Abstract
Artificial intelligence (AI) has profoundly influenced the field of cardiovascular interventions and coronary artery procedures in particular. AI has enhanced diagnostic accuracy in coronary artery disease through advanced invasive and noninvasive imaging modalities, facilitating more precise diagnosis and personalized interventional strategies. AI integration in coronary interventions has streamlined diagnostic and procedural workflows, improved procedural accuracy, increased clinician efficiency, and enhanced patient safety and outcomes. Despite its potential, AI still faces significant challenges, including concerns regarding algorithmic biases, lack of transparency in AI-driven decision making, and ethical challenges. This review explores the latest advancements of AI applications in coronary artery interventions, focusing on preprocedural planning and real-time procedural guidance. It also addresses the major limitations and obstacles that hinder the widespread clinical adoption of AI technologies in this field.