Clinical use of optical coherence tomography during percutaneous coronary intervention and coronary procedures in Southeast Asia: a survey-based expert consensus summary
Issued Date
2023-01-01
Resource Type
ISSN
24263958
eISSN
24910929
Scopus ID
2-s2.0-85153929537
Journal Title
AsiaIntervention
Volume
9
Issue
1
Start Page
25
End Page
31
Rights Holder(s)
SCOPUS
Bibliographic Citation
AsiaIntervention Vol.9 No.1 (2023) , 25-31
Suggested Citation
Low A.F., Wongpraparut N., Chunhamaneewat N., Jeamanukoolkit A., Lee T.J., Lee Z.V., Chen T.T., Ho H.H., Rajagopal R., Yahya A.F., Kaur R., Narang M., West N.E.J. Clinical use of optical coherence tomography during percutaneous coronary intervention and coronary procedures in Southeast Asia: a survey-based expert consensus summary. AsiaIntervention Vol.9 No.1 (2023) , 25-31. 31. doi:10.4244/AIJ-D-22-00059 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/82489
Title
Clinical use of optical coherence tomography during percutaneous coronary intervention and coronary procedures in Southeast Asia: a survey-based expert consensus summary
Other Contributor(s)
Abstract
Optical coherence tomography (OCT), an established intravascular imaging technique, enables rapid acquisition of high-resolution images during invasive coronary procedures to assist physician decision-making. OCT has utility in identifying plaque/lesion morphology (e.g., thrombus, degree of calcification, and presence of lipid) and vessel geometry (lesion length and vessel diameter) and in guiding stent optimisation through identification of malapposition and underexpansion. The use of OCT guidance during percutaneous coronary interventions (PCI) has demonstrated improved procedural and clinical outcomes in longitudinal registries, although randomised controlled trial data remain pending. Despite growing data and guideline endorsement to support OCT guidance during PCI, its use in different countries is not well established. This article is based on an advisory panel meeting that included experts from Southeast Asia (SEA) and is aimed at understanding the current clinical utility of intracoronary imaging and OCT, assessing the barriers and enablers of imaging and OCT adoption, and mapping a path for the future of intravascular imaging in SEA. This is the first Southeast Asian consensus that provides insights into the use of OCT from a clinician’s point of view.