This atlas is a practical and fully illustrated guide to the use of intravascular OCT in diagnosis and treatment of coronary artery disease. It consists of two parts. The first part of the book provides a systematic introduction to coronary imaging with OCT. It describes how to interpret images and describes abnormal findings seen in atherosclerosis, complications after intervention, and stent assessment. The second part of the book presents real-life case studies that show how OCT is used in clinical practice in Mount Sinai to assess the disease, select appropriate treatment, and evaluate complications and results. Each case includes a brief clinical history, procedure summary, angiography and OCT images, including video material, and a discussion of how OCT affected the clinical decision-making process.
Jagat Narula, MD, PhD is a world-renowned physician-scientist in cardiovascular medicine and imaging and leads the cardiac services at Mount Sinai St. Luke's and Mount Sinai Roosevelt hospital campuses of the Mount Sinai Health System. He is involved in clinical and basic research in the fields of heart failure and atherosclerosis, with major emphasis on development of novel noninvasive imaging techniques. He has made contributions to the imaging of apoptotic cell death in heart muscle, and to the imaging of atherosclerotic plaques vulnerable to rupture.
Annapoorna Kini serves as a Professor of Medicine, Director of Cardiac Catheterization Laboratory, Director of Interventional Structural Heart Disease Program, and Director of Interventional Cardiology Fellowship at The Mount Sinai Medical Center, where she was named Zena and Michael A. Wiener Medicine Professor in 2016. She researches on the field of percutaneous coronary intervention and heart valve therapy. Kini co-established, with Dr Sharma, the Live Symposium of Complex Coronary and Vascular Cases in 1998 and has served as Director of the Annual Live Symposium of Complex Coronary & Vascular Cases at The Mount Sinai Medical Center. She has been among the first interventional cardiologists in the country to use the TAVI procedure in the treatment of inoperable patients with critical aortic stenosis.
Dr Yuliya Vengrenyuk is an instructor at Mount Sinai Hospital and the Icahn School of Medicine at Mount Sinai.
Dr Samin K. Sharma is an interventional cardiologist holding the American record for the highest number of complex coronary interventions performed annually, along with the highest angioplasty success rate in New York State. Dr. Sharma is responsible for operational issues related to Cardiology at the main campus and in the Mount Sinai network. He also increases Mount Sinai's network of affiliated cardiologists in the tri-state area. As Dean for International Clinical Affiliations, Dr. Sharma serves as Mount Sinai's clinical representative to develop relationships and affiliations worldwide.
Basics of OCT imaging: Introduction.- OCT principles and image artefacts.- Atherosclerosis: plaque morphology, qualitative assessment.- Stent assessment.- Clinical applications.- Research applications.- Pre-PCI lesion assessment.- Thrombosis.- Stent apposition and expansion.- In-stent restenosis.- Atherectomy.- Bifurcation lesions.