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Finding Genius Podcast

Three Dimensions with Optical Coherence Tomography: Dr. Richard Rapoza Talks Technology

Finding Genius Podcast

Richard Jacobs

Medicine, Health & Fitness

4.41K Ratings

🗓️ 16 August 2020

⏱️ 29 minutes

🧾️ Download transcript

Summary

Abbott Divisional Vice President of Vascular Clinical Development, Dr. Richard Rapoza, tells listeners about a newer technology for vascular health: optical coherence tomography (OCT).

He discusses the advantages of this approach, explaining

  • How optical coherence tomography provides more information than traditional heart angiography,
  • Why it can also work in concert with a angiography stent to preclude guess work and other angiography risks, and
  • How current studies comparing optical coherence tomography with traditional heart angiography are progressing.

Abbott is a medical technology company dedicated to producing life-saving and quality-of-life technologies and Dr. Rapoza is working to raise awareness of what optical coherence tomography can offer the health field. He describes it as an instrument that shoots infrared lasers into a patient's arterial system and takes spiral pictures of the arterial wall. It provides great detail of the arterial composition and takes measurements. Finally, it offers a good picture of how to treat the patient.

He provides a few examples, explaining how a doctor can use it to see what the cost of a heart attack is—and can also clear and see behind the clot as well as find the spot that ruptured and caused the clot and repair it. The more common way of treating vessels through a heart angiography is where technicians use an x-ray with injectable dye: this only provides a two-dimensional view. So physicians take a guess at the diameter and length before they introduce an angiography stent, for example.

Dr. Rapoza explains this along with other angiography risks and describes how OTC can work alongside a traditional stent to produce better results. He also describes additional advancements in this technology such as ways to address problems of blood flow in the feet from diabetic damage as well as other promising uses.

For more, see Abbott's website as well as a press release describing their findings. 

Available on Apple Podcasts: apple.co/2Os0myK


Transcript

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0:00.0

Forget frequently asked questions common sense common knowledge or Google how about advice from a real genius

0:06.8

95% of people in any profession are good enough to be qualified and licensed 5% go and beyond. They become very good at what they do.

0:15.0

But only 0.1% are real Jesus.

0:18.3

Richard Jacobs has made it his life's mission to find them for you.

0:22.4

He hunts down and interviews geniuses in every

0:24.7

field, sleep science, cancer, stem cells, ketogenic diets and more. Here come the geniuses.

0:30.1

This is the Finding Genius Podcast.

0:33.0

That is Richard Jacobs.

0:35.0

Hello, this is Richard Jacobs,

0:40.0

executive director of the Finding Genius Foundation and also host to the Finding Genius

0:45.1

Podcast.

0:46.1

I have Dr Richard Raposa.

0:47.8

He's a Divisional Vice President of Vascular Clinical Development at Abbott, so we're

0:52.3

going to talk about his work. So Rich,

0:54.4

thanks for coming. How you doing? I'm doing well. How are you? Good, Greg, yeah. So tell me

0:59.5

about this optical, yeah. This optical coherence tomography, it looks like that's what you're working on.

1:05.6

Please let me know about your research and your work. What's it about?

1:09.0

Well, it's an instrument that shoots infrared laser into your material system primarily recorded and then you pull it back and it takes a spiral picture of the pullback of the interior wall.

1:26.0

So when you clear blood you can see right into the wall and therefore in great detail you can see what the composition of the wall is.

1:35.2

You can also make dimensional measurements, length and diameter for example, and you can then get a much

1:41.5

more educated view of what's inside and how you should treat it if you should create it at all.

1:47.6

So would this be used for looking at like blood vessel integrity near a clot or upstream or downstream on that?

...

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