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Is there any medical insurance reimbursement for optical coherence imaging?
Reimburseable, kiss OCT can not only analyze the composition of blood vessel wall, but also provide valuable information on whether stent implantation is needed. Mr. Wang, 33 years old, has angina pectoris. Coronary angiography shows that the opening of the anterior descending branch is more than 80% narrow. According to past experience and strategies, Mr. Wang needs to implant stents. However, OCT showed that the lesion was eccentric stenosis, and the vascular lumen was so large that only drug treatment was needed, so no stent was implanted. Mr. Chen, 43, is a patient with myocardial infarction. After the occluded coronary artery was thrombi by suction catheter, the local stenosis was obviously alleviated, and stent implantation was needed as usual. However, after OCT examination, it was found that there was no obvious stenosis, but "plaque erosion" led to thrombosis and vascular occlusion, so stent treatment was abandoned. For patients who need stent implantation, OCT can accurately measure the diameter and length of the stent to be implanted, which is the most effective tool to accurately evaluate the effect after stent implantation. Such as whether the stent is close to the blood vessel wall, whether there is blood vessel tear at both ends of the stent, etc. This advantage is unmatched by other tools. Mr. Wang, a 47-year-old patient with acute myocardial infarction, can clearly see from the OCT results before and after coronary angiography and stent implantation that coronary angiography can only see the outline of blood vessels, but can not find the nature of intravascular lesions, while OCT can clearly show the situation of plaque rupture and stent implantation, showing that the stent is well attached to the blood vessel wall.