Techniques and best practices for optical coherence tomography: a practical manual for interventional cardiologists

Catheter Cardiovasc Interv. 2014 Nov 1;84(5):687-99. doi: 10.1002/ccd.25500. Epub 2014 May 3.

Abstract

Optical coherence tomography (OCT) is a novel intracoronary imaging modality that utilizes near-infrared light to provide information regarding lesion length and severity, vessel lumen diameter, plaque morphology, as well as the opportunity for stent procedure guidance and follow-up. While analogous to intravascular ultrasound (IVUS), the specific imaging properties, including significantly higher resolution, and technical specifications of OCT offer the ability for intracoronary diagnostic and interventional procedure guidance roles that require a thorough understanding of the technology. We provide coronary interventionalist's a user's guide to OCT, focusing on techniques and approaches to optimize imaging, with a focus on efficiency, safety and strategies for effective imaging.

Keywords: coronary atherosclerosis; coronary intervention; intravascular imaging.

Publication types

  • Review

MeSH terms

  • Angioplasty, Balloon, Coronary / methods
  • Cardiology / standards
  • Coronary Stenosis / diagnosis*
  • Coronary Stenosis / therapy
  • Female
  • Humans
  • Male
  • Practice Guidelines as Topic
  • Radiography, Interventional / methods*
  • Radiography, Interventional / standards
  • Sensitivity and Specificity
  • Stents*
  • Tomography, Optical Coherence / methods*
  • Tomography, Optical Coherence / standards