The main obstacle to the adoption of TD-OCT imaging in clinical practice is that OCT cannot image through a blood field, and therefore requires clearing or flushing of blood from the lumen.1 (link) The 6 Fr compatible DragonflyTM FD-OCT catheter is so far the only one in the market, as two other systems from Volcano and Terumo, which have function similar to the DragonflyTM, are not yet available. The DragonflyTM catheter is first advanced over a regular guide wire, distal to the region of interest. A dedicated marker, located 10 mm distal to the OCT lens, enables the pull-back starting point selection.
The acquisition of an OCT image sequence requires a bolus of crystalloid solution (usually contrast) injected through the guiding catheter. The acquisition speed can be set up in a range between 5 and 40 mm/s, based on the used OCT system. Most expert users advocate the use of automated contrast injection to optimize the image quality.
The previous experience with TD and FD-OCT technology shows OCT acquisition to be safe,1 (link),4 (link),6 effective,1 (link),4 (link),6 –8 and highly reproducible for the assessment of the luminal areas and length.9 –11 (link) A fair correlation between OCT and IVUS quantitative measurements of the lumen areas was reported,9 –11 (link) despite comparative studies showing that IVUS tends to slightly overestimate lumen areas, while stent and neointimal areas are slightly higher on OCT.9 –11 (link) Frequency domain optical coherence tomography image quality depends on an accurate acquisition technique and proper guiding catheter engagement is needed to optimize directional contrast flushing.
The acquisition of an OCT image sequence requires a bolus of crystalloid solution (usually contrast) injected through the guiding catheter. The acquisition speed can be set up in a range between 5 and 40 mm/s, based on the used OCT system. Most expert users advocate the use of automated contrast injection to optimize the image quality.
The previous experience with TD and FD-OCT technology shows OCT acquisition to be safe,1 (link),4 (link),6 effective,1 (link),4 (link),6 –8 and highly reproducible for the assessment of the luminal areas and length.9 –11 (link) A fair correlation between OCT and IVUS quantitative measurements of the lumen areas was reported,9 –11 (link) despite comparative studies showing that IVUS tends to slightly overestimate lumen areas, while stent and neointimal areas are slightly higher on OCT.9 –11 (link) Frequency domain optical coherence tomography image quality depends on an accurate acquisition technique and proper guiding catheter engagement is needed to optimize directional contrast flushing.