Long-term consequences of optical coherence tomography findings during percutaneous coronary intervention

Quale ruolo della tomografia a coerenza ottica intraoperatoria (OCT) sull'esito clinico a lungo termine degli interventi coronarici percutanei (PCI)? (EuroIntervention 2018 Apr 10)

12 April Apr 2018 4 months ago
  • Fabbiocchi F

In the context of the multicenter Centro per la Lotta contro l'Infarto-Optimisation of Percutaneous Coronary Intervention (CLI-OPCI) registry, the Authors of the Centro per la Lotta contro l'Infarto - Optimization of Percutaneous Coronary Intervention (CLI-OPCI) late study compared long-term PCI outcome of 1,211 patients from 13 independent OCT-experienced centers according to end-procedural OCT findings.

OCT assessment revealed suboptimal stent implantation in 30.9% of lesions, with increased prevalence in patients experiencing device-oriented cardiovascular events (DoCE) (52.8% vs. 28.0%, p<0.001).

Suboptimal stent deployment, defined according to specific quantitative Optical Coherence Tomography (OCT) criteria, was confirmed as independent outcome predictor at long-term follow-up.

Reference
1. Prati F, Romagnoli E, La Manna A, Burzotta F, Gatto L, Marco V, Fineschi M, Fabbiocchi F, Versaci F, Trani C, Tamburino C, Alfonso F, Mintz GS. Long-term consequences of optical coherence tomography findings during percutaneous coronary intervention: the centro per la lotta contro l'infarto - optimization of percutaneous coronary intervention (cli-opci) late study. EuroIntervention 2018 Apr 10. pii: EIJ-D-17-01111. doi: 10.4244/EIJ-D-17-01111. [Epub ahead of print] Go to PubMed