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Real-time optical coherence tomography coregistration with angiography in percutaneous coronary intervention-impact on physician decision-making: The OPTICO-integration study

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Real-time optical coherence tomography coregistration with angiography in percutaneous coronary intervention-impact on physician decision-making: The OPTICO-integration study. / Leistner, David M; Riedel, Matthias; Steinbeck, Lisa; Stähli, Barbara E; Fröhlich, Georg M; Lauten, Alexander; Skurk, Carsten; Mochmann, Hans-Christian; Lübking, Laura; Rauch-Kröhnert, Ursula; Schnabel, Renate B; Westermann, Dirk; Blankenberg, Stefan; Landmesser, Ulf.

In: CATHETER CARDIO INTE, Vol. 92, No. 1, 07.2018, p. 30-37.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Leistner, DM, Riedel, M, Steinbeck, L, Stähli, BE, Fröhlich, GM, Lauten, A, Skurk, C, Mochmann, H-C, Lübking, L, Rauch-Kröhnert, U, Schnabel, RB, Westermann, D, Blankenberg, S & Landmesser, U 2018, 'Real-time optical coherence tomography coregistration with angiography in percutaneous coronary intervention-impact on physician decision-making: The OPTICO-integration study', CATHETER CARDIO INTE, vol. 92, no. 1, pp. 30-37. https://doi.org/10.1002/ccd.27313

APA

Leistner, D. M., Riedel, M., Steinbeck, L., Stähli, B. E., Fröhlich, G. M., Lauten, A., Skurk, C., Mochmann, H-C., Lübking, L., Rauch-Kröhnert, U., Schnabel, R. B., Westermann, D., Blankenberg, S., & Landmesser, U. (2018). Real-time optical coherence tomography coregistration with angiography in percutaneous coronary intervention-impact on physician decision-making: The OPTICO-integration study. CATHETER CARDIO INTE, 92(1), 30-37. https://doi.org/10.1002/ccd.27313

Vancouver

Leistner DM, Riedel M, Steinbeck L, Stähli BE, Fröhlich GM, Lauten A et al. Real-time optical coherence tomography coregistration with angiography in percutaneous coronary intervention-impact on physician decision-making: The OPTICO-integration study. CATHETER CARDIO INTE. 2018 Jul;92(1):30-37. https://doi.org/10.1002/ccd.27313

Bibtex

@article{340e136b6ca4470eba7c944f48297722,
title = "Real-time optical coherence tomography coregistration with angiography in percutaneous coronary intervention-impact on physician decision-making: The OPTICO-integration study",
abstract = "AIMS: Intracoronary optical coherence tomography (OCT) imaging allows for high-resolution characterization of coronary lesions. Difficulties in matching cross-sectional OCT-images with angiographic lesion localization may limit optimal clinical utilization. We sought to prospectively assess the impact of a novel system of real-time OCT coregistration with angiography (ACR) on physician decision-making during percutaneous coronary interventions (PCI).METHODS AND RESULTS: Strategy for PCI (stent - length, - diameter, - strategy, landing zone) and PCI-optimization (stent-malappostion, -underexpansion, edge-dissections, geographical mismatch) was prospectively assessed in 50 patients with 58 coronary lesions after (I) angiography, (II) OCT imaging, and (III) ACR. Preprocedural OCT imaging altered stent-length (58.9%), diameter (33.9%), and PCI-strategy (12.5%) in 40 (71.4%) lesions. The use of ACR resulted in additional changes in PCI strategy in 40.7% of mostly complex lesions in comparison to OCT imaging alone and involved mainly device landing zone (24.1%) and stent length (22.2%). Postprocedural OCT imaging revealed the need for PCI optimization in 52.2% of the lesions, whereas post-procedural ACR had no further impact.CONCLUSIONS: Real-time OCT ACR had significant impact on PCI strategy, favoring mainly complete lesion coverage especially in complex lesions.",
keywords = "Aged, Aged, 80 and over, Clinical Decision-Making, Coronary Angiography, Coronary Stenosis/diagnostic imaging, Coronary Vessels/diagnostic imaging, Female, Humans, Male, Middle Aged, Multimodal Imaging, Patient Selection, Percutaneous Coronary Intervention, Pilot Projects, Predictive Value of Tests, Prospective Studies, Radiographic Image Interpretation, Computer-Assisted, Severity of Illness Index, Tomography, Optical Coherence",
author = "Leistner, {David M} and Matthias Riedel and Lisa Steinbeck and St{\"a}hli, {Barbara E} and Fr{\"o}hlich, {Georg M} and Alexander Lauten and Carsten Skurk and Hans-Christian Mochmann and Laura L{\"u}bking and Ursula Rauch-Kr{\"o}hnert and Schnabel, {Renate B} and Dirk Westermann and Stefan Blankenberg and Ulf Landmesser",
note = "{\textcopyright} 2017 Wiley Periodicals, Inc.",
year = "2018",
month = jul,
doi = "10.1002/ccd.27313",
language = "English",
volume = "92",
pages = "30--37",
journal = "CATHETER CARDIO INTE",
issn = "1522-1946",
publisher = "Wiley-Liss Inc.",
number = "1",

}

RIS

TY - JOUR

T1 - Real-time optical coherence tomography coregistration with angiography in percutaneous coronary intervention-impact on physician decision-making: The OPTICO-integration study

AU - Leistner, David M

AU - Riedel, Matthias

AU - Steinbeck, Lisa

AU - Stähli, Barbara E

AU - Fröhlich, Georg M

AU - Lauten, Alexander

AU - Skurk, Carsten

AU - Mochmann, Hans-Christian

AU - Lübking, Laura

AU - Rauch-Kröhnert, Ursula

AU - Schnabel, Renate B

AU - Westermann, Dirk

AU - Blankenberg, Stefan

AU - Landmesser, Ulf

N1 - © 2017 Wiley Periodicals, Inc.

PY - 2018/7

Y1 - 2018/7

N2 - AIMS: Intracoronary optical coherence tomography (OCT) imaging allows for high-resolution characterization of coronary lesions. Difficulties in matching cross-sectional OCT-images with angiographic lesion localization may limit optimal clinical utilization. We sought to prospectively assess the impact of a novel system of real-time OCT coregistration with angiography (ACR) on physician decision-making during percutaneous coronary interventions (PCI).METHODS AND RESULTS: Strategy for PCI (stent - length, - diameter, - strategy, landing zone) and PCI-optimization (stent-malappostion, -underexpansion, edge-dissections, geographical mismatch) was prospectively assessed in 50 patients with 58 coronary lesions after (I) angiography, (II) OCT imaging, and (III) ACR. Preprocedural OCT imaging altered stent-length (58.9%), diameter (33.9%), and PCI-strategy (12.5%) in 40 (71.4%) lesions. The use of ACR resulted in additional changes in PCI strategy in 40.7% of mostly complex lesions in comparison to OCT imaging alone and involved mainly device landing zone (24.1%) and stent length (22.2%). Postprocedural OCT imaging revealed the need for PCI optimization in 52.2% of the lesions, whereas post-procedural ACR had no further impact.CONCLUSIONS: Real-time OCT ACR had significant impact on PCI strategy, favoring mainly complete lesion coverage especially in complex lesions.

AB - AIMS: Intracoronary optical coherence tomography (OCT) imaging allows for high-resolution characterization of coronary lesions. Difficulties in matching cross-sectional OCT-images with angiographic lesion localization may limit optimal clinical utilization. We sought to prospectively assess the impact of a novel system of real-time OCT coregistration with angiography (ACR) on physician decision-making during percutaneous coronary interventions (PCI).METHODS AND RESULTS: Strategy for PCI (stent - length, - diameter, - strategy, landing zone) and PCI-optimization (stent-malappostion, -underexpansion, edge-dissections, geographical mismatch) was prospectively assessed in 50 patients with 58 coronary lesions after (I) angiography, (II) OCT imaging, and (III) ACR. Preprocedural OCT imaging altered stent-length (58.9%), diameter (33.9%), and PCI-strategy (12.5%) in 40 (71.4%) lesions. The use of ACR resulted in additional changes in PCI strategy in 40.7% of mostly complex lesions in comparison to OCT imaging alone and involved mainly device landing zone (24.1%) and stent length (22.2%). Postprocedural OCT imaging revealed the need for PCI optimization in 52.2% of the lesions, whereas post-procedural ACR had no further impact.CONCLUSIONS: Real-time OCT ACR had significant impact on PCI strategy, favoring mainly complete lesion coverage especially in complex lesions.

KW - Aged

KW - Aged, 80 and over

KW - Clinical Decision-Making

KW - Coronary Angiography

KW - Coronary Stenosis/diagnostic imaging

KW - Coronary Vessels/diagnostic imaging

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Multimodal Imaging

KW - Patient Selection

KW - Percutaneous Coronary Intervention

KW - Pilot Projects

KW - Predictive Value of Tests

KW - Prospective Studies

KW - Radiographic Image Interpretation, Computer-Assisted

KW - Severity of Illness Index

KW - Tomography, Optical Coherence

U2 - 10.1002/ccd.27313

DO - 10.1002/ccd.27313

M3 - SCORING: Journal article

C2 - 28940997

VL - 92

SP - 30

EP - 37

JO - CATHETER CARDIO INTE

JF - CATHETER CARDIO INTE

SN - 1522-1946

IS - 1

ER -