SCAI 2026 CT-Guided PCI: The Emerging Role of CT for Pre-Procedural Planning-Discussion

Video Transcription

Video Summary

The discussion focused on CT-derived FFR, calcium density, and practical adoption of CT in cardiovascular care. Speakers noted that CT-FFR can predict outcomes, but its clinical benefit may not be identical to invasive FFR trials like FAME 2 because treatment effects may differ by modality and context. Calcium biology was highlighted: low-density calcium is linked to worse plaque biology, while high-density calcium may be harder for PCI. Photon-counting CT was described as a major future improvement in accuracy. They also discussed workflow barriers, the need for radiologist collaboration, and expanding CT use to peripheral artery disease and procedural planning.

Asset Caption

closed captions are computer-generated

Keywords

CT-derived FFR

calcium density

photon-counting CT

cardiovascular imaging

peripheral artery disease