Thread by @AbbottCardio

1/Week 2. How does proper identification of morphology with OCT impact treatment strategy?

Today we discuss the 1st step in the OCT-guided PCI workflow #MLDMAX: Morphology (M)

At the end, assess your morphology skills w/ a quiz.

Important Safety Info: bit.ly/2VIph7r

2/ Morphology assessment affects vessel prep which impacts stenting strategy.

In the LightLab Clinical Initiative, #OCTimaging changed physician’s angiographic assessment of lesion morphology in 48% of lesions or about 1 out of every 2 lesions.

#imagefirst

3/ When a lesion type change occurred, calcification was the predominant morphology observed in pre-PCI OCT pullback. Misdiagnosis of calcification changed vessel preparation strategy in 28% of lesions.

4/ Why does detecting calcification matter?

Calcified lesions are at an increased risk for stent underexpansion which is established as a predictor of stent failure, including stent thrombosis & restenosis.*

*Raber et al: bit.ly/RaberECD, SCAI: bit.ly/SCAI_oPCI

5/OCT makes it easy to diagnose calcification & develop a proper treatment approach.

OCT can penetrate calcium and measure its thickness more accurately than IVUS.*

*Fujino et al bit.ly/FujinoCs, Raber et al bit.ly/RaberECS

#imagefirst #imagelast

6/ Can you be misdiagnosing calcium?

Check your skills in a poll below and RT to have your colleagues join!

Based on this angiogram, what is your approach?

Important Safety Info: bit.ly/2VIph7r

Based on this angiogram, what is your approach?

7/ The correct answer is B. The lesion is calcified as seen on the OCT pullback and it requires pre-treatment before stenting.

OCT can assess lesion morphology to inform vessel prep strategy & develop a treatment approach.

Important Safety Info: bit.ly/2VIph7r

8/ Better insights and better outcomes with OCT.

Experience the OCT difference, request an Abbott Sales Rep today: abbo.tt/3jRCJhh

Join us next Tuesday to discuss length and diameter in the #MLDMAX steps.

Important Safety Info: bit.ly/2VIph7r