SCAI 2026 CT-Guided PCI: The Emerging Role of CT for Pre-Procedural Planning-Debate: Intravascular Imaging and Physiology Remain Needed, Dr. Kerrigan

Debate: Intravascular Imaging and Physiology Remain Needed, Dr. Kerrigan

Video Transcription

Video Summary

The speaker describes a preventive cardiology case of “Omar,” a middle-aged man with risk factors who initially resists statins. A CT calcium score and CT-FFR suggest severe distal left main disease, but invasive angiography and physiology later show the CT result was an overcall due to calcium blooming artifact. He emphasizes the importance of reviewing images directly and confirms that current AI/CT tools are helpful but not perfectly accurate, with performance around 70–90%. He concludes that these technologies need more validation before routine use, though they may support future robotic and AI-guided PCI.

Asset Caption

closed captions are computer-generated

Keywords

preventive cardiology

CT calcium score

calcium blooming artifact

invasive angiography

AI-guided PCI