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


Country of Publication


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


Diagnosis, Assessment and screening, Management


peripheral vascular disease, intravascular imaging, IVUS, intravascular ultrasound

Source Citation

DOI: https://doi.org/10.1016/j.jscai.2023.101205