Impact of intravascular ultrasound in clinical practice

Andres Vasquez, Neville Mistry, Jasvindar Singh

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Intravascular ultrasound (IVUS) has expanded our understanding of atherosclerotic plaque morphology, and provides an opportunity to guide cardiovascular interventions and evaluate results. Use of this technique requires understanding of ultrasound physics, catheter differences, skills in vessel, plaque and stent quantification and knowledge of artifacts and various physiologic and pathologic findings. Optimal cardiovascular interventions should result in absence of inflow or outflow obstruction, precise geographic landing, while attaining the largest feasible luminal gain without plaque protrusion, vessel dissection or perforation and, if deployed, with complete stent expansion and apposition to the vessel wall. IVUS is safe, cost efficient and effectively optimises cardiovascular interventions. In addition, IVUS improves outcomes when used to guide coronary interventions using bare metal stents (BMS) and drug eluting stents (DES). The role of IVUS in endovascular therapy is rapidly expanding. This review will focus on the impact of IVUS in clinical practice.

Original languageEnglish
Pages (from-to)156-163
Number of pages8
JournalInterventional Cardiology Review
Volume9
Issue number3
DOIs
StatePublished - Jan 1 2014

Keywords

  • Coronary artery disease
  • Intravascular ultrasonography
  • Percutaneous coronary intervention

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