Frequency domain optical coherence tomography in the diagnosis and treatment on percutaneous coronary intervention of acute coronary syndrome
Author(s): ZHANG Yunmei, ZHANG Hong, ZHAO Yan, PANG Mingjie, LIU Shiqi, ZHOU Xiuli, DING Xiaoxue, Department of Cardiology, the First People′s Hospital in Yunnan Province
Pages: 219-222
Year: 2014 Issue: 3
Journal: Journal of Clinical Cardiology
Keyword: acute coronary syndrome; optical coherence tomography; percutaneous coronary intervention;
Abstract: Objective:To evaluate the clinic value and safety of the second generation of frequency domain optical coherence tomography(FD-OCT)in the invention diagnosis and treatment in middle acute coronary syndrome(ACS).Method:The 23ACS patients were enrolled randomly.All the patients were underwent FD-OCT during the coronary angiography(CAG)to evaluate the lesion and guide percutaneous coronary intervention(PCI). Result:Among the 23ACS patients,5 had unstable angina pectoris(UAP),12 non ST segment elevation myocardial infarction(NSTEMI),6 ST segment elevation myocardial infarction(AMI),including 5CAG alone,1percutaneous transluminal coronary angioplasty(PTCA),17Coronary artery stent implantation,2the second stent implantation,2left main lesion,2bifurcation lesion,with totally 28 stents had been implanted.FD-OCT had been taken on 30artery of all 23patents,showing 16 plaque ruptures,10 fibrous plaques,16 lipid plaques,13vulnerable plaques,5 stent malappositions,6 stent thrombosis,2 in-stent restenosis,3incompletely stent dilated,1intima hyperplasia,1stent tearing artery dissection.All the patients were underwent FD-OCT successfully and safely,without any sever adverse reaction.Conclusion:The application of FD-OCT in ACS patients has good operability and safety.FD-OCT could reveal different coronary artery lesions clearly,especially in vulnerable plaques, stent malapposition and stent thrombosis,thus could be used for guiding and evaluating PCI,acting a compensation of CAG.
Pages: 219-222
Year: 2014 Issue: 3
Journal: Journal of Clinical Cardiology
Keyword: acute coronary syndrome; optical coherence tomography; percutaneous coronary intervention;
Abstract: Objective:To evaluate the clinic value and safety of the second generation of frequency domain optical coherence tomography(FD-OCT)in the invention diagnosis and treatment in middle acute coronary syndrome(ACS).Method:The 23ACS patients were enrolled randomly.All the patients were underwent FD-OCT during the coronary angiography(CAG)to evaluate the lesion and guide percutaneous coronary intervention(PCI). Result:Among the 23ACS patients,5 had unstable angina pectoris(UAP),12 non ST segment elevation myocardial infarction(NSTEMI),6 ST segment elevation myocardial infarction(AMI),including 5CAG alone,1percutaneous transluminal coronary angioplasty(PTCA),17Coronary artery stent implantation,2the second stent implantation,2left main lesion,2bifurcation lesion,with totally 28 stents had been implanted.FD-OCT had been taken on 30artery of all 23patents,showing 16 plaque ruptures,10 fibrous plaques,16 lipid plaques,13vulnerable plaques,5 stent malappositions,6 stent thrombosis,2 in-stent restenosis,3incompletely stent dilated,1intima hyperplasia,1stent tearing artery dissection.All the patients were underwent FD-OCT successfully and safely,without any sever adverse reaction.Conclusion:The application of FD-OCT in ACS patients has good operability and safety.FD-OCT could reveal different coronary artery lesions clearly,especially in vulnerable plaques, stent malapposition and stent thrombosis,thus could be used for guiding and evaluating PCI,acting a compensation of CAG.
Related Articles