Factors Contributing to Low Utilization of Intracoronary Imaging in Clinical Practice: A White Paper

Journal of the Society for Cardiovascular Angiography & Interventions Pub Date : 2025-07-01 DOI:10.1016/j.jscai.2025.103607

Javier Escaned MD, PhD , Marco Lombardi MD , Matthias Götberg MD, PhD , Nicolas Amabile MD, PhD , Adrian Banning MD, PhD , Emanuele Barbato MD, PhD , Salvatore Brugaletta MD, PhD , Shao-Liang Chen MD, PhD , Darshan Doshi MD , Bon-Kwon Koo MD, PhD , Ken Kozuma MD, PhD , Kalaivani Mahadevan MD , Dejan Milasinovic MD, PhD , Jan-Malte Sinning MD, PhD , Gabor Toth MD, PhD , Nieves Gonzalo MD, PhD , Mamas A. Mamas MD, PhD , Ajay J. Kirtane MD, SM

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Abstract

Intracoronary imaging (ICI) was introduced over 3 decades ago to complement conventional coronary angiography, yet its widespread uptake remains limited. This paper seeks to explore the potential causes behind low ICI utilization. The concepts of acceptability, acceptance, and adoption were applied to understand at which stage individual factors influence ICI implementation. Overall, the document aims at offering a comprehensive understanding of the challenges affecting ICI adoption, laying the foundation for effective change strategies. This approach is intended to address the broader, multifaceted nature of ICI implementation, providing a starting point for broadening its integration into clinical practice.

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导致临床实践中冠状动脉内显像使用率低的因素：白皮书

冠状动脉内成像（ICI）在30多年前被引入，作为传统冠状动脉造影的补充，但其广泛应用仍然有限。本文旨在探讨低ICI利用率背后的潜在原因。可接受性、接受和采用的概念被应用于理解个体因素在哪个阶段影响ICI的实施。总体而言，该文件旨在全面了解影响ICI采用的挑战，为有效的变革战略奠定基础。这种方法旨在解决ICI实施的更广泛，多方面的性质，为扩大其融入临床实践提供了一个起点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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