Key result
Hybrid IVUS-OCT imaging identifies edge and medial dissections during RCA PCI to guide additional stenting.
Case Report (n=1)
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Hybrid IVUS OCT imaging can detect post-stent medial dissections that may be less discernable on IVUS alone, helping to guide further stent management.
We present a 66-year-old undergoing ostial-to-mid right coronary artery (RCA) percutaneous coronary intervention (PCI) lesion proximal to an existing stent in the mid-to-distal segment. The patient underwent PCI, with intravascular imaging using the Novasight Hybrid IVUS OCT (Conavi, Toronto, CA) which revealed a proximal edge dissection and distal dissection involving the media on OCT, less discernable on IVUS, which required an additional distal stent. Proximally, based on OCT minimal luminal area (MLA) measurements of the dissection, the size of the dissection flap and lack of involvement of the media, a stent was not placed. The patient did well with no periprocedural complications.
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Sorajja et al. (2026) conducted a case report in Coronary artery disease requiring percutaneous coronary intervention (n=1). Hybrid IVUS OCT imaging was evaluated. Hybrid IVUS-OCT imaging successfully identified a proximal edge dissection and distal medial dissection during right coronary artery PCI, guiding the decision for additional stenting.
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