SCAI 2026 Angio-Derived Physiology: Data, Technology, and Clinical Integration-Barriers and Strategies to Implementing Angiography-Derived Physiology: Key Messages from a SCAI Roundtable, Dr. Collet

Barriers and Strategies to Implementing Angiography-Derived Physiology: Key Messages from a SCAI Roundtable, Dr. Collet

Video Transcription

Video Summary

The speaker discusses how angiography-based physiology is making coronary assessment faster and easier than wire-based methods. A recent randomized trial showed the system was non-inferior to pressure-wire FFR at one year, supporting a likely Class 1A guideline recommendation. Key barriers to adoption include reimbursement, training, workflow, and understanding the physiology behind the numbers. The speaker emphasizes good angiograms, reproducibility, and trusting AI-assisted contours. They predict physiology will become routine in all cath labs, with future expansion into pressure, flow, microvascular disease, and CT integration.

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closed captions are computer-generated

Keywords

angiography-based physiology

pressure-wire FFR

coronary assessment

Class 1A guideline

AI-assisted contours