The Use of CCTA for Pre-Planning PCI-Precise Procedural and PCI Plan (P4) Research Update, Dr. Collet

Precise Procedural and PCI Plan (P4) Research Update, Dr. Collet

Video Transcription

Video Summary

Dr. Collette, the PI of the nearly completed PIV4 trial, discusses the role of CT in PCI planning for coronary artery disease. Dr. Collette emphasizes the challenges in interventional cardiology, such as treatment variability due to quick decision-making based on angiograms. CT, he argues, offers detailed plaque characterization and physiology insights, enhancing decision-making and reducing treatment variability. Prior to intervention, CT aids in planning by showing plaque characteristics, calcium stratification, and suitable PCI approaches. A trial compares CT-guided with IVUS-guided PCI and tests this strategy's efficacy in the real-world setting. The approach aims to empower cardiologists with predictive tools, ensuring better outcomes. The trial is nearing completion with promised impactful results, potentially making CT-aided PCI planning a standard practice. The discussion highlights advancements like AI and training in broadening access and application for safe, efficient cardiac interventions.

Keywords

CT-guided PCI

coronary artery disease

interventional cardiology

plaque characterization

predictive tools