Evidence map›Paper›PMID 41483328›Full record

ReviewCardiovascular intervention and therapeutics2026

Consensus document on the role of cardiac computed tomography for pre-procedural planning in minimally invasive percutaneous coronary intervention from the Japanese association of cardiovascular intervention and therapeutics.

Kenji Sadamatsu, Fuminobu Yoshimachi, Naoki Masuda, Shinichiro Yamada, Tomokazu Ikemoto, Nozomi Kotoku, Munenori Okubo, Yoshio Kobayashi, Ken Kozuma

Abstract readConsensus StatementReview
In one paragraph

Review in Cardiovascular intervention and therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Kenji SadamatsuDepartment of Cardiology, Omuta City Hospital, 2-19-1 Takarazaka-machi, Omuta, 836-8567, Fukuoka, Japan. k-sadamatsu@umin.ac.jp.ORCID http://orcid.org/0000-0003-2614-9447
Fuminobu YoshimachiDivision of Cardiology, Department of Internal Medicine, Tokai University Hachioji Hospital, Hachioji, Japan.
Naoki MasudaDepartment of Cardiology, Shonan Oiso Hospital, Oiso, Japan.
Shinichiro YamadaDivision of Cardiology, Kita-Harima Medical Center, Ono, Japan.
Tomokazu IkemotoDepartment of Cardiology, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan.
Nozomi KotokuDivision of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.
Munenori OkuboDepartment of Cardiovascular Medicine, Gifu Heart Center, Gifu, Japan.
Yoshio KobayashiDepartment of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.
Ken KozumaDepartment of Cardiology, Teikyo University Hospital, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Slender percutaneous coronary intervention (PCI) is a minimally invasive technique that uses smaller catheters, typically 5-French devices, to reduce bleeding complications and eliminate the need for unnecessarily large catheters. While these techniques are highly effective for non-complex lesions, they face inherent challenges, such as limitations in device compatibility and technical constraints. These challenges emphasize the importance of thorough pre-procedural planning to ensure optimal equipment selection and successful procedures. Cardiac computed tomography (CT) addresses these limitations by providing a comprehensive three-dimensional view of the coronary artery anatomy and lesion characteristics. This consensus statement outlines the role of cardiac CT in optimizing slender PCI strategies, emphasizing the importance of detailed anatomical assessments and advanced evaluations of lesion complexity. Cardiac CT enables precise measurements of vessel dimensions, identification of optimal landing zones, and accurate characterization of lesion complexity, including calcified plaque. Thin-slab maximum intensity projection reconstruction provides simultaneous longitudinal and cross-sectional views, comparable with findings of coronary angiography and intravascular imaging, facilitating interventional planning. For complex lesions, CT is essential. It accurately predicts the risk of side branch occlusion in bifurcation lesions, characterizes the distribution of calcification in heavily calcified lesions to aid in device selection, and helps in the appropriate selection of cases for chronic total occlusion lesions based on CT-derived scores and detailed morphological assessments. To systematically apply these principles, a practical pre-procedural checklist for CT-guided planning is proposed. The integration of cardiac CT into the slender PCI workflow extends beyond anatomical assessment to encompass the optimization of resource utilization, potentially enabling interventionists to proceed with appropriately minimally invasive techniques from the outset.

Indexed as

Coronary Artery DiseaseCoronary VesselsPercutaneous Coronary InterventionTomography, X-Ray ComputedCoronary AngiographyHumansJapanMinimally Invasive Surgical Procedures

Identifiers

PMID41483328
PMCPMC13002710

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.