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Coronary care

Intracoronary imaging: OCT & IVUS

Detailed imaging from inside the coronary artery to inform intervention.

Explore this guide

Two complementary imaging techniques

Intravascular ultrasound (IVUS) uses ultrasound; optical coherence tomography (OCT) uses light. Both provide views from within a coronary artery, offering information beyond the outline seen on an angiogram.

Why your cardiologist may recommend it

Imaging may help evaluate plaque, measure the artery or assess a stent. The choice of technique depends on the question being asked, the artery and your clinical circumstances.

During your procedure

A small imaging catheter is advanced through the coronary artery in the catheter laboratory. The images are reviewed by the treating cardiologist and may influence the treatment plan.

Discussing the risks

These tests accompany invasive catheter procedures and have associated risks, including vessel injury. OCT may require additional contrast, which matters for patients with kidney problems. Ask how the information is expected to help your care.

Discuss your options

Bring your previous reports and medicine list to a consultation. Ask how this test or procedure would help in your situation, what alternatives are available and what follow-up you may need.

About this guide

General patient information, prepared from practice information and the references below. It does not replace a consultation, diagnosis or your hospital’s instructions.

For a possible medical emergency

New or severe chest pain, severe breathing difficulty or collapse needs immediate emergency care. Call 112 in India. Do not wait for an appointment or a message reply. Do not drive yourself.

Frequently asked questions

Questions about this service.

General answers to support your discussion with the treating team.

Have another question?

Further reading: ACC/AHA/SCAI: coronary revascularization guideline

How do OCT and IVUS differ?

OCT uses light and IVUS uses ultrasound to obtain images from inside a coronary artery. They offer different information for procedure planning and assessment.

Will every angioplasty need this imaging?

No. It is selected when the additional information is expected to help. Ask which question the imaging will answer in your case.

Should I mention kidney problems before the procedure?

Yes. Tell the team about kidney disease, allergies and previous contrast reactions. Contrast requirements and catheter-related risks are part of the planning discussion.

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