Angiography-Derived Physiology for Coronary Artery Disease Assessment: Expert Opinion From a SCAI Roundtable

Angiography-derived physiology (ADP) is an emerging technique that offers streamlined, wire-free assessment of epicardial coronary physiology. This is accomplished by applying computational fluid dynamics or, in some cases, mathematical formulas in conjunction with artificial intelligence to standard coronary angiographic images. This approach represents a potential paradigm shift in the catheterization laboratory workflow. Despite its early promise, obstacles to the adoption and routine use of ADP remain. This document represents expert opinion from a scientific roundtable on ADP for coronary artery assessment sponsored by the Society for Cardiovascular Angiography & Interventions. It provides a comprehensive overview of the underlying concepts of ADP, outlines its optimal clinical application based on current evidence, highlights key advantages and limitations, reviews available software solutions, and discusses future directions.

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Publication Details

Journal
Journal of the Society for Cardiovascular Angiography & Interventions
Published
2026-02-03
DOI
https://doi.org/10.1016/j.jscai.2025.104156
Citations
2
Primary Topic
Coronary Interventions and Diagnostics
Type
article
Field-Weighted Citation Impact
78.29
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article

Angiography-Derived Physiology for Coronary Artery Disease Assessment: Expert Opinion From a SCAI Roundtable

Sanjeev B. Patel, Amir K. Kaki, Devraj Sukul, Allen Jeremias et al.
2 citations
Journal of the Society for Cardiovascular Angiography & Interventions
Coronary Interventions and Diagnostics
78.29
article

Angiography-Derived Physiology for Coronary Artery Disease Assessment: Expert Opinion From a SCAI Roundtable

Sanjeev B. Patel, Amir K. Kaki, Devraj Sukul, Allen Jeremias, Mirvat Alasnag, Nieves Gonzalo, Doosup Shin, Karim M. Al-Azizi, William F. Fearon, Ziad A. Ali, Yader Sandoval, Carlos Collet, Javier Escaned, Rajiv Tayal, Evan Shlofmitz, Jennifer A. Rymer, Morton J. Kern
article en
2 citations

Abstract

Angiography-derived physiology (ADP) is an emerging technique that offers streamlined, wire-free assessment of epicardial coronary physiology. This is accomplished by applying computational fluid dynamics or, in some cases, mathematical formulas in conjunction with artificial intelligence to standard coronary angiographic images. This approach represents a potential paradigm shift in the catheterization laboratory workflow. Despite its early promise, obstacles to the adoption and routine use of ADP remain. This document represents expert opinion from a scientific roundtable on ADP for coronary artery assessment sponsored by the Society for Cardiovascular Angiography & Interventions. It provides a comprehensive overview of the underlying concepts of ADP, outlines its optimal clinical application based on current evidence, highlights key advantages and limitations, reviews available software solutions, and discusses future directions.

Journal of the Society for Cardiovascular Angiography & InterventionsVol. 5(3)
Universidad Complutense de Madrid (ES), Van Andel Institute (US), Abbott Northwestern Hospital (US), Allina Health (US), University of California, Irvine (US), VA Palo Alto Health Care System (US), Henry Ford Hospital (US), Hospital Clínico San Carlos (ES), St. Francis Hospital (US), Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (ES), Valley Health System (US), Onze Lieve Vrouwziekenhuis Hospital (BE), New York Institute of Technology (US), King Fahd Armed Forces Hospital (SA), Heart Hospital Baylor Plano (US), Duke Medical Center (US), Minneapolis Heart Institute Foundation (US), Cardiovascular Research Foundation (US), Hackensack Meridian Health (US), VA Long Beach Healthcare System (US), New York University (US), Stanford University (US), Icahn School of Medicine at Mount Sinai (US)
Good health and well-being
Openalex Percentile: Top 0%
Coronary Interventions and Diagnostics
78.29
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