{"id":7974,"date":"2025-07-17T20:41:55","date_gmt":"2025-07-17T17:41:55","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=7974"},"modified":"2025-07-17T20:41:55","modified_gmt":"2025-07-17T17:41:55","slug":"use-of-imaging-guidance-during-pci-has-doubled-in-recent-years","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/use-of-imaging-guidance-during-pci-has-doubled-in-recent-years\/","title":{"rendered":"Use of imaging guidance during PCI has doubled in recent years:"},"content":{"rendered":"
Use of imaging guidance during PCI has doubled in recent years:<\/div>\n
<\/div>\n
Published on July 3, 2025, in The American Journal of Cardiology.<\/div>\n
<\/div>\n
\u2013 Key Findings (July 2025)<\/div>\n
1. Significant Growth in Use:<\/span><\/div>\n
\u2022 Intracoronary imaging (ICI) guidance during percutaneous coronary intervention (PCI) has nearly doubled in recent years across the U.S.<\/span><\/div>\n
\u2022 Overall usage rose from 6.8% in 2016 to 13.5% in 2020.<\/span><\/div>\n
2. Modalities Breakdown:<\/span><\/div>\n
\u2022 IVUS (Intravascular Ultrasound) increased from 6.5% to 12.9%.<\/span><\/div>\n
\u2022 OCT (Optical Coherence Tomography) usage rose slightly from 0.3% to 0.7%.<\/span><\/div>\n
3. Regional Variability:<\/span><\/div>\n
\u2022 Western U.S.: Highest Intracoronary imaging (ICI)\u00a0 usage (12.6%).<\/span><\/div>\n
\u2022 Midwest: 8.9%; Northeast: 9.9%; South: Lowest at 7.6%.<\/span><\/div>\n
4. Clinical Benefits:<\/span><\/div>\n
\u2022 Both IVUS and OCT are associated with lower mortality rates post-PCI compared to angiography-guided PCI.<\/span><\/div>\n
5. Barriers to Adoption:<\/span><\/div>\n
\u2022\u00a0 \u00a0 Limited training.<\/span><\/div>\n
\u2022 Technical complexity and interpretation challenges.<\/span><\/div>\n
\u2022 Longer procedure times, higher radiation, and lack of workflow standardization.<\/span><\/div>\n
\u2022 Cost-effectiveness concerns.<\/span><\/div>\n
6. Factors Promoting ICI Use:<\/span><\/div>\n
\u2022 Higher use in:<\/span><\/div>\n
\u2022 Native American patients.<\/span><\/div>\n
\u2022 Patients with COVID-19, prior MI, CHF, or complex PCI cases.<\/span><\/div>\n
\u2022 High-volume PCI centers.<\/span><\/div>\n
\u2022 Privately insured patients and larger hospitals.<\/span><\/div>\n
\u2022 Less common in:<\/span><\/div>\n
\u2022 Acute coronary syndromes (ACS), hypertensive patients, and active smokers, especially in the Southern region.<\/span><\/div>\n
7. Guideline Influence:<\/span><\/div>\n
\u2022 The 2021 ACC\/AHA guidelines lacked strong recommendations for ICI in ACS.<\/span><\/div>\n
\u2022 The 2025 ACC\/AHA guidelines now upgrade ICI to a Class I recommendation in ACS, aiming to boost adoption.<\/span><\/div>\n
8. Conclusion:<\/span><\/div>\n
\u2022 Despite logistical and systemic barriers, ICI usage is rising.<\/span><\/div>\n
\u2022 Support from professional societies (e.g., ACC, AHA) is crucial to expanding adoption and improving patient outcomes.<\/span><\/div>\n
<\/div>\n
https:\/\/www.ajconline.org\/article\/S0002-9149(25)00377-7\/fulltext<\/a><\/div>\n
<\/div>\n
<\/div>\n","protected":false},"excerpt":{"rendered":"

Use of imaging guidance during PCI has doubled in recent years: Published on July 3, 2025, in The American Journal of Cardiology. \u2013 Key Findings (July 2025) 1. Significant Growth in Use: \u2022 Intracoronary imaging (ICI) guidance during percutaneous coronary intervention (PCI) has nearly doubled in recent years across the U.S. \u2022 Overall usage rose […]<\/p>\n","protected":false},"author":145,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-7974","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/7974","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/145"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=7974"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/7974\/revisions"}],"predecessor-version":[{"id":7975,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/7974\/revisions\/7975"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=7974"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=7974"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=7974"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}