Fuwai Hospital Team at EuroPCR 2026: Practical Strategies & Clinical Data for PCI Optimization ๐ฅ
Share
Fuwai Hospital Team at EuroPCR 2026: Practical Strategies & Clinical Data for PCI Optimization ๐ฅ
At EuroPCR 2026, Dr. Kefei Douโs team from Fuwai Hospital shared 7 clinical studies on the full-cycle management of PCI. These large-cohort findings provide actionable, evidence-based references for optimizing cath lab workflows and patient care.
Here are the practical clinical takeaways:
๐ Pre-op: Optimizing Workflow via CT-COMPASS The 1-year data supports integrating AI-empowered CT virtual stenting (CT-VS) into routine pre-op assessment. ๐ Data: CT-VS reduced Target Vessel Failure (TVF) to 1.5% (vs. 4.4% in the angio-guided group). ๐ฏ Impact: Optimized pre-op strategies in ~1/3 of patients, avoiding unnecessary interventions.
๐ Post-op: Long-term Antiplatelet Choice for High-Risk Pts For high-risk PCI patients who are event-free after 12 months of standard DAPT: ๐ Data: Clopidogrel monotherapy (months 12-36) reduced MACCE risk by ~57% compared to Aspirin, with no increase in bleeding. ๐ฏ Impact: A safe, actionable standard for managing complex PCI with High Bleeding Risk (HBR).
๐ Intra-op: Resource Allocation for Physiology (FFR/QFR) To address "which vessels truly need FFR/QFR," the team developed an XGBoost machine-learning model based on angiographic features. ๐ฏ Impact: Enables rapid, intra-op screening of "net-benefit" vessels, optimizing cath lab resources.
๐ฌ Follow-up: Refined Risk Stratification ๐ Inflammation: CCTA-assessed local coronary inflammation is a stronger independent predictor of MACE than systemic inflammation. ๐ฉธ Lipids in DM: For diabetic PCI patients, the LDL-C/ApoB ratio (reflecting LDL particle size) provides a more accurate assessment of residual risk than LDL-C alone.
These practical experiences offer a viable pathway for global peers to enhance PCI precision and safety.
