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Optimising cardiovascular outcomes using optical coherence tomography-guided percutaneous coronary interventions

1. Swiss Cardiovascular Centre, Bern University Hospital, Bern, Switzerland; 2. Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

Cardiovascular outcomes following percutaneous coronary intervention (PCI) steadily improve due to progress of coronary stent technology1,2, antithrombotic therapy3,4, and the use of novel diagnostic approaches5. As angiography provides only limited information, it is tempting to employ intracoronary imaging to assess the post-procedural results with the intention to further optimise outcomes. Although intravascular ultrasound (IVUS) provides more detailed information than angiography alone, its uptake has been modest to guide PCI6,7. Meanwhile, a new and more promising technology –optical coherence tomography (OCT)– has become available. By utilising light instead of sound, it provides histology-like images…

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