From angiography to precision PCI: integrating ACIST Pro contrast management system and high-definition IVUS imaging

Sponsored by ACIST

Anchorperson: J. Daemen

Spokesperson: C. Hammerstingl

Summary

This EuroPCR 2026 session explores how advanced imaging and contrast management technologies can support a more precise and reproducible PCI workflow. The discussion focuses on the integration of the ACIST Pro contrast management system with high-definition intravascular ultrasound (IVUS) imaging to improve angiographic consistency, optimise contrast utilisation, and enhance procedural efficiency. Particular attention is given to complex lesion assessment, including calcified lesions, left main disease, and bifurcation anatomies, where HDi IVUS may support more accurate decision-making and stent optimisation. The session also examines how these technologies can help translate ESC and EuroPCR recommendations into practical cathlab strategies aimed at improving procedural outcomes and renal safety.

Learning Objectives

To understand how a novel contrast management system supports precision PCI through controlled, reproducible angiographic acquisition, integrated with high-definition IVUS
To understand how controlled contrast delivery enhances image consistency, optimises contrast utilisation, and improves procedural workflow, renal safety and procedural efficiency
To learn how HDi IVUS improves lesion assessment, stent optimisation and decision making in left main and bifurcation anatomies
To apply an integrated workflow combining a novel contrast management system and high-definition IVUS-guided strategies in calcified and complex PCI ensuring optimal procedural outcomes
To translate ESC and EuroPCR recommendations into practical cathlab strategies

Speaker

C. Hammerstingl

The foundation: optimising contrast use in modern PCI