Coronary Angiography Optimized by Optical Coherence Tomography in Patients with Coronary Artery Disease
The aims of the study: The aims of this study were to examine whether there is a difference in the clinical findings of the lesion obtained by coronary angiography and OCT and to examine the association of OCT findings in the decision-making on additional optimization of PCI. Respondents and meth...
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Faculty of Medicine Osijek
2025-07-01
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| Series: | Southeastern European Medical Journal |
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| Online Access: | https://seemedj.mefos.unios.hr/index.php/seemedj/article/view/337/212 |
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| author | Klara Đambić Zorin Makarović |
| author_facet | Klara Đambić Zorin Makarović |
| author_sort | Klara Đambić |
| collection | DOAJ |
| description | The aims of the study: The aims of this study were to examine whether there is a difference in the clinical findings of the lesion obtained by coronary angiography and OCT and to examine the association of OCT findings in the decision-making on additional optimization of PCI.
Respondents and methods: The research was conducted as a cross-sectional study using historical data. The study included patients who underwent OCT at the Department of Cardiovascular Diseases of the Osijek Clinical Hospital Center from 2021 to 2023.
Results: The research involved 62 patients, with a median age of 67. The most common location of the lesion was the LAD, in 52 (84%) cases. Thirty-nine respondents (63%) required additional optimization. Three (5%) patients were recommended for cardiosurgical consultation based on OCT. There was a significant increase in the length of the LAD (Wilcoxon test, P < 0.001), LCx (Wilcoxon test, P < 0.001), and RCA (Wilcoxon test, P = 0.006) as measured by OCT compared to coronary angiography. Regarding proximal width, the values for the LAD (Wilcoxon test, P < 0.001) and RCA (Wilcoxon test, P = 0.03) were significantly higher.
Conclusion: The research demonstrated the important role of OCT in clinical practice, particularly in the detailed assessment of coronary artery lesions, management of PCI, and assessment of additional optimization in patients with coronary disease. |
| format | Article |
| id | doaj-art-7d24b04e48f94e599abcd07aeb6fa5a3 |
| institution | Matheson Library |
| issn | 2459-9484 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Faculty of Medicine Osijek |
| record_format | Article |
| series | Southeastern European Medical Journal |
| spelling | doaj-art-7d24b04e48f94e599abcd07aeb6fa5a32025-07-28T11:40:22ZengFaculty of Medicine OsijekSoutheastern European Medical Journal2459-94842025-07-0191304110.26332/seemedj.v9i1.337Coronary Angiography Optimized by Optical Coherence Tomography in Patients with Coronary Artery DiseaseKlara Đambić0Zorin Makarović1Department of Emergency Medicine, General Hospital Našice, Našice, CroatiaFaculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia; University Hospital Center Osijek, Department of Cardiology, Osijek, CroatiaThe aims of the study: The aims of this study were to examine whether there is a difference in the clinical findings of the lesion obtained by coronary angiography and OCT and to examine the association of OCT findings in the decision-making on additional optimization of PCI. Respondents and methods: The research was conducted as a cross-sectional study using historical data. The study included patients who underwent OCT at the Department of Cardiovascular Diseases of the Osijek Clinical Hospital Center from 2021 to 2023. Results: The research involved 62 patients, with a median age of 67. The most common location of the lesion was the LAD, in 52 (84%) cases. Thirty-nine respondents (63%) required additional optimization. Three (5%) patients were recommended for cardiosurgical consultation based on OCT. There was a significant increase in the length of the LAD (Wilcoxon test, P < 0.001), LCx (Wilcoxon test, P < 0.001), and RCA (Wilcoxon test, P = 0.006) as measured by OCT compared to coronary angiography. Regarding proximal width, the values for the LAD (Wilcoxon test, P < 0.001) and RCA (Wilcoxon test, P = 0.03) were significantly higher. Conclusion: The research demonstrated the important role of OCT in clinical practice, particularly in the detailed assessment of coronary artery lesions, management of PCI, and assessment of additional optimization in patients with coronary disease.https://seemedj.mefos.unios.hr/index.php/seemedj/article/view/337/212coronary angiographyoctpci |
| spellingShingle | Klara Đambić Zorin Makarović Coronary Angiography Optimized by Optical Coherence Tomography in Patients with Coronary Artery Disease Southeastern European Medical Journal coronary angiography oct pci |
| title | Coronary Angiography Optimized by Optical Coherence Tomography in Patients with Coronary Artery Disease |
| title_full | Coronary Angiography Optimized by Optical Coherence Tomography in Patients with Coronary Artery Disease |
| title_fullStr | Coronary Angiography Optimized by Optical Coherence Tomography in Patients with Coronary Artery Disease |
| title_full_unstemmed | Coronary Angiography Optimized by Optical Coherence Tomography in Patients with Coronary Artery Disease |
| title_short | Coronary Angiography Optimized by Optical Coherence Tomography in Patients with Coronary Artery Disease |
| title_sort | coronary angiography optimized by optical coherence tomography in patients with coronary artery disease |
| topic | coronary angiography oct pci |
| url | https://seemedj.mefos.unios.hr/index.php/seemedj/article/view/337/212 |
| work_keys_str_mv | AT klarađambic coronaryangiographyoptimizedbyopticalcoherencetomographyinpatientswithcoronaryarterydisease AT zorinmakarovic coronaryangiographyoptimizedbyopticalcoherencetomographyinpatientswithcoronaryarterydisease |