SCAI 2026 Seeing Better, Treating Better: Advancing Patient Outcomes Through Advanced Coronary Imaging-Clinical Evidence Supporting Intravascular Imaging and Addressing Barriers to Implementation, Dr. Elgendy

Clinical Evidence Supporting Intravascular Imaging and Addressing Barriers to Implementation, Dr. Elgendy

Video Transcription

Video Summary

The speaker reviews evidence supporting intravascular imaging (IVUS/OCT) in PCI. Despite modern drug-eluting stents, late stent failure remains significant. Imaging improves lesion assessment, stent sizing, and detection of complications, and meta-analyses show about a 30% reduction in target lesion failure. Updated 2025 ACC/AHA guidelines give Class I recommendation for complex cases. However, imaging only helps if clinicians act on the findings. Use remains low in the U.S., driven mainly by physician and hospital practice patterns. Barriers include limited acceptance, knowledge gaps, added procedure time, staffing burden, and cost/reimbursement concerns.

Asset Caption

closed captions are computer-generated

Keywords

intravascular imaging

IVUS

OCT

PCI

stent failure