Skip to main content
SpringerLink
Log in

Assessment of coronary stent by optical coherence tomography, methodology and definitions

  • Original Paper
  • Published:
The International Journal of Cardiovascular Imaging Aims and scope Submit manuscript

Abstract

Optical coherence tomography has emerged as a powerful tool for stent assessment, and in a short time, has become the modality of choice for studying stent and vascular interactions in vivo. In this review, we discuss qualitative and quantitative parameters used for stent assessment by OCT. Various qualitative/quantitative variables of stent assessment are discussed in the perspective of the clinical and research values of each of them.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Bezerra HG et al (2009) Intracoronary optical coherence tomography: a comprehensive review clinical and research applications. JACC Cardiovasc Interv 2(11):1035–1046

    Article  PubMed  Google Scholar 

  2. Gonzalo N et al (2009) Reproducibility of quantitative optical coherence tomography for stent analysis. EuroIntervention 5(2):224–232

    Article  PubMed  Google Scholar 

  3. Rosenthal N et al. (2009) Comparison of intravascular ultrasound and optical coherence tomography for the evaluation of stent segment malapposition. J Am Coll Cardiol 53(A1–A99 (supplement))

    Google Scholar 

  4. Suzuki Y et al (2008) In vivo comparison between optical coherence tomography and intravascular ultrasound for detecting small degrees of in-stent neointima after stent implantation. JACC Cardiovasc Interv 1(2):168–173

    Article  PubMed  Google Scholar 

  5. Guagliumi G et al (2010) Optical coherence tomography assessment of in vivo vascular response after implantation of overlapping bare-metal and drug-eluting stents. JACC Cardiovasc Interv 3(5):531–539

    Article  PubMed  Google Scholar 

  6. Guagliumi G et al (2010) Strut coverage and vessel wall response to zotarolimus-eluting and bare-metal stents implanted in patients with ST-segment elevation myocardial infarction: the OCTAMI (Optical coherence tomography in acute myocardial infarction) study. JACC Cardiovasc Interv 3(6):680–687

    Article  PubMed  Google Scholar 

  7. Guagliumi G et al (2010) Strut coverage and vessel wall response to a new-generation paclitaxel-eluting stent with an ultrathin biodegradable abluminal polymer: optical coherence tomography drug-eluting stent investigation (OCTDESI). Circ Cardiovasc Interv 3(4):367–375

    Article  PubMed  CAS  Google Scholar 

  8. Guagliumi G, Sirbu V (2008) Optical coherence tomography: high resolution intravascular imaging to evaluate vascular healing after coronary stenting. Catheter Cardiovasc Interv 72(2):237–247

    Article  PubMed  Google Scholar 

  9. Takarada S et al (2010) Advantage of next-generation frequency-domain optical coherence tomography compared with conventional time-domain system in the assessment of coronary lesion. Catheter Cardiovasc Interv 75(2):202–206

    Article  PubMed  Google Scholar 

  10. Capodanno D et al (2009) Comparison of optical coherence tomography and intravascular ultrasound for the assessment of in-stent tissue coverage after stent implantation. EuroIntervention 5(5):538–543

    Article  PubMed  Google Scholar 

  11. Suzuki N et al. (2010) The impact of an eccentric intravascular image wire during coronary optical coherence tomography imaging. EuroIntervention (in press)

  12. Onuma Y et al. (2010) Intracoronary optical coherence tomography and histology at 1 month and 2, 3, and 4 years after implantation of everolimus-eluting bioresorbable vascular scaffolds in a porcine coronary artery model. An attempt to decipher the human optical coherence tomography images in the ABSORB trial. Circulation

  13. Kasaoka S et al (1998) Angiographic and intravascular ultrasound predictors of in-stent restenosis. J Am Coll Cardiol 32(6):1630–1635

    Article  PubMed  CAS  Google Scholar 

  14. Fujii K et al (2005) Stent underexpansion and residual reference segment stenosis are related to stent thrombosis after sirolimus-eluting stent implantation: an intravascular ultrasound study. J Am Coll Cardiol 45(7):995–998

    Article  PubMed  CAS  Google Scholar 

  15. Yamaguchi T et al (2008) Safety and feasibility of an intravascular optical coherence tomography image wire system in the clinical setting. Am J Cardiol 101(5):562–567

    Article  PubMed  Google Scholar 

  16. Tahara S et al (2011) In vitro validation of new Fourier-domain optical coherence tomography. EuroIntervention 6(7):875–882

    Google Scholar 

  17. Murata A et al (2010) Accuracy of optical coherence tomography in the evaluation of neointimal coverage after stent implantation. JACC Cardiovasc Imaging 3(1):76–84

    Article  PubMed  Google Scholar 

  18. Bezerra HG et al. (2009) Unraveling the lack of Neointimal hyperplasia detected by intravascular ultrasound using optical coherence tomography: lack of spatial resolution or a true biological effect? J Am Coll Cardiol 10 (Suppl A):90A

  19. Farb A et al (2003) Pathological mechanisms of fatal late coronary stent thrombosis in humans. Circulation 108(14):1701–1706

    Article  PubMed  Google Scholar 

  20. Gonzalo N et al (2009) Optical coherence tomography assessment of the acute effects of stent implantation on the vessel wall: a systematic quantitative approach. Heart 95(23):1913–1919

    Article  PubMed  CAS  Google Scholar 

  21. Futamatsu H et al (2006) Characterization of plaque prolapse after drug-eluting stent implantation in diabetic patients: a three-dimensional volumetric intravascular ultrasound outcome study. J Am Coll Cardiol 48(6):1139–1145

    Article  PubMed  Google Scholar 

  22. Kim SW et al (2006) Frequency and severity of plaque prolapse within Cypher and Taxus stents as determined by sequential intravascular ultrasound analysis. Am J Cardiol 98(9):1206–1211

    Article  PubMed  Google Scholar 

  23. Farb A et al (1999) Pathology of acute and chronic coronary stenting in humans. Circulation 99(1):44–52

    PubMed  CAS  Google Scholar 

  24. Kume T et al (2006) Assessment of coronary arterial thrombus by optical coherence tomography. Am J Cardiol 97(12):1713–1717

    Article  PubMed  Google Scholar 

  25. Kubo T et al (2007) Assessment of culprit lesion morphology in acute myocardial infarction: ability of optical coherence tomography compared with intravascular ultrasound and coronary angioscopy. J Am Coll Cardiol 50(10):933–939

    Article  PubMed  Google Scholar 

  26. Finn AV et al (2007) Pathological correlates of late drug-eluting stent thrombosis: strut coverage as a marker of endothelialization. Circulation 115(18):2435–2441

    Article  PubMed  Google Scholar 

  27. Cook S et al (2007) Incomplete stent apposition and very late stent thrombosis after drug-eluting stent implantation. Circulation 115(18):2426–2434

    Article  PubMed  CAS  Google Scholar 

  28. Caldera AE et al (2009) Endovascular therapy for left main compression syndrome. Case report and literature review. Chest 135(6):1648–1650

    Article  PubMed  Google Scholar 

  29. Ishigami K et al (2009) Long-term follow-up of neointimal coverage of sirolimus-eluting stents–evaluation with optical coherence tomography. Circ J 73(12):2300–2307

    Article  PubMed  Google Scholar 

  30. Miyoshi N et al (2010) Comparison by optical coherence tomography of paclitaxel-eluting stents with sirolimus-eluting stents implanted in one coronary artery in one procedure.—6-month follow-up. Circ J 74(5):903–908

    Article  PubMed  Google Scholar 

  31. Kim JS et al (2009) Evaluation in 3 months duration of neointimal coverage after zotarolimus-eluting stent implantation by optical coherence tomography: the ENDEAVOR OCT trial. JACC Cardiovasc Interv 2(12):1240–1247

    Article  PubMed  Google Scholar 

  32. Tamburino C et al (2009) First-in-man 1-year clinical outcomes of the Catania coronary stent system with nanothin polyzene-F in de novo native coronary artery lesions: the ATLANTA (Assessment of the Latest non-thrombogenic angioplasty stent) trial. JACC Cardiovasc Interv 2(3):197–204

    Article  PubMed  Google Scholar 

  33. Bezerra HG et al. (2009) Determining the optimal cross-sectional analysis interval for OCT assessment of coronary stenting. Circulation 120:S1000(Supplement)

  34. Terashima M et al (2009) Accuracy and reproducibility of stent-strut thickness determined by optical coherence tomography. J Invasive Cardiol 21(11):602–605

    PubMed  Google Scholar 

  35. Kyono H et al (2010) Optical coherence tomography (OCT) strut-level analysis of drug-eluting stents (DES) in human coronary bifurcations. EuroIntervention 6(1):69–77

    Article  PubMed  Google Scholar 

  36. Okamura T, Serruys PW, Regar E (2010) Three-dimensional visualization of intracoronary thrombus during stent implantation using the second generation, Fourier domain optical coherence tomography. Eur Heart J 31(5):625

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Harrington-McLaughlin Heart and Vascular Institute, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA

    Emile Aziz Mehanna, Guilherme Ferragut Attizzani, Hiroyuki Kyono, Michael Hake & Hiram Grando Bezerra

Authors
  1. Emile Aziz Mehanna
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Guilherme Ferragut Attizzani
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hiroyuki Kyono
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Michael Hake
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Hiram Grando Bezerra
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hiram Grando Bezerra.

Additional information

Hiram G Bezerra received honoraria grant from St. Jude Medical.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mehanna, E.A., Attizzani, G.F., Kyono, H. et al. Assessment of coronary stent by optical coherence tomography, methodology and definitions. Int J Cardiovasc Imaging 27, 259–269 (2011). https://doi.org/10.1007/s10554-010-9793-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10554-010-9793-y

Keywords

Search

Navigation