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.
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.
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DOI：
10.1007/s12471-018-1143-z
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发表时间：
2018-10
期刊：
影响因子：
--
通讯作者：
Kedhi E
中科院分区：
文献类型：
--
作者：
IJsselmuiden AJJ;Zwaan EM;Oemrawsingh RM;Bom MJ;Dankers FJWM;de Boer MJ;Camaro C;van Geuns RJM;Daemen J;van der Heijden DJ;Jukema JW;Kraaijeveld AO;Meuwissen M;Schölzel BE;Pundziute G;van der Harst P;van Ramshorst J;Dirksen MT;Zivelonghi C;Agostoni P;van der Heyden JAS;Wykrzykowska JJ;Scholte MJ;Nef HM;Kofflard MJM;van Royen N;Alings M;Kedhi E
光学相干断层扫描(OCT)可以对冠脉壁、管腔和冠状动脉内植入设备进行详细成像。针对这项技术缺乏具体的适当使用标准(AUC)，我们进行了广泛的文献综述，并制定了适当使用标准的程序。荷兰介入心脏病学工作组全部184名成员中有21名同意评估49个预先指定的病例。在一次会议上，确定了事实迹象，随后成员们分别对迹象进行了9分制的评分，并有机会证实其得分。26个适应症被评为“合适”，18个适应症被评为“可能合适”，5个被评为“很少合适”。OCT被一致认为在支架血栓形成中使用OCT是“合适的”，并且对于经皮冠状动脉介入治疗，特别是在冠状动脉左主干远端和左前降支近端、不明原因的血管造影异常以及使用可生物吸收的血管支架(BVS)方面，使用OCT是“合适的”。OCT被认为在血流储备分数(FFR)的基础上用于治疗适应症、评估支架覆盖、搭桥或评估左冠状动脉近端主干是“很少合适的”。这些专家一致认为OCT在支架血栓形成中的使用是“合适的”。对于OCT在其他环境中的适当使用，存在不同程度的共识。本文的在线版本(10.1007/s12471-0181143-z)包含向授权用户提供的补充材料。
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. 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. 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. 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. The online version of this article (10.1007/s12471-018-1143-z) contains supplementary material, which is available to authorized users.
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影响因子：
37.8
作者：
Adriaenssens, Tom;Joner, Michael;Byrne, Robert A.
通讯作者：
Byrne, Robert A.
影响因子：
37.8
作者：
Aoki, Jiro;Lansky, Alexandra J.;Stone, Gregg W.
通讯作者：
Stone, Gregg W.
影响因子：
6.2
作者：
Burzotta, Francesco;Dato, Ilaria;Crea, Filippo
通讯作者：
Crea, Filippo
影响因子：
6.2
作者：
Capodanno, Davide;Gori, Tommaso;Tamburino, Corrado
通讯作者：
Tamburino, Corrado
影响因子：
14
作者：
Kubo, Takashi;Akasaka, Takashi;Zhang, Shaosong
通讯作者：
Zhang, Shaosong