SCAI Bifurcation Club Webinar Series: Procedural Approaches and Techniques for Complex Lesions-OCT Imaging in Bifurcation Stenting

Video Transcription

Video Summary

In this video, Yoshinobu Funasato from Kyushu Medical Center in Japan discusses the use of Optical Coherence Tomography (OCT) in colony bifurcation stenting. He highlights the importance of measuring the dimensions of the lumen and vessel, assessing plaque morphology, detecting silent disease, and assessing the risk of side-branch compromise in pre-procedure optimization. Post-PCI optimization involves assessing stent apposition, expansion, coverage, dissection, plaque prolapse, residual stenosis, and proper recrossing and clearance of jailing struts. Funasato presents clinical cases and registry data demonstrating the efficacy of 3D OCT guidance in achieving optimal guidewire recrossing and reducing stent malapposition. He also discusses the challenges and solutions for OCT observation in left main coronary artery bifurcation. Funasato concludes by emphasizing that OCT guidance is useful for accurate assessment, optimal device selection, and prevention of incomplete stent apposition and deformation in bifurcation PCI.

Asset Subtitle

Yoshinobu Murasato, MD

Keywords

Optical Coherence Tomography

colony bifurcation stenting

plaque morphology

silent disease detection

post-PCI optimization