Title
Intravascular Ultrasound Use in Peripheral Arterial and Deep Venous Interventions
Authoring Organizations
Publication Month/Year
January 9, 2024
Last Updated Month/Year
February 15, 2024
Supplemental Implementation Tools
Document Type
Consensus
Country of Publication
US
Document Objectives
Percutaneous revascularization is the primary strategy for treating lower extremity venous and arterial disease. Angiography is limited by its ability to accurately size vessels, precisely determine the degree of stenosis and length of lesions, characterize lesion morphology, or correctly diagnose postintervention complications. These limitations are overcome with use of intravascular ultrasound (IVUS). IVUS has demonstrated the ability to improve outcomes following percutaneous coronary intervention, and there is increasing evidence to support its benefits in the setting of peripheral vascular intervention. At this stage in its evolution, there remains a need to standardize the use and approach to peripheral vascular IVUS imaging. Highlights include: Increasing evidence supports intravascular ultrasound in peripheral arterial and deep venous intervention; Interdisciplinary experts reviewed how intravascular ultrasound can improve patient care and outcomes; The expert panel identified specific data gaps and key training needs for intravascular ultrasound users; Treatment standards, formal training programs, and global quality metrics remain needed; Experts called for intersocietal collaboration on education, awareness, and advocacy.
Inclusion Criteria
Male, Female, Adolescent, Adult, Child, Infant, Older adult
Health Care Settings
Hospital, Outpatient, Radiology services, Operating and recovery room
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Diagnosis, Assessment and screening, Management
Keywords
peripheral vascular disease, intravascular imaging, IVUS, intravascular ultrasound
Source Citation
DOI: https://doi.org/10.1016/j.jscai.2023.101205