TY - JOUR JO - EuroIntervention TI - Intravascular ultrasound guidance for lower extremity arterial and venous interventions AB - <p>This review details the utility of intravascular ultrasound (IVUS) for the management of peripheral artery and venous disease. The purpose of this document is to provide an update in the use of IVUS in peripheral arterial and venous pathology and demonstrate the use of IVUS as a practical diagnostic imaging procedure to evaluate and treat peripheral vascular disorders. IVUS, a diagnostic tool that relies on sound waves to produce precise images of the vessel being evaluated, was originally introduced to the medical community for the purposes of peripheral artery imaging, though it was quickly adapted for coronary interventions with positive outcomes. The utility of IVUS includes vessel measurement, pre- and post-procedural planning, treatment optimisation, and detection of thrombus, dissection or calcium severity. While angiography remains the standard imaging approach during peripheral intervention, multiple observational studies and small prospective trials have shown that in comparison, IVUS provides more accurate imaging detail, which may improve procedural outcomes. IVUS can also address limitations of angiography, including the need to administer contrast medium and eliminate the ambiguity associated with other forms of imaging. This review provides contemporary examples of where IVUS is being used during peripheral intervention as well as representative imaging to serve as a resource for the practising clinician.</p> AU - Secemsky A. Eric AU - Parikh Sahil A. AU - Kohi Maureen AU - Lichtenberg Michael AU - Meissner Mark AU - Varcoe Ramon AU - Holden Andrew AU - Jaff Michael AU - Chalyan David AU - Clair Daniel AU - Hawkins Beau AU - Rosenfield Kenneth VL - 18 IS - 7 Y1 - 20/09/2022 Y1 - 2022 DOI - 10.4244/EIJ-D-21-00898 SP - 598 EP - 608 KW - below the knee disease KW - femoropopliteal disease KW - iliac disease KW - imaging modalities PB - Europa Digital & Publishing SE - Peripheral interventions UR - https://eurointervention.pcronline.com/article/intravascular-ultrasound-guidance-for-lower-extremity-arterial-and-venous-interventions SN - 1774-024X ER -