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Optical coherence tomography in coronary atherosclerosis assessment and intervention

M. Araki 1 S. J. Park 2 H. L. Dauerman 3 S. Uemura 4 J. S. Kim 5 C. Di Mario 6 T. W. Johnson 7 G. Guagliumi 8 A. Kastrati 9, 10 M. Joner 11 N. R. Holm 12 F. Alfonso 13 W. Wijns 14 T. Adriaenssens 15 H. Nef 16 G. Rioufol 17, 18, 19 N. Amabile 20 G. Souteyrand 21 N. Meneveau 22 E. Gerbaud 23 M. P. Opolski 24 N. Gonzalo 25 G. J. Tearney 26 B. Bouma 26 A. D. Aguirre 26 G. S. Mintz 27 G. W. Stone 28 C. V. Bourantas 29, 30 L. Räber 31 S. Gili 32 K. Mizuno 33 S. Kimura 34 T. Shinke 35 M. K. Hong 5 Y. Jang 5 J. M. Cho 36 B. P. Yan 37 I. Porto 38 G. Niccoli 39 R. A. Montone 40 V. Thondapu 26 M. I. Papafaklis 41 L. K. Michalis 41 H. Reynolds 42 J. Saw 43, 44 P. Libby 45 G. Weisz 46, 47 M. Iannaccone 48 T. Gori 49 K. Toutouzas 50 T. Yonetsu 51 Y. Minami 52 M. Takano 53 O. C. Raffel 54 O. Kurihara 53 T. Soeda 55 T. Sugiyama 56 H. O. Kim 36 T. Lee 57 T. Higuma 58 A. Nakajima 26 E. Yamamoto 59 K. L. Bryniarski 60 L. Di Vito 61 R. Vergallo 40 F. Fracassi 40 M. Russo 40 L. M. Seegers 26 I. Mcnulty 26 S. Park 62 M. Feldman 63 J. Escaned 25 F. Prati 64 E. Arbustini 65 F. J. Pinto 66 R. Waksman 67 H. M. Garcia-Garcia 67 A. Maehara 27 Z. Ali 27 A. V. Finn 68 R. Virmani 68 A. S. Kini 28 J. Daemen 69 T. Kume 4 K. Hibi 70 A. Tanaka 71 T. Akasaka 71 T. Kubo 71 S. Yasuda 72 K. Croce 45 J. F. Granada 27 A. Lerman 73 A. Prasad 73 E. Regar 74 Y. Saito 75 M. A. Sankardas 76 V. Subban 76 N. J. Weissman 77 Y. Chen 78 B. Yu 79 S. J. Nicholls 80 P. Barlis 81 N. E. J. West 82 A. Arbab-Zadeh 83 J. C. Ye 84 J. Dijkstra 85 H. Lee 1 J. Narula 28 F. Crea 40 S. Nakamura 86 T. Kakuta 56 J. Fujimoto 87 V. Fuster 28 I. K. Jang 1, 36, * 
* Corresponding author
Abstract : Since optical coherence tomography (OCT) was first performed in humans two decades ago, this imaging modality has been widely adopted in research on coronary atherosclerosis and adopted clinically for the optimization of percutaneous coronary intervention. In the past 10 years, substantial advances have been made in the understanding of in vivo vascular biology using OCT. Identification by OCT of culprit plaque pathology could potentially lead to a major shift in the management of patients with acute coronary syndromes. Detection by OCT of healed coronary plaque has been important in our understanding of the mechanisms involved in plaque destabilization and healing with the rapid progression of atherosclerosis. Accurate detection by OCT of sequelae from percutaneous coronary interventions that might be missed by angiography could improve clinical outcomes. In addition, OCT has become an essential diagnostic modality for myocardial infarction with non-obstructive coronary arteries. Insight into neoatherosclerosis from OCT could improve our understanding of the mechanisms of very late stent thrombosis. The appropriate use of OCT depends on accurate interpretation and understanding of the clinical significance of OCT findings. In this Review, we summarize the state of the art in cardiac OCT and facilitate the uniform use of this modality in coronary atherosclerosis. Contributions have been made by clinicians and investigators worldwide with extensive experience in OCT, with the aim that this document will serve as a standard reference for future research and clinical application.
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Submitted on : Monday, August 22, 2022 - 8:09:42 AM
Last modification on : Monday, August 29, 2022 - 3:40:27 PM


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M. Araki, S. J. Park, H. L. Dauerman, S. Uemura, J. S. Kim, et al.. Optical coherence tomography in coronary atherosclerosis assessment and intervention. Nature Reviews Cardiology, Nature Publishing Group, 2022, Online ahead of print. ⟨10.1038/s41569-022-00687-9⟩. ⟨inserm-03755218⟩



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