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
Hospital Clínico San Carlos IDISSC and CIBERCV, Complutense University of Madrid, Madrid, Spain.
Department of Internal Medicine and Medical Specialties (DIMI), Università di Genova, Genova, Italy.
J Soc Cardiovasc Angiogr Interv. 2025 May 20;4(7):103607. doi: 10.1016/j.jscai.2025.103607. eCollection 2025 Jul.
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.
冠状动脉内成像（ICI）在30多年前就已被引入，以补充传统冠状动脉造影，但它的广泛应用仍然有限。本文旨在探讨ICI利用率低背后的潜在原因。应用可接受性、接受度和采用度的概念来理解个体因素在哪个阶段影响ICI的实施。总体而言，该文件旨在全面了解影响ICI采用的挑战，为有效的变革策略奠定基础。这种方法旨在应对ICI实施更广泛、多方面的性质，为将其更广泛地融入临床实践提供一个起点。
