1. Optical coherence tomography: guided primary percutaneous coronary intervention in acute myocardial infarction. A bridge too far?

    Optical coherence tomography: guided primary percutaneous coronary intervention in acute myocardial infarction. A bridge too far?

    Primary percutaneous coronary intervention (PCI) is associated with a certain risk of post-procedural ischemic complications. Therefore, stent implantation technique in the acute myocardial infarction settings should be optimal to improve short- and long-term clinical outcomes. Optical coherence tomography (OCT) is a light-based imaging modality with an excellent resolution that enables in vivo visualization of the coronary artery structures reported only by the pathohistological studies. Consequently, OCT should help the operator in decision-making throughout the whole primary PCI procedure. OCT seems particularly useful in evaluating culprit lesions, assessing thrombus burden, selecting a proper stent type and size, optimizing the post-implantation result ...

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