OCT

Optical Coherence Tomography

Optical Coherence Tomography (OCT) is a diagnostic procedure that uses near-infrared light to create images of the inside of the coronary arteries. The technique delivers very high-resolution images.

Procedure

A beam of light directed at the artery gets reflected & scattered
  • Scattered light causes glare, which OCT filters off
  • Small amounts of reflected light that does not get scattered can be detected
  • Used to form the image of coronary artery
  • Cardiogists can see detailed inside view of artery

Applications

Assessing the plaque formed
  • Stent struts coverage
  • Stent apposition assessment
  • Stent restenosis evaluation
  • PCI guide & optimization

OCT in PCI procedure planning

  • Lesion Preparation
  • Stent Selection
  • Stent optimization
  • Edge Dissections & Tissue Prolapse
  • Stent Malapposition
  • Stent Expansion

Indication

  • PCI guidance
  • Delayed Stent complications

Complications (Theoretical)

  • Myocardial Infraction
  • Arrhythmia
  • Coronary dissection
  • Contrast induced nephropathy

Contraindications

  • Caution in any severe stenosis
  • Severe or anaphylactic reaction to iodinated contrast
  • Hemodynamic instability
  • Decompensated heart failure
  • Renal impairment