Applications of intravascular ultrasound in the treatment of peripheral occlusive disease.
Intravascular ultrasound (IVUS) has emerged as a useful and often necessary adjunct in a rising number of catheter-based peripheral interventions. IVUS catheters enable luminal and transmural cross-sectional imaging of peripheral vessels with high dimensional accuracy and provide detailed information about lesion morphology. IVUS is able to guide the optimal choice of appropriate angioplasty technique, guide the delivery of endovascular devices, and assess the immediate outcome of an intervention. In this review we discuss the role of IVUS for peripheral occlusive diseases, specifically the application of IVUS technology during percutaneous transluminal angioplasty (PTA), intravascular stent placement, crossing total occlusions, and venous obstructive disease.
Lee
Jason T
JT
Division of Vascular Surgery, Stanford University Medical Center, Stanford, CA 94305, USA. jtlee@stanford.edu
Fang
Tony D
TD
White
Rodney A
RA
D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging* / Q000628:therapy*; D001185:Artificial Intelligence; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D006801:Humans; D007091:Image Processing, Computer-Assisted; D035002:Lower Extremity / Q000098:blood supply*; D016491:Peripheral Vascular Diseases / Q000000981:diagnostic imaging* / Q000628:therapy*; D015607:Stents; D018084:Ultrasonography, Interventional / Q000295:instrumentation / Q000379:methods*