Intravascular ultrasound (IVUS) and optical coherence tomography (OCT) have emerged as helpful intravascular imaging tools to guide revascularization decisions during percutaneous coronary intervention (PCI). Studies have demonstrated that intravascular imaging is associated with improved clinical outcomes. However, little is known about the temporal trends of intravascular imaging use. Thus, we conducted this study to examine the trends of intravascular imaging utilization for inpatient PCI throughout the United States.