From Coronary to Peripheral—The Expanding Role of Intravascular Imaging-IVUS During Deep Venous Intervention: Standardized Approaches to Improve Outcomes

IVUS During Deep Venous Intervention: Standardized Approaches to Improve Outcomes

Video Transcription

Video Summary

The video discusses the deficiencies of angiography in deep venous interventions and emphasizes the importance of using intravascular ultrasound (IVUS) to improve outcomes. The speaker mentions that venography alone is often inadequate for recognizing the extent of disease in deep veins, with data suggesting that 30-50% of cases can be missed with only AP projections. IVUS provides valuable information about the size and morphology of lesions and helps guide the sizing of vessels. The speaker presents a case of iliac vein compression, highlighting the need for IVUS to properly assess and treat such conditions. The video also mentions a study that compared the decisions made from venography versus IVUS, demonstrating the superior sensitivity of IVUS for assessing iliofemoral vein obstruction. The speaker concludes by emphasizing the importance of increasing the utilization of IVUS in deep venous interventions to avoid complications such as stent migration. No credits are mentioned in the video.

Asset Subtitle

Jon C. George, MD, FSCAI

Keywords

angiography

intravascular ultrasound

deep venous interventions

venography

iliac vein compression