Conversations in Interventional Cardiology: IVUS in PAD and Deep Venous Interventions-Manuscript - IVUS in PAD and Deep Venous Interventions

Manuscript - IVUS in PAD and Deep Venous Interventions

Pdf Summary

Intravascular ultrasound (IVUS) has been identified as a valuable tool in peripheral vascular interventions. It helps accurately size vessels, assess the severity of stenosis, evaluate lesions, and detect complications. However, its utilization remains low due to various challenges.<br /><br />A panel of experts discussed the current state of lower extremity revascularization and the potential benefits of IVUS in peripheral arterial and deep venous interventions. They emphasized the need for standardized training programs and the incorporation of IVUS into medical training curricula. The panel also highlighted the importance of guidelines that support IVUS use, improve clinical practice, and enhance reimbursement and access to training.<br /><br />IVUS is particularly valuable in assessing arterial lesions, sizing therapies, guiding stent placement, and evaluating post-intervention outcomes. In venous interventions, it helps assess thrombus burden, lesion length, and vessel diameter, as well as guide stent placement.<br /><br />Studies have shown that IVUS use in peripheral arterial interventions is associated with better outcomes, including reduced rates of adverse events and improved long-term clinical outcomes. Similarly, IVUS use in deep venous interventions is associated with lower rates of reintervention and hospitalization over the long term.<br /><br />However, there are barriers to increasing IVUS utilization, including limitations of the technology, operator comfort and interpretation, access and cost, integration into standard procedures, and the need for more evidence. The panel emphasized the need for additional prospective studies, closer collaboration with commercial partners to minimize costs, and stronger reimbursement support.<br /><br />Education and awareness among physicians and reimbursement authorities are crucial for promoting the appropriate use of IVUS. The panel called for comprehensive training programs, increased research, and investment in evidence supporting the role of IVUS.<br /><br />Overall, the panel concluded that improved interdisciplinary collaboration, education, and research are necessary to maximize the clinical utility of IVUS in peripheral interventions and improve patient outcomes.

Keywords

intravascular ultrasound

peripheral vascular interventions

vessel sizing

lesion evaluation

arterial lesion assessment

stent placement guidance

reduced adverse events

lower reintervention rates

education and awareness

improved patient outcomes