OCT(我的课件).pptVIP

Application of OCT in percutaneous coronary intervention Liu-yingwu content Background Definition and mechanism History OCT Vs IVUS Image identification Application in PCI Summary Background There are lots of methods to detect the lesions of coronary artery For a long time， coronary angiography（CAG） is regarded as the “golden standard ”for a diagnosis of coronary artery disease（CAD） But, in fact…it is not always true Here is an example Definition and mechanism OCT: Optical Coherence Tomography Mechanism: somewhat like Radar near infrared ray week coherent mechanism reflected wave History OCT is clinically used for over ten years ever since its being introduced for medical purpose in 1991 Mainly used in the department of ophthalmology Now is widely used component IVUS Vs OCT IVUS Vs OCT OCT Vs IVUS (1) OCT Vs IVUS (2) OCT Vs IVUS (3) Application in PCI Detect vulnerable Plaque Assessment of instant results of stent implantation Post-stent follow up Application in PCI--- Detect vulnerable Plaque Application in PCI--- Detect vulnerable Plaque OCT can find a tiny fissure of intima Application in PCI--- Detect vulnerable Plaque Application in PCI--- Detect vulnerable Plaque Application in PCI--- Assessment of instant results of stent Application in PCI--- Post-stent follow up Summary OCT gives us more imformation about vessel wall than CAG, assist us to assess the stability of plaque OCT can help us to identify the vulnerable Plaque , detect macrophage , this is helpful for our linical decision, and is superior to IVUS OCT can also provide imformation about instant results and follow-up effects after stent implantation But , it need to blockade the blood stream ,result in myocardium ischemia and not easy to manipulate with a OTW balloon The scaning depth and extent of OCT is inferior to IVUS Perhaps new generation OCT need not blockade blood ,may provide a much brighter future Thin-cap fibroatheroma (TCFA) Possibility to identify