Arterial and Venous Intravascular Ultrasound Applications



Intravascular ultrasound (IVUS) is a catheter based endovascular guidance system which was developed initially in interventional cardiology but has been very successfully translated to peripheral interventions. The catheters are small with tiny transducers which can be easily introduced over a guidewire percutaneously. Because the ultrasound probe is introduced at such close proximity to the vessel, great detail and therefore important information of the disease can be obtained. IVUS is an expensive imaging modality and its use has tended to be for the more complex cases such as endoluminal grafting, carotid stenting, or cases of critical limb ischemia. However, the ability for the operating room to successfully use IVUS in such situations depends on a regular ability to use and understand its clinical value. Fortunately IVUS has become much more readily understandable and user friendly in the operating room not only with technical improvements in catheters but also within the IVUS machine operator interface as well as with advances such as three-dimensional reconstruction, color flow, and virtual histology (VH). This latest development of VH IVUS has led to a greater appreciation of plaque type and how the disease in the wall of the vessel will behave at the moment of endoluminal treatment. The role of IVUS is expanding to assist with endovenous interventions. Further advances in IVUS are likely to come from forward looking IVUS, which may help negotiate chronic total occlusions. There is no doubt that the role and use of IVUS in peripheral interventions are increasing and the cost effectiveness and clinical value are becoming more practical and established.


Intravascular ultrasound Virtual histology 


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Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  1. 1.Arizona Heart FoundationPhoenixUSA
  2. 2.Department of Vascular and Endovascular SurgeryWishaw HospitalScotlandUK

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