Optimising PCI by Intracoronary Image-guidance

Area of Science:

• Cardiology
• Interventional Cardiology
• Medical Imaging

Background:

• Percutaneous coronary intervention (PCI) outcomes can be improved with intracoronary imaging (ICI).
• ICI provides detailed insights into coronary artery disease and stent placement.
• Despite evidence, ICI adoption in PCI remains limited globally.

Purpose of the Study:

• To review the role of ICI in optimizing PCI procedures.
• To highlight the benefits of ICI in assessing coronary lesions and stent deployment.
• To address barriers hindering widespread ICI implementation.

Main Methods:

• Review of observational and randomized controlled trials on ICI in PCI.
• Analysis of consensus statements regarding ICI parameters for stent optimization.
• Discussion of challenges and barriers to ICI adoption.

Main Results:

• Growing evidence supports ICI's benefit in acute procedural and clinical outcomes.
• ICI aids in lesion preparation, stent selection, and post-deployment assessment.
• Major barriers include cost, procedure time, regulatory issues, and interpretation challenges.

Conclusions:

• ICI significantly enhances PCI guidance and optimization.
• Education and improved interpretation are crucial for increasing ICI adoption.
• Wider ICI utilization can lead to improved patient outcomes in PCI.