The goal of this clinical trial is to learn whether coronary CT angiography (CCTA)-guided planning improves the efficiency and outcomes of percutaneous coronary intervention (PCI) in adults with coronary artery disease. It will also evaluate the feasibility and safety of using a CT-based "virtual PCI plan" during coronary interventions.
The main questions it aims to answer are:
* Does CCTA-guided PCI reduce procedural time, radiation exposure, and contrast dye use compared with standard PCI?
* Does CCTA-guided PCI improve procedural outcomes and stent optimization?
* How often do operators follow or deviate from the CT-based procedural plan?
* What medical problems or complications occur during and after CCTA-guided PCI?
Researchers will compare CCTA-guided PCI with standard angiography-guided PCI to determine whether CT-derived procedural planning improves PCI efficiency and clinical outcomes.
Participants will:
* Undergo PCI guided either by a CCTA-based virtual planning strategy or by standard clinical practice
* Attend follow-up assessments at 1 month, 6 months, and 1 year
* Undergo routine clinical evaluations and imaging assessments related to their PCI procedure
* Be monitored for procedural complications, symptoms, repeat procedures, and cardiovascular outcomes during follow-up
The study will also include a parallel observational registry for patients whose coronary lesions are deferred from PCI, to evaluate their long-term clinical outcomes.