{"id":9824,"date":"2026-03-31T00:46:14","date_gmt":"2026-03-30T21:46:14","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=9824"},"modified":"2026-03-31T00:46:14","modified_gmt":"2026-03-30T21:46:14","slug":"practice-changing-interventional-cardiology-acc-26-bullet-summary","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/practice-changing-interventional-cardiology-acc-26-bullet-summary\/","title":{"rendered":"Practice-Changing Interventional Cardiology \u2014 ACC.26 (Bullet Summary)"},"content":{"rendered":"<p><span>Practice-Changing Interventional Cardiology \u2014 ACC.26 (Bullet Summary)<\/span><\/p>\n<p><span>\u2022 CHIP-BCIS3 (Impella in high-risk PCI):<\/span><br \/>\n<span>\u2192 No benefit in 1-year outcomes<\/span><br \/>\n<span>\u2192 \u2191 vascular complications + possible \u2191 CV death<\/span><br \/>\n<span>\u00a0Routine LV unloading not supported<\/span><\/p>\n<p><span>\u2022 ALL-RISE (FFRangio \u2013 AI angiography-based FFR):<\/span><br \/>\n<span>\u2192 Noninferior to wire-based FFR (MACE ~6.9% vs 7.1%)<\/span><br \/>\n<span>\u2192 \u2193 procedure &amp; fluoroscopy time<\/span><br \/>\n<span>\u00a0Simpler, wire-free physiology<\/span><\/p>\n<p><span>\u2022 FAST-III (vFFR):<\/span><br \/>\n<span>\u2192 Noninferior to wire-based FFR (MACE identical ~7.5%)<\/span><br \/>\n<span>\u2192 \u2193 contrast, radiation, procedure time<\/span><br \/>\n<span>\u00a0Angio-derived physiology validated<\/span><\/p>\n<p><span>\u2022 ORBITA-CTO (Sham-controlled CTO PCI):<\/span><br \/>\n<span>\u2192 \u2193 angina + \u2191 quality of life<\/span><br \/>\n<span>\u2192 No hard events (small study)<\/span><br \/>\n<span>\u00a0True symptomatic benefit confirmed<\/span><\/p>\n<p><span>\u2022 Big Picture:<\/span><br \/>\n<span>\\ Move toward less invasive, physiology-guided, simplified PCI<\/span><br \/>\n<span>\u00a0Re-evaluation of routine mechanical support in stable high-risk PCI<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Practice-Changing Interventional Cardiology \u2014 ACC.26 (Bullet Summary) \u2022 CHIP-BCIS3 (Impella in high-risk PCI): \u2192 No benefit in 1-year outcomes \u2192 \u2191 vascular complications + possible \u2191 CV death \u00a0Routine LV unloading not supported \u2022 ALL-RISE (FFRangio \u2013 AI angiography-based FFR): \u2192 Noninferior to wire-based FFR (MACE ~6.9% vs 7.1%) \u2192 \u2193 procedure &amp; fluoroscopy time [&hellip;]<\/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-9824","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9824","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=9824"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9824\/revisions"}],"predecessor-version":[{"id":9825,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9824\/revisions\/9825"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=9824"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=9824"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=9824"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}