OCT Guidance in Bifurcation Percutaneous Coronary Intervention

Coronary bifurcation is defined by the European Bifurcation Consensus as a coronary artery stenosis adjacent to the origin of a significant side branch. Its anatomy is composed of 3 different segments: proximal main vessel, distal main vessel and side branch. Coronary artery bifurcation lesions are...

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Bibliographic Details
Published in:Reviews in cardiovascular medicine 2023-03, Vol.24 (3), p.88
Main Authors: Moulias, Athanasios, Koros, Rafail, Papageorgiou, Angeliki, Patrinos, Panagiotis, Spyropoulou, Panagiota, Vakka, Angeliki, Bozika, Maria, Vasilagkos, Georgios, Apostolos, Anastasios, Nastouli, Kassiani-Maria, Tsigkas, Grigorios, Davlouros, Periklis
Format: Article
Language:English
Subjects:
bifurcation lesion
optical coherence tomography
percutaneous coronary intervention
Review
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Summary:Coronary bifurcation is defined by the European Bifurcation Consensus as a coronary artery stenosis adjacent to the origin of a significant side branch. Its anatomy is composed of 3 different segments: proximal main vessel, distal main vessel and side branch. Coronary artery bifurcation lesions are encountered in approximately 15-20% of all percutaneous coronary interventions and constitute a complex subgroup of lesions characterized by lower procedural success rates and higher rates of adverse outcomes. In recent years, a growing focus in the European and Japanese bifurcation club meetings has been the emerging role of intravascular imaging, in guiding successful bifurcation percutaneous coronary interventions (PCI). In this review we will present the main ways optical coherence tomography (OCT) can be used to improve outcomes during bifurcation PCI.
ISSN:1530-6550
2153-8174
1530-6550
2153-8174
DOI:10.31083/j.rcm2403088