While many hundreds of studies have been published utilising coronary artery optical coherence tomography (OCT), very few have focused on the application of OCT in daily clinical practice. The following case studies are intended to help guide physicians on specific clinical situations in which OCT can help optimise physician treatment strategies. The cardiac cath lab at Mount Sinai Hospital, New York, New York, is a leader in sharing best practices for improving outcomes in complex coronary cases. Mount Sinai has established guidelines to help drive best practices among interventional cardiologists and fellows in the cath lab. OCT has been adopted as an optimal intravascular imaging modality for specific clinical situations in percutaneous coronary intervention (PCI). The following cases are illustrative, real-life examples of when and how to best implement OCT in the cath lab. These cases highlight the strengths and pitfalls of OCT use in daily clinical practice. While all cases presented were imaged at the Mount Sinai Hospital Catheterization Laboratory, minor changes have been made to clinical details for educational purposes. Images have not been enhanced or manipulated in any way.
Jason C Kovacic - Division of Cardiology, Mount Sinai Hospital, New York, USA
Tomasz Roleder - Division of Cardiology, Mount Sinai Hospital, New York, USA
Jonathan Feig - Division of Cardiology, Mount Sinai Hospital, New York, USA
Samin K Sharma - Division of Cardiology, Mount Sinai Hospital, New York, USA
Annapoorna Kini - Division of Cardiology, Mount Sinai Hospital, New York, USA
The publication of this information was supported by St. Jude Medical.
