Functional assessment 3.0: from wire through angio to OCT

Precision percutaneous coronary intervention (PCI) is a constantly evolving field, which is redefining the standards for indicated and optimised procedures. Physiological assessment of coronary stenoses is recommended by clinical practice guidelines as a tool to investigate the presence of ischaemia-generating lesions and to assist in making decisions on coronary revascularisation1. Imaging-guided PCI is associated with a more favourable prognosis than an angio-guided approach, especially in complex coronary settings (i.e., left main stem disease, chronic total occlusion, long lesions with severe calcifications)2. The utilisation of either physiology or imaging post PCI to optimise the procedural result is associated with ...