SCAI 2026 CT-Guided PCI: The Emerging Role of CT for Pre-Procedural Planning-CT-Based Physiology and Virtual PCI, Dr. Shlofmitz

CT-Based Physiology and Virtual PCI, Dr. Shlofmitz

Video Transcription

Video Summary

The speaker argues that coronary CTA and FFR-CT should be central to chest pain evaluation and PCI planning, citing guidelines that support CTA and FFR-CT for 40–90% stenosis. FFR-CT predicts near-term events and long-term risk better than stress testing because it reveals plaque burden and disease patterns, not just ischemia. The talk emphasizes using point-by-point physiology and anatomy to localize focal disease, avoid futile stenting in diffuse disease, and plan stent length and placement before cath lab procedures. He highlights new tools like PCI Navigator, the Navigate PCI registry, and the P4 trial as future practice changers.

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Keywords

coronary CTA

FFR-CT

chest pain evaluation

PCI planning

plaque burden