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Intravascular OCT

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Optical Coherence Tomography

Abstract

Since the first coronary angioplasty was performed in the late 1970s, imaging has played a central role in percutaneous coronary intervention (PCI). Today more than three million PCI procedures are performed worldwide to expand narrowed arteries and to clear blood clots that can cause debilitating symptoms of myocardial ischemia or fatal heart attacks. Although X-ray angiography is still the workhorse imaging modality in the field of interventional cardiology, intravascular imaging has become an indispensable tool for guiding complex PCI procedures. Intravascular ultrasound (IVUS) and optical coherence tomography (OCT) are the two most commonly used catheter-based imaging technologies in coronary procedures. Since the first commercial intravascular OCT systems were introduced in Japan and the European Union in 2004 and in the United States in 2009, the application of intravascular OCT has grown rapidly [3, 15, 16].

This chapter begins by outlining the motivation for the development of intravascular imaging technologies and tracing the evolution of intravascular OCT technology. The basics of OCT image acquisition and interpretation are discussed next in the context of current clinical applications of intracoronary OCT. The chapter ends with a summary of the trends in the field that likely to influence the future of intravascular OCT technology.

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Authors and Affiliations

  1. St. Jude Medical, Westford, MA, USA

    Joseph M. Schmitt, Desmond Adler & Chenyang Xu

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  1. Joseph M. Schmitt
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  2. Desmond Adler
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Correspondence to Joseph M. Schmitt .

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Editors and Affiliations

  1. Center for Medical Physics and Biomedical Engineering, Medical University Vienna, General Hospital Vienna, Vienna, Austria

    Wolfgang Drexler

  2. Department of Electrical Engineering and Computer Science and Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA

    James G. Fujimoto

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Schmitt, J.M., Adler, D., Xu, C. (2015). Intravascular OCT. In: Drexler, W., Fujimoto, J. (eds) Optical Coherence Tomography. Springer, Cham. https://doi.org/10.1007/978-3-319-06419-2_74

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