Study of saline optical coherence tomography–guided percutaneous coronary intervention (SOCT-PCI Study)

Aim: The aim of this study was to evaluate the feasibility of heparinised saline as flushing media for frequency-domain optical coherence tomography (FD-OCT) image acquisition during percutaneous coronary intervention (PCI) optimisation. Methods and results: Twenty-seven patients undergoing FD-OCT–g...

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Main Authors: Nalin K. Mahesh, Ankush Gupta, Parag Barward, Rajesh Vijayvergiya, Prafull Sharma, Ashwin Mahesh
Format: Article
Language:English
Published: Elsevier 2020-07-01
Series:Indian Heart Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0019483220300559
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author Nalin K. Mahesh
Ankush Gupta
Parag Barward
Rajesh Vijayvergiya
Prafull Sharma
Ashwin Mahesh
author_facet Nalin K. Mahesh
Ankush Gupta
Parag Barward
Rajesh Vijayvergiya
Prafull Sharma
Ashwin Mahesh
author_sort Nalin K. Mahesh
collection DOAJ
description Aim: The aim of this study was to evaluate the feasibility of heparinised saline as flushing media for frequency-domain optical coherence tomography (FD-OCT) image acquisition during percutaneous coronary intervention (PCI) optimisation. Methods and results: Twenty-seven patients undergoing FD-OCT–guided PCI were enrolled. Heparinised saline was injected into the coronary during FD-OCT image acquisition. A total of 118 runs were analysed for image quality and diagnostic value. FD-OCT runs were categorised as follows: good runs (GRs), clinically usable runs (CURs) and clinically not usable runs (NURs); GRs and CURs were combined as clinically effective runs (ERs). Saline FD-OCT enabled visualisation of all possible coronary lesions. Of the 118 runs analysed, 61%, 27.1%, 11.9% and 88.1% were GRs, CURs, NURs and ERs, respectively. Sixty-one percent of total runs were left coronary system (LCS) and 39% were right coronary system (RCS) runs. Among LCS runs, 55.6%, 30.6%, 13.8% and 86.2% were GRs, CURs, NURs and ERs, respectively. Among RCS runs, 69.6%, 21.7%, 8.7% and 91.3% were GRs, CURs, NURs and ERs, respectively. Conclusion: This is the first study to demonstrate the technical feasibility of isolated saline FD-OCT for PCI optimisation.
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spelling doaj.art-bd602ed4257e40ae95a8d0d27150493d2022-12-21T19:24:43ZengElsevierIndian Heart Journal0019-48322020-07-01724239243Study of saline optical coherence tomography–guided percutaneous coronary intervention (SOCT-PCI Study)Nalin K. Mahesh0Ankush Gupta1Parag Barward2Rajesh Vijayvergiya3Prafull Sharma4Ashwin Mahesh5Department of Cardiology, Base Hospital Delhi Cantt, New Delhi, IndiaDepartment of Cardiology, Base Hospital Delhi Cantt, New Delhi, India; Corresponding author.Advanced Cardiac Centre, PGIMER, Chandigarh, IndiaAdvanced Cardiac Centre, PGIMER, Chandigarh, IndiaDepartment of Cardiology, Base Hospital Delhi Cantt, New Delhi, IndiaArmy College of Medical Sciences, New Delhi, IndiaAim: The aim of this study was to evaluate the feasibility of heparinised saline as flushing media for frequency-domain optical coherence tomography (FD-OCT) image acquisition during percutaneous coronary intervention (PCI) optimisation. Methods and results: Twenty-seven patients undergoing FD-OCT–guided PCI were enrolled. Heparinised saline was injected into the coronary during FD-OCT image acquisition. A total of 118 runs were analysed for image quality and diagnostic value. FD-OCT runs were categorised as follows: good runs (GRs), clinically usable runs (CURs) and clinically not usable runs (NURs); GRs and CURs were combined as clinically effective runs (ERs). Saline FD-OCT enabled visualisation of all possible coronary lesions. Of the 118 runs analysed, 61%, 27.1%, 11.9% and 88.1% were GRs, CURs, NURs and ERs, respectively. Sixty-one percent of total runs were left coronary system (LCS) and 39% were right coronary system (RCS) runs. Among LCS runs, 55.6%, 30.6%, 13.8% and 86.2% were GRs, CURs, NURs and ERs, respectively. Among RCS runs, 69.6%, 21.7%, 8.7% and 91.3% were GRs, CURs, NURs and ERs, respectively. Conclusion: This is the first study to demonstrate the technical feasibility of isolated saline FD-OCT for PCI optimisation.http://www.sciencedirect.com/science/article/pii/S0019483220300559Optical coherence tomographyPercutaneous coronary interventionSalineContrast-induced nephropathy
spellingShingle Nalin K. Mahesh
Ankush Gupta
Parag Barward
Rajesh Vijayvergiya
Prafull Sharma
Ashwin Mahesh
Study of saline optical coherence tomography–guided percutaneous coronary intervention (SOCT-PCI Study)
Indian Heart Journal
Optical coherence tomography
Percutaneous coronary intervention
Saline
Contrast-induced nephropathy
title Study of saline optical coherence tomography–guided percutaneous coronary intervention (SOCT-PCI Study)
title_full Study of saline optical coherence tomography–guided percutaneous coronary intervention (SOCT-PCI Study)
title_fullStr Study of saline optical coherence tomography–guided percutaneous coronary intervention (SOCT-PCI Study)
title_full_unstemmed Study of saline optical coherence tomography–guided percutaneous coronary intervention (SOCT-PCI Study)
title_short Study of saline optical coherence tomography–guided percutaneous coronary intervention (SOCT-PCI Study)
title_sort study of saline optical coherence tomography guided percutaneous coronary intervention soct pci study
topic Optical coherence tomography
Percutaneous coronary intervention
Saline
Contrast-induced nephropathy
url http://www.sciencedirect.com/science/article/pii/S0019483220300559
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