10 Oct 2025
IVUS or OCT? Choosing the right imaging for the right lesion - A case-based debate
With the collaboration of Japanese Association of Cardiovascular Intervention and Therapeutics and Taiwan Society of Cardiovascular Interventions
Summary
This case-based debate examines the complementary roles of IVUS and OCT imaging modalities in precision PCI. It highlights lesion-specific factors guiding modality choice, including left main disease, bifurcations, calcified plaques, and acute coronary syndromes, supported by real-world clinical cases demonstrating imaging-based decision-making.
Learning Objectives
- To understand the complementary roles of IVUS and OCT in contemporary precision PCI and how intravascular imaging can optimise clinical and procedural outcomes
- To identify lesion-specific factors - including left main disease, bifurcations, calcified plaque, and acute coronary syndromes - that guide the selection between IVUS and OCT
- To apply imaging-based decision-making by reviewing real-world cases where IVUS or OCT provided a clear advantage, and critically assess the rationale behind each modality choice