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STUDY OF MORPHOLOGICAL SIGNIFICANTLY CORONARY ARTERY STENOSIS BEFORE PERCUTANEOUS CORONARY INTERVENTION USING OPTICAL COHERENCE TOMOGRAPHY (OCT) IN KIEN GIANG GENERAL HOSPITAL
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Abstract
Background: Optical coherence tomography is a high-resolution imaging modality that can lead to determine accurately lesions morphology, length, proximal and distal reference diameter. Objectives: To determine injuries morpholgy, length, proximal and distal lesion reference diameter. Methods: A discriptive study from April 2022 to May 2023 in Kien Giang General Hospital, all patients with significant coronary artery narrowing that need percutaneous coronary intertervention were enrolled. Results: In total, 28 lesions in 27 patients were analyzed. Mean age 63.5 ± 2.26, with 33.33% female. The rate of coronary lesions morphology comprised of calcified plaque was 71.42%, lipid plaque was 32.14%, fibrous plaque was 57.14%, red thrombus was 10.71%, white thrombus was 0%, and dissection was 21.43%. Mean lesions length was 39.43 ± 3.71mm. Mean distal and proximal reference diameter was 2.85 ± 0.98mm and 3.62 ± 0.12mm, respectively. Conclusions: Percutanous coronary intervention using optical coherence tomography to help to determine coronary artery lesion morphology, lesion length and lesion reference diameter. Optical Coherence Tomography also helped to find a precise PCI strategy such as stent selection, balloon selection and other supporting equipments.
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Keywords
Optical coherence tomography, Intravascular ultrasound, Percutaneous coronary intervention
References
2. Osborn, E.A., et al., Safety and efficiency of percutaneous coronary intervention using a standardised optical coherence tomography workflow. Eurointervention: Journal of Europcr in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology. 2023. 18(4), 1178-1187, doi: 10.4244/EIJ-D-22-00512
3. Prati, F., et al., Suboptimal stent deployment is associated with subacute stent thrombosis: optical coherence tomography insights from a multicenter matched study. From the CLI Foundation investigators: the CLI-THRO study. American heart journal. 2015. 169(2), 249-256, doi: 10.1016/j.ahj.2014.11.012.
4. Van Zandvoort, L.J., et al., Predictors for clinical outcome of untreated stent edge dissections as detected by optical coherence tomography. Circulation: Cardiovascular Interventions. 2020. 13(3), e008685, doi: 10.1161/CIRCINTERVENTIONS.119.008685
5. Ali, Z.A., et al., Optical coherence tomography compared with intravascular ultrasound and with angiography to guide coronary stent implantation (ILUMIEN III: OPTIMIZE PCI): a randomised controlled trial. The Lancet. 2016. 388(10060), 2618-2628, doi: 10.1016/S01406736(16)31922-5.
6. Buccheri, S., et al., Clinical outcomes following intravascular imaging-guided versus coronary angiography–guided percutaneous coronary intervention with stent implantation: a systematic review and Bayesian network meta-analysis of 31 studies and 17,882 patients. JACC: Cardiovascular Interventions, 2017. 10(24), 2488-2498, doi: 10.1016/j.jcin.2017.08.051.
7. Jones, D.A., et al., Angiography alone versus angiography plus optical coherence tomography to guide percutaneous coronary intervention: outcomes from the Pan-London PCI Cohort. JACC: Cardiovascular Interventions. 2018. 11(14), 1313-1321, doi: 10.1016/j.jcin.2018.01.274.
8. Fujino, A., et al., A new optical coherence tomography-based calcium scoring system to predict stent underexpansion. EuroIntervention: journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology. 2018. 13(18): p. e2182-e2189, doi: 10.4244/EIJ-D-17-00962.