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Percutaneous coronary intervention: The “oculosufficient” effect and how to overcome it

Intravascular imaging and coronary physiology can improve the outcomes of percutaneous coronary intervention but are currently underutilized. Longer procedure time, higher cost, and challenges with performance and interpretation are barriers to the use of intravascular imaging and physiology. Selective application of imaging and physiology in more complex interventions, education of how to use these modalities, and reimbursement of the equipment cost could increase adoption of these techniques in everyday clinical practice.