1 May 2025 • Optical coherence tomography (OCT)-guided percutaneous coronary intervention (PCI) delivers significantly better stent implantation outcomes than traditional angiography in patients with calcified coronary lesions.

Key Findings:

• The study enrolled patients with stable moderate to severe calcifications, revealing a markedly larger final median minimal stent area in the OCT group compared to the angiography group (6.5 mm² vs 5.0 mm²).
• OCT-guided PCI involved more frequent use of intravascular lithotripsy (46% vs 12%).

This study supports OCT as a superior imaging strategy, potentially redefining standard care to enhance long-term results in a high-risk population.

Source: Jama Network | Read Full Story