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

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

doi:10.1016/j.jscai.2025.103607

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

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

Authors

Javier Escaned

Marco Lombardi

Matthias Götberg

Nicolas Amabile

Adrian Banning

Emanuele Barbato

Salvatore Brugaletta

Shao-Liang Chen

Darshan Doshi

Bon-Kwon Koo

Ken Kozuma

Kalaivani Mahadevan

Dejan Milasinovic

Jan-Malte Sinning

Gabor Toth

Nieves Gonzalo

Mamas Mamas m.mamas@keele.ac.uk

Ajay J. Kirtane

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.

Citation

Escaned, J., Lombardi, M., Götberg, M., Amabile, N., Banning, A., Barbato, E., Brugaletta, S., Chen, S.-L., Doshi, D., Koo, B.-K., Kozuma, K., Mahadevan, K., Milasinovic, D., Sinning, J.-M., Toth, G., Gonzalo, N., Mamas, M. A., & Kirtane, A. J. (2025). Factors Contributing to Low Utilization of Intracoronary Imaging in Clinical Practice: A White Paper. Journal of the Society for Cardiovascular Angiography & Interventions, 103607. https://doi.org/10.1016/j.jscai.2025.103607

Journal Article Type	Article
Acceptance Date	Mar 17, 2025
Online Publication Date	May 20, 2025
Publication Date	May 20, 2025
Deposit Date	Jun 3, 2025
Publicly Available Date	May 20, 2025
Journal	Journal of the Society for Cardiovascular Angiography & Interventions
Print ISSN	2772-9303
Publisher	Elsevier
Peer Reviewed	Peer Reviewed
Pages	103607
DOI	https://doi.org/10.1016/j.jscai.2025.103607
Keywords	intracoronary imaging, intravascular ultrasound, optical coherence tomography, percutaneous coronary intervention
Public URL	https://keele-repository.worktribe.com/output/1242425
Publisher URL	https://doi.org/10.1016/j.jscai.2025.103607

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This is an open access article distributed under the terms of the Creative Commons CC-BY license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.