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Coronary Computed Tomography Angiography to Guide Percutaneous Coronary Intervention: Expert Opinion from a SCAI/SCCT Roundtable

2025/05/01 by Yader Sandoval, Jonathon Leipsic, Carlos Collet +14 · 1 voice
Medicine · Engineering · #Cardiac Imaging and Diagnostics #Aortic aneurysm repair treatments #Advanced X-ray and CT Imaging

paper · doi:10.1016/j.jscai.2025.103664

openalex publication_date 2025/05/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/06

Abstract

Coronary computed tomography angiography (CCTA) has emerged as an important tool for planning percutaneous coronary intervention (PCI). While it has traditionally been employed for diagnostic purposes, increasing evidence and real-world experience suggest that CCTA can be used for the preprocedural planning of PCI and can inform patient triage, shared decision making, case complexity, and resource use. This approach mirrors how computed tomography angiography is routinely used to plan structural interventions. To address these emerging opportunities, the Society for Cardiovascular Angiography & Interventions (SCAI) and the Society of Cardiovascular Computed Tomography (SCCT) organized a multidisciplinary, expert scientific roundtable on the use of CCTA for guiding PCI. The goal of this document is to provide a state-of-the-art overview of CCTA-guided PCI focused on practical applications and key coronary lesion subsets, define unmet needs and barriers, and outline future directions.

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