Do I Really Need IVUS in My Peripheral Vascular Practice? Prove It.-Do I Really Need IVUS in My Peripheral Practice? Prove It.

Video Transcription

Video Summary

The presentation centered on the necessity of using intravascular ultrasound (IVUS) in peripheral vascular practices, specifically for treating peripheral arterial disease (PAD) and venous issues. The session highlighted the importance of IVUS in enhancing understanding and treatment precision in complex vessel conditions, demonstrating its utility in both diagnosing and providing evidence-based treatment strategies.<br /><br />Initially, discussions led by Eric Sosemski and Kush Desai addressed the evolving role of IVUS in delivering high-quality treatments, illustrating its rising adoption among Medicare patients for lower extremity procedures. They emphasized the technology's potential in improving patient outcomes by aiding significant decisions like choosing correct device sizes, thereby enhancing procedural success and reducing complications.<br /><br />Economic implications and appropriateness lined up by Sara Sabri discussed cost-effectiveness and economic considerations around using IVUS, advocating its long-term benefits in reducing re-intervention rates. Despite higher initial costs, studies indicated potential overall healthcare savings, particularly in the OBL (office-based lab) settings where significant reimbursement disparities affect adoption rates.<br /><br />Erin Murphy and Steve Black shared case studies showcasing IVUS’s role in refining surgical pathways, ensuring correct wire paths, and enhancing the surgical outcomes in deep venous issues. The consensus pointed towards its indispensability for venous procedures, urging widespread adoption and integration into clinical practice standards.<br /><br />For comprehensive patient care, experts highlighted IVUS as essential for accurate imaging and recommended its incorporation in training and procedural guidelines. This ensures better patient outcomes, potentially more significant long-term healthcare savings, and broader standardization in both venous and arterial interventions.

Keywords

intravascular ultrasound

peripheral vascular

peripheral arterial disease

venous issues

treatment precision

Medicare patients

economic considerations

case studies

surgical outcomes

clinical practice standards