TD-PCI stands for precise, innovative wire control, transcending traditional limits in PCI. Born from the spirit of the revolutionary Japanese IVUS-guided tip-detection antegrade dissection and re-entry technique, TD-PCI is more than a technical step: it is a philosophy. It symbolizes mastery of IVUS and wiring, the courage to rethink conventional pathways, and the relentless pursuit of excellence in the most challenging interventions. To detect the tip is to see beyond the lumen. It is to combine luminal angiographic projection with intravascular precision. It is to elevate procedural reasoning and refine the very essence of percutaneous revascularization: to transform visualization into understanding — and understanding into proficiency. TD-PCI is not merely a method — it is an evolving ethos committed to excellence, where innovation meets rigor and imagination is guided by evidence to advance patient care. By encouraging open scientific dialogue, TD-PCI is envisioned as a shared conceptual framework in which complex PCI can be interpreted, discussed, and reimagined.