1. The Next Innovation in PCI Is Not a Stent: The Value of Optical Coherence Tomography (OCT)

    The Next Innovation in PCI Is Not a Stent: The Value of Optical Coherence Tomography (OCT)

    For decades, percutaneous coronary intervention (PCI) has largely been guided solely by angiography, despite its well-documented limitations. 1 Angiography offers a two-dimensional view of a three-dimensional structure and does very little to delineate the composition of the coronary artery. Additionally, angiography poorly quantitates the severity and location of calcium, does not provide information about plaque morphology, nor does it provide highly accurate and reproducible lumen sizing. For PCI, the operator is limited by angiography in identifying stent malapposition or under-expansion, edge dissections, or plaque protrusion. In short, we have not been seeing the full story. By providing the highest resolution ...

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