Assessing atherothrombotic burden with optical coherence tomography analysis may facilitate post-PCI prognostication and antiplatelet therapy

Catheter Cardiovasc Interv. 2020 Jul;96(1):98-99. doi: 10.1002/ccd.29088.

Abstract

Atherothrombotic burden (ATB) correlates with myocardial blush grade (MBG), a known predictor of mortality and outcome after ST-elevation myocardial infarction. Quantitative or semiquantitative analysis of ATB with optical coherence tomography may assist interventional cardiologists in post-PCI prognostication and, perhaps, in rendering more aggressive antiplatelet therapy. Future studies comparing treatment strategies for post-PCI patients with elevated ATB or depressed MBG may identify best practices after acute coronary syndromes.

Publication types

  • Editorial
  • Comment

MeSH terms

  • Coronary Angiography
  • Humans
  • Myocardial Infarction*
  • Myocardial Reperfusion
  • Percutaneous Coronary Intervention* / adverse effects
  • Platelet Aggregation Inhibitors / adverse effects
  • Tomography, Optical Coherence
  • Treatment Outcome

Substances

  • Platelet Aggregation Inhibitors