RCA Complex Physiology & Imaging Debate – Academic Transparency in Action | TRICO 2026

Imaging + Physiology in Ectatic RCA – When Not to Stent Operator: Tejas Patel with Sanjay Shah Moderators: Malcolm Bell, Takashi Akasaka IVUS, OCT, and physiology (RFR, IMR, CFR via CoroFlow system) were integrated in this ectatic anomalous RCA case. Findings confirmed significant microvascular dysfunction. No stent was implanted. This case underscored that restraint, guided by physiology, is often the highest form of intervention. A highlight session emphasizing the philosophy of TRICO: think, interpret, debate. Under the moderation of Malcolm Bell and Takashi Akasaka, this session explored the boundaries of imaging interpretation, physiology integration, and responsible restraint. The case reaffirmed TRICO’s identity — not performance, but purpose-driven education.