光学相干断层成像技术在冠状动脉介入诊疗中的应用

随着经皮冠状动脉介入（PCI）技术的不断发展,血管内成像技术在冠状动脉疾病临床诊疗中正发挥日益重要的作用。光学相干断层成像技术（OCT）作为新一代血管内成像技术,它可以提供更高分辨率的图像以及接近显微水平的斑块特性,支架内再狭窄,血栓特征等细节,而这又决定它可以更好地预测急性冠脉综合症的发生以及更准确的识别其病因。目前,有研究表明OCT对PCI手术的优化及对支架内皮化、新生内膜增生的评价可以改善及预判临床预后,相信随着OCT技术的进一步发展,它在冠状动脉疾病临床诊疗中的应用的广度及深度将会显著增加,将发挥越来越重要的作用。

Application of optical coherence tomography in coronary intervention

With the development of percutaneous coronary intervention, intravascular imaging has played an increasingly important role in the clinical diagnosis and treatment of coronary artery disease. Optical coherence tomography (OCT), is a new generation of intravascular imaging technology, and can provide higher resolution images and near microscopic details of plaques, stent restenosis and thrombus characteristics. OTC can better predict acute coronary syndrome and identify its etiology. At present, studies have shown that the optimization of PCI and evaluation of stent endothelialization and neointimal hyperplasia using OCT can improve and predict clinical prognosis. It is believed that with further development of OCT technology, its breadth and depth in the clinical diagnosis and treatment of coronary artery disease will be significantly increased and OTC will thus play an increasingly important role in the clinical diagnosis and treatment of coronary artery disease.