Intravascular Ultrasound Use in Peripheral Arterial and Deep Venous Interventions: Multidisciplinary Expert Opinion From SCAI/AVF/AVLS/SIR/SVM/SVS

Eric A. Secemsky, Herbert D. Aronow, Christopher J. Kwolek, Mark Meissner, Patrick E. Muck, Sahil A. Parikh, Ronald S. Winokur, Jon C. George, Gloria Salazar, Erin H. Murphy, Mary M. Costantino, Wei Zhou, Jun Li, Robert Lookstein, Kush R. Desai

Research output: Contribution to journalArticlepeer-review


Percutaneous revascularization is the primary strategy for treating lower extremity venous and arterial disease. Angiography is limited by its ability to accurately size vessels, precisely determine the degree of stenosis and length of lesions, characterize lesion morphology, or correctly diagnose postintervention complications. These limitations are overcome with use of intravascular ultrasound (IVUS). IVUS has demonstrated the ability to improve outcomes following percutaneous coronary intervention, and there is increasing evidence to support its benefits in the setting of peripheral vascular intervention. At this stage in its evolution, there remains a need to standardize the use and approach to peripheral vascular IVUS imaging. This manuscript represents considerations and consensus perspectives that emerged from a roundtable discussion including 15 physicians with expertise in interventional cardiology, interventional radiology, and vascular surgery, representing 6 cardiovascular specialty societies, held on February 3, 2023. The roundtable's aims were to assess the current state of lower extremity revascularization, identify knowledge gaps and need for evidence, and determine how IVUS can improve care and outcomes for patients with peripheral arterial and deep venous pathology.

Original languageEnglish (US)
Article number101205
JournalJournal of the Society for Cardiovascular Angiography and Interventions
Issue number1
StatePublished - Jan 2024


  • expert opinion
  • intravascular imaging
  • peripheral vascular disease

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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