Abstract

MACIAS, Enrico et al. Tomografía de coherencia óptica: Bases y aplicaciones de una nueva técnica de imagen intravascular. Arch. Cardiol. Méx. [online]. 2013, vol.83, n.2, pp.112-119. ISSN 1665-1731.  https://doi.org/10.1016/j.acmx.2013.01.009.

Coronary angiography is the reference technique for the diagnosis of coronary  disease. However, the majority of acute coronary syndromes involve angiographically non- significant lesions. It is also the technique of choice for guiding the implantation of endovascular  prostheses and their later monitoring. Optical coherence tomography is an interferometric  imaging technique that penetrates tissue approximately 2-3 mm and provides axial and lateral resolution. It is able to distinguish different tissue types, such as fibrous, lipid-rich, necrotic, or calcified tissue. Optical coherence tomography is able to recognize a variety of features of athe- rosclerotic plaques that have been associated with rapid lesion progression and clinical events, such as thin cap fibroatheroma, fibrous cap thickness, dense macrophage infiltration, and thrombus formation. Currently, there is growing interest in the value of optical coherence tomography in the area of coronary intervention, where the technique offers significant advantages over more widespread intravascular diagnostic techniques such as intravascular ultrasound. Its higher resolution permits to recognize periprocedural complications, such as microdissection of the coronary artery, stent malapposition, and neointimal hiperplasia, making this tool one of the most promising techniques in the intravascular diagnosis.

Keywords : Optical coherence tomography; Intravascular imaging; Coronary intervention; Spain.

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