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Optical coherence tomography to guide percutaneous coronary intervention of the left main coronary artery: the LEMON study

Authors :
Christophe Caussin
Nicolas Meneveau
Radwane Hakim
Mohamed Mehdi Boussaada
Thierry Lefèvre
Géraud Souteyrand
Matthieu Godin
Pascal Motreff
Guillaume Cayla
Nicolas Amabile
Frederic Casassus
Imane Bagdadi
Grégoire Rangé
Institut Mutualiste de Montsouris (IMM)
Hôpitaux de Chartres [Chartres]
CHU Gabriel Montpied [Clermont-Ferrand]
CHU Clermont-Ferrand
Clinique St Hilaire ( Service de Cardiologie, Rouen)
Marqueurs pronostiques et facteurs de régulations des pathologies cardiaques et vasculaires - UFC ( EA 3920) (PCVP / CARDIO)
Université de Franche-Comté (UFC)
Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)-Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)
Centre Hospitalier Universitaire de Nîmes (CHU Nîmes)
Clinique Saint Augustin
Institut Cardiovasculaire Paris Sud
Centre Jacques Cartier
Source :
EuroIntervention, EuroIntervention, EuroPCR, 2021, 17 (2), pp.e124-e131. ⟨10.4244/EIJ-D-20-01121⟩
Publication Year :
2021
Publisher :
HAL CCSD, 2021.

Abstract

International audience; Background: Intravascular ultrasound (IVUS)-guided PCI improves the prognosis of left main stem (LMS) PCI and is currently recommended by international guidelines. Although OCT resolution is greater than that of IVUS, this tool is not yet recommended in LMS angioplasty due to the absence of data.Aims: This pilot study aimed to analyse the feasibility, safety and impact of OCT-guided LMS PCI.Methods: This prospective, multicentre trial investigated whether patients might benefit from OCT-guided PCI for mid/distal LMS according to a pre-specified protocol. The primary endpoint was procedural success defined as follows: residual angiographic stenosis

Details

Language :
English
ISSN :
1774024X
Database :
OpenAIRE
Journal :
EuroIntervention, EuroIntervention, EuroPCR, 2021, 17 (2), pp.e124-e131. ⟨10.4244/EIJ-D-20-01121⟩
Accession number :
edsair.doi.dedup.....b35823d77c6887fcbfbaf590c3065bd0