SCAI 2026 CT-Guided PCI: The Emerging Role of CT for Pre-Procedural Planning-Debate: CT Alone is Sufficient to Inform PCI Planning, Dr. Khalique

Debate: CT Alone is Sufficient to Inform PCI Planning, Dr. Khalique

Video Transcription

Video Summary

The speaker argues that CT-guided PCI should replace routine reliance on intracoronary imaging because intracoronary imaging is underused and not scalable. He notes that only about 32% of PCIs use it, implying very low usage per operator, and questions whether that can sustain good outcomes. In contrast, CT is widely available, increasingly used, and can provide much of the same pre-procedural information, including plaque and lesion characteristics, plus physiology metrics. He says PCI planning can be streamlined from CT data, making procedures less “blind” and more efficient. Overall, he concludes CT alone is enough and is the future direction of intervention.

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Keywords

CT-guided PCI

intracoronary imaging

PCI planning

coronary CT

interventional cardiology