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Appropriate use criteria for optical coherence tomography guidance in percutaneous coronary interventions Recommendations of the working group of interventional cardiology of the Netherlands Society of Cardiology

IJsselmuiden, A. J. J., Zwaan, E. M., Oemrawsingh, R. M., Bom, M. J., Dankers, F. J. W. M., de Boer, M. J., Camaro, C., van Geuns, R. J. M., Daemen, J., van der Heijden, D. J., Jukema, J. W., Kraaijeveld, A. O., Meuwissen, M., Scholzel, B. E., Pundziute, G., van der Harst, P., van Ramshorst, J., Dirksen, M. T., Zivelonghi, C., Agostoni, P., van der Heyden, J. A. S., Wykrzykowska, J. J., Scholte, M. J., Nef, H. M., Kofflard, M. J. M., van Royen, N., Alings, M. & Kedhi, E. Oct-2018 In : Netherlands Heart Hournal. 26, 10, p. 473-483 11 p.

Research output: Contribution to journalReview article

  • A. J. J. IJsselmuiden
  • E. M. Zwaan
  • R. M. Oemrawsingh
  • M. J. Bom
  • F. J. W. M. Dankers
  • M. J. de Boer
  • C. Camaro
  • R. J. M. van Geuns
  • J. Daemen
  • D. J. van der Heijden
  • J. W. Jukema
  • A. O. Kraaijeveld
  • M. Meuwissen
  • B. E. Scholzel
  • G. Pundziute
  • P. van der Harst
  • J. van Ramshorst
  • M. T. Dirksen
  • C. Zivelonghi
  • P. Agostoni
  • J. A. S. van der Heyden
  • J. J. Wykrzykowska
  • M. J. Scholte
  • H. M. Nef
  • M. J. M. Kofflard
  • N. van Royen
  • M. Alings
  • E. Kedhi

Introduction Optical coherence tomography (OCT) enables detailed imaging of the coronary wall, lumen and intracoronary implanted devices. Responding to the lack of specific appropriate use criteria (AUC) for this technique, we conducted a literature review and a procedure for appropriate use criteria.

Methods Twenty-one of all 184 members of the Dutch Working Group on Interventional Cardiology agreed to evaluate 49 pre-specified cases. During a meeting, factual indications were established whereupon members individually rated indications on a 9-point scale, with the opportunity to substantiate their scoring.

Results Twenty-six indications were rated 'Appropriate', eighteen indications May be 'appropriate', and five Rarely 'appropriate'. Use of OCT was unanimously considered 'Appropriate' in stent thrombosis, and 'Appropriate' for guidance in PCI, especially in distal left main coronary artery and proximal left anterior descending coronary artery, unexplained angiographic abnormalities, and use of bioresorbable vascular scaffold (BVS). OCT was considered Rarely 'Appropriate' on top of fractional flow reserve (FFR) for treatment indication, assessment of strut coverage, bypass anastomoses or assessment of proximal left main coronary artery.

Conclusions The use of OCT in stent thrombosis is unanimously considered 'Appropriate' by these experts. Varying degrees of consensus exists on the appropriate use of OCT in other settings.

Original languageEnglish
Pages (from-to)473-483
Number of pages11
JournalNetherlands Heart Hournal
Volume26
Issue number10
StatePublished - Oct-2018

    Keywords

  • Coronary artery disease, PCI, OCT, BIORESORBABLE VASCULAR SCAFFOLDS, STENT THROMBOSIS, INTRAVASCULAR ULTRASOUND, CLINICAL-APPLICATIONS, MULTICENTER, METHODOLOGY, TERMINOLOGY, ACQUISITION, PERSPECTIVE, MECHANISMS

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