Contribution of the Optical Coherence Tomography in Calcified Lesions
Coronary artery calcification is a complex process found predominantly in the elderly population. Coronary angiography frequently lacks sensitivity to detect, evaluate and quantify these lesions. Yet calcified lesions are considered stable, it remains associated with a higher rate of peri procedural...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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IMR Press
2023-03-01
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| Series: | Reviews in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/RCM/24/3/10.31083/j.rcm2403093 |
| _version_ | 1827980899428335616 |
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| author | Nicolas Combaret Nicolas Amabile Benjamin Duband Pascal Motreff Géraud Souteyrand |
| author_facet | Nicolas Combaret Nicolas Amabile Benjamin Duband Pascal Motreff Géraud Souteyrand |
| author_sort | Nicolas Combaret |
| collection | DOAJ |
| description | Coronary artery calcification is a complex process found predominantly in the elderly population. Coronary angiography frequently lacks sensitivity to detect, evaluate and quantify these lesions. Yet calcified lesions are considered stable, it remains associated with a higher rate of peri procedural complications during percutaneous coronary intervention (PCI) including an increased risk of stent under expansion and struts mal apposition leading to poor clinical outcome. Intracoronary imaging (Intravascular Ultra Sound (IVUS) and Optical Coherence Tomography (OCT)) allows better calcified lesions identification, localization within the coronary artery wall (superficial or deep calcifications), quantification. This lesions characterization allows a better choice of dedicated plaque-preparation tools (modified balloons, rotational or orbital atherectomy, intravascular lithotripsy) that are crucial to achieve optimal PCI results. OCT could also assess the impact of these tools on the calcified plaque morphology (plaque fracture, burring effects…). An OCT-guided tailored PCI strategy for calcified lesions still requires validation by clinical studies which are currently underway. |
| first_indexed | 2024-04-09T22:00:17Z |
| format | Article |
| id | doaj.art-eb15888ae2aa4f229b2497a7f607f236 |
| institution | Directory Open Access Journal |
| issn | 1530-6550 |
| language | English |
| last_indexed | 2024-04-09T22:00:17Z |
| publishDate | 2023-03-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Reviews in Cardiovascular Medicine |
| spelling | doaj.art-eb15888ae2aa4f229b2497a7f607f2362023-03-24T02:12:28ZengIMR PressReviews in Cardiovascular Medicine1530-65502023-03-012439310.31083/j.rcm2403093S1530-6550(23)00903-1Contribution of the Optical Coherence Tomography in Calcified LesionsNicolas Combaret0Nicolas Amabile1Benjamin Duband2Pascal Motreff3Géraud Souteyrand4Cardiology Department, Clermont-Ferrand University Hospital, CNRS, Université d’Auvergne, 63000 Clermont-Ferrand, FranceCardiology Department, Institut Mutualiste Montsouris, 75014 Paris, FranceCardiology Department, Clermont-Ferrand University Hospital, CNRS, Université d’Auvergne, 63000 Clermont-Ferrand, FranceCardiology Department, Clermont-Ferrand University Hospital, CNRS, Université d’Auvergne, 63000 Clermont-Ferrand, FranceCardiology Department, Clermont-Ferrand University Hospital, CNRS, Université d’Auvergne, 63000 Clermont-Ferrand, FranceCoronary artery calcification is a complex process found predominantly in the elderly population. Coronary angiography frequently lacks sensitivity to detect, evaluate and quantify these lesions. Yet calcified lesions are considered stable, it remains associated with a higher rate of peri procedural complications during percutaneous coronary intervention (PCI) including an increased risk of stent under expansion and struts mal apposition leading to poor clinical outcome. Intracoronary imaging (Intravascular Ultra Sound (IVUS) and Optical Coherence Tomography (OCT)) allows better calcified lesions identification, localization within the coronary artery wall (superficial or deep calcifications), quantification. This lesions characterization allows a better choice of dedicated plaque-preparation tools (modified balloons, rotational or orbital atherectomy, intravascular lithotripsy) that are crucial to achieve optimal PCI results. OCT could also assess the impact of these tools on the calcified plaque morphology (plaque fracture, burring effects…). An OCT-guided tailored PCI strategy for calcified lesions still requires validation by clinical studies which are currently underway.https://www.imrpress.com/journal/RCM/24/3/10.31083/j.rcm2403093coronary calcificationoptical coherence tomographyoptical frequency domain imaging - rotational atherectomyorbital atherectomyintravascular lithotripsy |
| spellingShingle | Nicolas Combaret Nicolas Amabile Benjamin Duband Pascal Motreff Géraud Souteyrand Contribution of the Optical Coherence Tomography in Calcified Lesions Reviews in Cardiovascular Medicine coronary calcification optical coherence tomography optical frequency domain imaging - rotational atherectomy orbital atherectomy intravascular lithotripsy |
| title | Contribution of the Optical Coherence Tomography in Calcified Lesions |
| title_full | Contribution of the Optical Coherence Tomography in Calcified Lesions |
| title_fullStr | Contribution of the Optical Coherence Tomography in Calcified Lesions |
| title_full_unstemmed | Contribution of the Optical Coherence Tomography in Calcified Lesions |
| title_short | Contribution of the Optical Coherence Tomography in Calcified Lesions |
| title_sort | contribution of the optical coherence tomography in calcified lesions |
| topic | coronary calcification optical coherence tomography optical frequency domain imaging - rotational atherectomy orbital atherectomy intravascular lithotripsy |
| url | https://www.imrpress.com/journal/RCM/24/3/10.31083/j.rcm2403093 |
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