Possibility of using optical coherence tomography in daily clinical practice (review)

Coronary heart disease (CHD) remains the primary cause of death among the adult population of Russian Federation. An effective pathogenetic method for treating this pathology is revascularization of coronary arteries, performed endovascularly or surgically. The combination of surgical radicalism and low traumatism has made stenting of the coronary arteries the leading method of CHD treating: today in Russia the number of percutaneous coronary intervention (PCI) operations is approximately 6 times higher than the number of coronary artery bypass grafting (CABG) operations. However, PCI showed comparatively lower long-term effectiveness than CABG and thus needs to be improved. Considering the number of PCIs performed, any significant increase in the effectiveness of this method can provide a significant reduction in mortality from coronary artery disease and, accordingly, mortality in general. One of the most promising ways to increase the effectiveness of PCI today is the use of modern intravascular imaging technologies.

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