IMR Press / RCM / Volume 24 / Issue 3 / DOI: 10.31083/j.rcm2403088
Open Access Review
OCT Guidance in Bifurcation Percutaneous Coronary Intervention
Show Less
1 Department of Cardiology, General University Hospital of Patras, 26504 Patras, Greece
*Correspondence: (Athanasios Moulias)
These authors contributed equally.
Rev. Cardiovasc. Med. 2023, 24(3), 88;
Submitted: 18 December 2022 | Revised: 14 February 2023 | Accepted: 22 February 2023 | Published: 8 March 2023
(This article belongs to the Special Issue Intravascular imaging and Cardiovascular intervention)
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.

Coronary bifurcation is defined by the European Bifurcation Consensus as a coronary artery stenosis adjacent to the origin of a significant side branch. Its anatomy is composed of 3 different segments: proximal main vessel, distal main vessel and side branch. Coronary artery bifurcation lesions are encountered in approximately 15–20% of all percutaneous coronary interventions and constitute a complex subgroup of lesions characterized by lower procedural success rates and higher rates of adverse outcomes. In recent years, a growing focus in the European and Japanese bifurcation club meetings has been the emerging role of intravascular imaging, in guiding successful bifurcation percutaneous coronary interventions (PCI). In this review we will present the main ways optical coherence tomography (OCT) can be used to improve outcomes during bifurcation PCI.

optical coherence tomography
bifurcation lesion
percutaneous coronary intervention
Fig. 1.
Back to top