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A review in enormity of OCT and its enduring understanding of vulnerable plaque in coronary bifurcation lesion

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Abstract

Optical coherence tomography (OCT) has emerged as one of the most promising tools to assist the optimization of percutaneous coronary intervention (PCI). Its ability to provide unique information on the plaque at high risk for rupture, plaque composition, the thickness of the fibrous cap, the presence of macrophage and thrombi has not only assisted simple PCI but also in many complex bifurcation lesions PCI. OCT has helped to provide valuable anatomic information to optimize stent implantation and adapt PCI strategy in individual patients. This review article summarizes the current role of OCT as an imaging technology and prediction of vulnerable plaque, its site and composition at the coronary bifurcation lesions for supporting the clinical decision.

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Authors and Affiliations

  1. Nanjing Medical University, Nanjing, China

    Rajiv Shrestha & Aanchal Shrestha

  2. Nanjing First Hospital, Nanjing Medical University, Nanjing, 210006, China

    Jing Kan & Shaoliang Chen

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  1. Rajiv Shrestha
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  2. Aanchal Shrestha
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  3. Jing Kan
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  4. Shaoliang Chen
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Correspondence to Shaoliang Chen.

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Shrestha, R., Shrestha, A., Kan, J. et al. A review in enormity of OCT and its enduring understanding of vulnerable plaque in coronary bifurcation lesion. Int J Cardiovasc Imaging 34, 1679–1684 (2018). https://doi.org/10.1007/s10554-018-1384-3

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  • DOI: https://doi.org/10.1007/s10554-018-1384-3

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