RT Book, Section
A1 Steinberg, Daniel H.
A1 Escolar, Esteban
A1 Gallino, Robert A.
A1 Weissman, Neil J.
A2 Dieter, Robert S.
A2 Dieter, Raymond A.
A2 Dieter, Raymond A.
SR Print(0)
ID 1127166547
T1 Intravascular Ultrasound in Peripheral Arterial Disease
T2 Peripheral Arterial Disease
YR 2009
FD 2009
PB McGraw-Hill Education
PP New York, NY
SN 9780071481793
LK accesscardiology.mhmedical.com/content.aspx?aid=1127166547
RD 2024/04/19
AB Intravascular  ultrasound  (IVUS)  has  become  a  standard  imaging  technique  in  high  volume,  experienced  interventional  laboratories,  but  most  of  its  use  is  relegated  to  the  coronary  arteries.  While  conventional  angiography  provides  a  single-plane  "shadow"  of  the  vascular  lumen,  it  has  limited  ability  to  accurately  and  reproducibly  measure  vessel  stenosis  and  characterize  plaque  morphology.  The  high-definition,  cross-sectional  images  of  the  arterial  lumen  and  the  arterial  wall  provided  by  IVUS  allow  a  far  more  detailed  analysis  of  the  target  vessel  and  peripheral  interventional  success.  Nonetheless,  IVUS  has  not  enjoyed  wide  deployment  in  the  peripheral  interventional  arena.  This  chapter  will  provide  the  information  needed  to  utilize  IVUS  during  peripheral  interventions  by  reviewing  the  fundamentals  of  IVUS  technology,  image  interpretation  and  standardized  measurements,  its  general  application  during  peripheral  vascular  interventions,  and  some  specific  considerations  for  each  vascular  territory.