Webinar 2 | CT-Guided Bifurcation Management-CT-Guided Bifurcation Management

Video Transcription

Video Summary

The webinar focused on CT-guided management of coronary bifurcation lesions. Speakers reviewed how cardiac CT has evolved from a diagnostic tool into a practical planning platform for PCI, helping operators characterize plaque type, calcium distribution, bifurcation angle, side-branch size, and myocardial mass at risk. Carlos Collet emphasized CT’s ability to reveal anatomy and calcium in ways angiography and intravascular imaging cannot, and discussed newer AI-based software, virtual PCI simulation, and CT-derived prediction of side-branch occlusion. Jared Bunch highlighted how CT improves procedural preparedness, reduces surprises, and can guide the choice between provisional and two-stent strategies. He also noted that many patients already have CT scans from routine care, which can be leveraged for PCI planning without needing additional testing. The final talk showed practical case examples demonstrating how CT findings can determine guide size, need for plaque modification, protection of side branches, and post-PCI optimization. The session concluded that CT is increasingly central to bifurcation PCI planning and will likely become even more important as software and imaging technology continue to advance.

Keywords

CT-guided PCI

coronary bifurcation lesions

cardiac CT planning

plaque characterization

calcium distribution

side-branch occlusion prediction

virtual PCI simulation

provisional vs two-stent strategy

bifurcation PCI optimization