Ditzhuijzen NS, Bezerra HG. Plaque and thrombus evaluation by optical coherence tomography. Int J Cardiovasc Imaging. 2011;27:289–98.
Takarada S, Imanishi T, Kubo T, et al. Effect of statin therapy on coronary fibrous-cap thickness in patients with acute coronary syndrome: assessment by optical coherence tomography study. Atherosclerosis. 2009;202:491–7.
MacNeill BD, Jang IK, Bouma BE, et al. Focal and multi-focal plaque macrophage distributions in patients with acute and stable presentations of coronary artery disease. J Am Coll Cardiol. 2004;44:972–9.
Raffel OC, Tearney GJ, Gauthier DD, Halpern EF, Bouma BE, Jang IK. Relationship between a systemic inflammatory marker, plaque inflammation, and plaque characteristics determined by intravascular optical coherence tomography. Arterioscler Thromb Vasc Biol. 2007;27:1820–7.
Kume T, Akasaka T, Kawamoto T, et al. Assessment of coronary arterial thrombus by optical coherence tomography. Am J Cardiol. 2006;97:1713–7.
Tanimoto T, Imanishi T, Tanaka A, et al. Various types of plaque disruption in culprit coronary artery visualized by optical coherence tomography in a patient with unstable angina. Circ J. 2009;73:187–9.
Kubo T, Akasaka T, Shit J, et al. OCT compared with IVUS in a coronary lesion assessment: the OPUS-CLASS study. JACC Cardiovasc Imaging. 2013;6(10):1095–104.
Gonzalo N, Serruys P, Okamura T, et al. Optical coherence tomography assessment of the acute effects of stent implantation on the vessel wall: a systematic quantitative approach. Heart. 2009;95(23):1913–9.
Cook S, Eshtehardi P, Kalesan B, et al. Impact of incomplete stent apposition on long-term clinical outcome after drug-eluting stent implantation. Eur Heart J. 2012;33(11):1334–43.
Chamie D, Bezerra HG, Attizzani GF, et al. Incidence, predictors, morphological characteristics, and clinical outcomes of stent edge dissections detected by optical coherence tomography. JACC Cardiovasc Interv. 2013;6(8):800–13.
Taniwaki M, Raber L, Baumgratner S, Pilgrim T, Moschovitis A, Wenaweser P, Meier B, Windecker S. Frequency and type of neoatherosclerosis five years after drug-eluting stent implantation: an optical coherence tomography study. J Am Coll Cardiol 2012;60(17_S)
Shiono Y, Kitabat H, Kubo T, et al. Optical coherence tomography-derived anatomical criteria for functionally significant coronary stenosis assessed by fractional flow reserve. Circ J. 2012;76(9):2218–25.
Bezerra HG, Attizzani GF, Sirbu V, Musumeci G, et al. Optical coherence tomography versus inravascular ultrasound to evaluate coronary artery disease and percutaneous coronary intervention. J Am Coll Cardiol Int. 2013;6:228–36.
Barlis P, Gonzalo N, Di Mario C, Prati F, et al. A multicentre evaluation of the safety of intracoronary optical coherence tomography. EuroIntervention. 2009;5(1):90–5.
Jorge E, et al. Hipertensio´n pulmonar en la estenosis mitral: un estudio de tomografı´a de coherencia o´ ptica. Rev Esp Cardiol. 2013.
Hill J, Mahadevaiah G, Jenkins M. Optical Coherence Tomography imaging of the patent ductus arteriosus: first known uses in congenital heart disease. Catheter Cardiovasc Interv. 2014;67(3):224 Online.
Sanchez-Recalde A, Moreno R, Merino JL. Pulmonary vein stenosis after radiofrequency ablation: in vivo optical coherence tomography insights. Eur Heart J Cardiovasc Imaging. 2014; Online.
Van Soest G, Regar E, Goderie TPM, Gonzaol N, et al. Pitfalls in plaque characterization by OCT. J Am Coll Cardiol Img. 2011;4:810–3.
Kim S, Kim CS, Na JO, et al. Coronary stent fracture complicated multiple aneurysms confirmed by 3-dimensional reconstruction of intravascular-optical coherence tomography in a patient treated with open-cell designed drug-eluting stent. Circulation. 2014;129(3):e24–7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag London
About this chapter
Cite this chapter
Abbas, A.E., Trivax, J.E. (2015). Optical Coherence Tomography. In: Abbas, A. (eds) Interventional Cardiology Imaging. Springer, London. https://doi.org/10.1007/978-1-4471-5239-2_9
Download citation
DOI: https://doi.org/10.1007/978-1-4471-5239-2_9
Publisher Name: Springer, London
Print ISBN: 978-1-4471-5238-5
Online ISBN: 978-1-4471-5239-2
eBook Packages: MedicineMedicine (R0)