Coronary Computed Tomography Angiography to Guide Percutaneous Coronary Intervention: Expert Opinion from a SCAI/SCCT Roundtable
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.
Authors
- Jonathon A Leipsic (ORCID: https://orcid.org/0000-0002-6133-8334)
- Carlos Collet (ORCID: https://orcid.org/0000-0003-0227-0082)
- Emmanouil S. Brilakis (ORCID: https://orcid.org/0000-0001-9416-9701)
- João L. Cavalcante (ORCID: https://orcid.org/0000-0002-3632-2074)
- Evan Shlofmitz (ORCID: https://orcid.org/0000-0002-0907-5258)
- Ziad A. Ali (ORCID: https://orcid.org/0000-0002-2482-3197)
- Koen Nieman (ORCID: https://orcid.org/0000-0002-8312-0598)
- Lorenzo Azzalini (ORCID: https://orcid.org/0000-0001-9758-0360)
- Daniel A. Jones (ORCID: https://orcid.org/0000-0003-1441-0417)
- Emanuele Barbato (ORCID: https://orcid.org/0000-0002-0050-5178)
- John King Khoo (ORCID: https://orcid.org/0000-0002-7226-8773)
- Anbukarasi Maran (ORCID: https://orcid.org/0000-0002-2829-5555)
- Arnold H. Seto (ORCID: https://orcid.org/0000-0002-0584-1904)
- Natalia Pinilla‐Echeverri (ORCID: https://orcid.org/0000-0001-7784-0348)
- Ricardo A. Costa (ORCID: https://orcid.org/0000-0003-0319-3461)
- Héctor M. García‐García
- Yader Sandoval
Institutions
- MedStar Washington Hospital Center (US)
- Abbott Northwestern Hospital (US)
- Allina Health (US)
- University of British Columbia (CA)
- Medical University of South Carolina (US)
- Queen Mary University of London (GB)
- University of Washington (US)
- Cardiovascular Institute of the South (US)
- St. Francis Hospital (US)
- Onze Lieve Vrouwziekenhuis Hospital (BE)
- New York Institute of Technology (US)
- Azienda Ospedaliera Sant'Andrea (IT)
- Minneapolis Heart Institute Foundation (US)
- Instituto Dante Pazzanese de Cardiologia (BR)
- VA Long Beach Healthcare System (US)
- Hamilton Health Sciences (CA)
- Sapienza University of Rome (IT)
- Stanford University (US)
- McMaster University (CA)
Publication Details
- Journal
- Journal of the Society for Cardiovascular Angiography & Interventions
- Published
- 2025-05-01
- DOI
- https://doi.org/10.1016/j.jscai.2025.103664
- Citations
- 7
- Primary Topic
- Cardiac Imaging and Diagnostics
- Type
- article
- Field-Weighted Citation Impact
- 9.52