The role of optical coherence tomography in the setting of acute myocardial infarction

Yongcheol Kim; Thomas W Johnson; Takashi Akasaka; Myung Ho Jeong

doi:10.1016/j.jjcc.2018.03.004

The role of optical coherence tomography in the setting of acute myocardial infarction

J Cardiol. 2018 Sep;72(3):186-192. doi: 10.1016/j.jjcc.2018.03.004. Epub 2018 Apr 9.

Authors

Yongcheol Kim¹, Thomas W Johnson², Takashi Akasaka³, Myung Ho Jeong⁴

Affiliations

¹ Chonnam National University Hospital, Gwangju, Republic of Korea.
² Bristol Heart Institute, Bristol, United Kingdom.
³ Wakayama Medical University, Wakayama, Japan.
⁴ Chonnam National University Hospital, Gwangju, Republic of Korea. Electronic address: myungho@chollian.net.

PMID: 29650398
DOI: 10.1016/j.jjcc.2018.03.004

Abstract

In recent years, intravascular imaging-guided percutaneous coronary intervention (PCI) has been increasing in patients with acute myocardial infarction (AMI). However, the role of optical coherence tomography (OCT) has not been established in the setting of AMI despite OCT providing superior resolution (10μm axial resolution) and facilitating assessment of baseline lesion characteristics and post-intervention evaluation of the acute result of stent implantation, including visualization of procedural dissections, malapposition, tissue prolapse, and thrombus. We provide an overview of the potential benefits of OCT-guidance in various situations of AMI.

Keywords: Myocardial infarction; Optical coherence tomography; Percutaneous coronary intervention.

Publication types

Review

MeSH terms

Aged
Female
Humans
Male
Middle Aged
Myocardial Infarction / diagnostic imaging*
Myocardial Infarction / surgery
Percutaneous Coronary Intervention / methods*
Surgery, Computer-Assisted / methods*
Tomography, Optical Coherence / methods*
Treatment Outcome