Display options
Cite
Pasarikovski CR, Ku JC, Priola SM, et al. Endovascular optical coherence tomography imaging in cerebrovascular disease. J Clin Neurosci. 2020;80:30-37doi: 10.1016/j.jocn.2020.07.064.
Pasarikovski, C. R., Ku, J. C., Priola, S. M., da Costa, L., & Yang, V. X. D. (2020). Endovascular optical coherence tomography imaging in cerebrovascular disease. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 8030-37. https://doi.org/10.1016/j.jocn.2020.07.064
Pasarikovski, Christopher R, et al. "Endovascular optical coherence tomography imaging in cerebrovascular disease." Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia vol. 80 (2020): 30-37. doi: https://doi.org/10.1016/j.jocn.2020.07.064
Pasarikovski CR, Ku JC, Priola SM, da Costa L, Yang VXD. Endovascular optical coherence tomography imaging in cerebrovascular disease. J Clin Neurosci. 2020 Oct;80:30-37. doi: 10.1016/j.jocn.2020.07.064. Epub 2020 Aug 17. PMID: 33099363.
Copy Download .nbib Format: NLM
Share it on

J Clin Neurosci. 2020 Oct;80:30-37. doi: 10.1016/j.jocn.2020.07.064. Epub 2020 Aug 17.

Endovascular optical coherence tomography imaging in cerebrovascular disease.

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia

Christopher R Pasarikovski, Jerry C Ku, Stefano M Priola, Leodante da Costa, Victor X D Yang

Affiliations

  1. Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada. Electronic address: [email protected].
  2. Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
  3. Division of Neurosurgery, Department of Surgery, Health Sciences North, Sudbury, Ontario, Canada; Norther Ontario School of Medicine, Sudbury, Ontario, Canada.
  4. Division of Neurosurgery, Sunnybrook Hospital, University of Toronto, Toronto, Ontario, Canada.
  5. Division of Neurosurgery, Sunnybrook Hospital, University of Toronto, Toronto, Ontario, Canada; Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.

PMID: 33099363 DOI: 10.1016/j.jocn.2020.07.064

Abstract

Endovascular optical coherence tomography (OCT) is the highest resolution imaging modality currently available with spatial resolution of 10 µm. Although originally developed for interventional cardiology, the ability to visualize the luminal environment and anatomy, along with the stent-vessel interaction could be of great utility for various cerebrovascular diseases, and the adoption of endovascular OCT imaging in the evolving field of interventional neuroradiology seems instinctive. The purpose of this study is to conduct a systematic review of the literature regarding applications of endovascular OCT in the diagnosis and treatment of cerebrovascular diseases. In addition, the authors report their institutional experience with the use of OCT in carotid atherosclerotic disease, cerebral aneurysms, and acute ischemic stroke. A systematic review of the literature was undertaken. Peer-reviewed articles were collected through MEDLINE, Embase, Scopus, and Cochrane Central Register of Controlled Trials (CENTRAL) searches through March 2020. A total of 34 studies with 598 patients were included in the qualitative synthesis. These include 23 studies of carotid atherosclerotic disease, 7 studies of cerebral aneurysms, and 4 studies of non-aneurysmal posterior circulation pathology. OCT imaging was feasible in 94% of patients with 0.6% complication rate. Endovascular OCT appears to be safe and feasible, allowing clinicians to visualize stent-vessel interactions, aneurysmal healing, and vulnerable atherosclerotic plaque features. OCT carries great promise, however additional investigations are needed before any imposing statement can be made about the role of OCT in cerebrovascular imaging.

Copyright © 2020. Published by Elsevier Ltd.

Keywords: Aneurysm; Carotid; Cerebrovascular; Neurointerventional; Neurosurgery; Optical Coherence Tomography; Stroke

Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this pa

MeSH terms

Publication Types