Intracoronary Optical Coherence Tomography: Technological Innovations and Clinical Implications in Cardiology.

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Treatment Options in Cardiovascular Medicine Pub Date : 2025-01-01 Epub Date: 2025-07-24 DOI:10.1007/s11936-025-01103-4

Yuchen Jiang, Jingyi Wang, Raksha Sreeramachandra Murthy, Pranav Patel, Zhongping Chen

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引用次数: 0

Abstract

Purpose of review: To provide the most up-to-date clinical evidence of intracoronary optical coherence tomography (OCT), and clinical implications to guide future imaging research in cardiology.

Recent findings: Intracoronary OCT has demonstrated advanced system performance and high reproducibility in analyzing atherosclerotic lesions. It is an attractive tool due to its capability for functional classification and superior imaging resolution, enabling precise and reliable tissue assessments. Compared to traditional angiography, OCT has been associated with improved long-term clinical outcomes and serves as an effective tool for optimizing stent selection and post-intervention evaluation. The development of OCT variations and the combination of various intravascular imaging modalities further enhance its diagnostic capabilities, allowing a comprehensive assessment of complex vulnerable lesions and improving risk stratification for patients.

Summary: Current and evolving system development presents a hopeful path for treating coronary artery disease by addressing the challenges of the intracoronary OCT technique. Future studies focusing on utilizing OCT system extensions, integrated multimodality imaging systems, and Artificial Intelligence (AI) derived image analysis will improve clinical endpoints and streamline the process.

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冠状动脉内光学相干断层扫描：技术创新和心脏病学的临床意义。

综述目的：提供最新的冠状动脉内光学相干断层扫描（OCT）的临床证据，以及指导未来心脏病学成像研究的临床意义。最近发现：冠状动脉内OCT在分析动脉粥样硬化病变方面表现出先进的系统性能和高重复性。由于其功能分类能力和优越的成像分辨率，它是一种有吸引力的工具，可以进行精确可靠的组织评估。与传统血管造影相比，OCT与改善的长期临床结果相关，并可作为优化支架选择和干预后评估的有效工具。OCT变化的发展和各种血管内成像模式的结合进一步增强了其诊断能力，允许对复杂易损病变进行全面评估，并改善患者的风险分层。总结：当前和不断发展的系统发展通过解决冠状动脉内OCT技术的挑战，为治疗冠状动脉疾病提供了一条有希望的途径。未来的研究重点是利用OCT系统扩展、集成多模态成像系统和人工智能（AI）衍生的图像分析，将改善临床终点并简化过程。

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来源期刊

Current Treatment Options in Cardiovascular Medicine Medicine-Cardiology and Cardiovascular Medicine

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： This journal aims to review the most important, recently published treatment-related advances in cardiovascular medicine. By providing clear, insightful, balanced contributions by international experts, the journal intends to elucidate novel approaches to treatment in those affected by the spectrum of cardiovascular-related diseases and conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as coronary artery disease, cerebrovascular disease and stroke, heart failure, pediatric and congenital heart disease, and valvular, myocardial, pericardial, and cardiopulmonary diseases. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research.