Expert panel: IVUS can benefit patients needing peripheral revascularization
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Key takeaways:
- IVUS may improve care of patients undergoing peripheral revascularization.
- More data are needed to document benefits and develop better appropriate use criteria.
Compared with angiography, IVUS may improve care and outcomes of patients requiring interventional peripheral revascularization, according to an expert consensus roundtable sponsored by several medical societies.
‘Improvements ... have lagged’
“Improvements in outcomes following peripheral vascular intervention have lagged compared to other endovascular treatments, such as percutaneous coronary intervention,” Eric A. Secemsky, MD, MSc, FSCAI, lead author of the proceedings document and director of vascular intervention at Beth Israel Deaconess Medical Center, said in a press release. “Both clinical experience and evidence support the greater use of peripheral IVUS to reduce adverse events and extend the patency of our lower-extremity revascularization procedures. By gathering experts from different specialties, we aimed to foster collaboration and exchange ideas to improve patient care for peripheral IVUS. The roundtable provided a unique opportunity to identify knowledge gaps and discuss how IVUS can enhance our understanding and treatment of peripheral arterial and deep venous pathology.”
Image: Adobe Stock
The expert consensus meeting was convened by the Society for Cardiovascular Angiography and Interventions and co-sponsored by the American Vein & Lymphatic Society, the American Venous Forum, the Society of Interventional Radiology, the Society for Vascular Medicine and the Society for Vascular Surgery. The proceedings were published in the Journal of the Society for Cardiovascular Angiography & Interventions, the Journal of Vascular and Interventional Radiology and the Journal of Vascular Surgery – Vascular Insights.
Generating more data
The document covers the role of and trends in use of IVUS in peripheral interventional procedures, the role of guidelines and consensus documents in supporting peripheral IVUS use, barriers to IVUS adoption and needs and desirable actions for the future. The latter included:
- Address data gaps, especially in terms of conducting a randomized trial of IVUS vs. angiography in peripheral beds.
- Reinforce educational efforts and change the perception of IVUS.
- Foster interdisciplinary and intersociety collaboration.
- Generate more research on patient outcomes and cost-effectiveness with IVUS to develop stronger appropriate use criteria.
“IVUS is an important tool for many aspects of peripheral vascular intervention, but its utilization remains low,” the panelists wrote. “Closer interdisciplinary collaboration at all levels will be crucial to ensure continued growth of IVUS utilization by appropriately trained and informed physicians, in a sustainable application of the latest data to patient identification and process optimization with supportive reimbursement. Patients with peripheral vascular disease will likely benefit from safer procedures and improved outcomes when IVUS is utilized, as agreed upon by all members of the panel.”
“The insights gained from this roundtable will help shape future research, training and clinical guidelines in the field of lower extremity revascularization,” Secemsky said in the release. “By leveraging the power of IVUS, we can improve our ability to diagnose and treat patients, ultimately leading to better outcomes and quality of life.”
References:
- Multidisciplinary panel advocates for increased adoption of intravascular ultrasound (IVUS) in peripheral vascular interventions. https://scai.org/scai-sir-and-svs-jointly-publish-proceedings-multispecialty-peripheral-ivus-roundtable. Published Jan. 9, 2024. Accessed Jan. 9, 2024.
- Secemsky EA, et al. J Vasc Interv Radiol. 2024;doi:10.1016/j.jvir.2023.11.006.
- Secemsky EA, et al. JVS Vasc Insights. 2024.doi:10.1016/j.jvsvi.2023.100033.
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