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A clear, clinician-focused summary of the 2026 EAPCI/EBC consensus recommending routine intravascular imaging (IVUS/OCT) to plan, guide and optimize left main bifurcation PCI — with practical steps, controversies and implementation advice.
This updated meta-analysis of 28 RCTs reveals significant reductions in cardiovascular events and mortality with intracoronary imaging-guided PCI versus angiography-guided PCI, highlighting the importance of lesion and geographic factors in
In patients with acute myocardial infarction, silent plaque rupture was found in 12% of non-obstructive lesions in non-infarct-related arteries. Larger plaques, positive remodeling, and thinner fibrous caps were linked to rupture, and more
A landmark multimodality imaging study reveals that silent plaque ruptures occur in 12% of non-obstructive lesions in AMI patients. Over 50% of these ruptures heal within a year, highlighting the dynamic nature of coronary atherosclerosis a
This evidence-based review examines the debate over adding preventive PCI to medical therapy for vulnerable plaques, analyzing the PREVENT trial results and the role of intracoronary imaging in risk stratification.