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Secemsky EA, Aronow HD, Kwolek CJ, Meissner M, Muck PE, Parikh SA, Winokur RS, George JC, Salazar G, Murphy EH, Costantino MM, Zhou W, Li J, Lookstein R, Desai KR. Intravascular Ultrasound Use in Peripheral Arterial and Deep Venous Interventions: Multidisciplinary Expert Opinion From SCAI/AVF/AVLS/SIR/SVM/SVS. J Vasc Interv Radiol 2024; 35:335-348. [PMID: 38206255 DOI: 10.1016/j.jvir.2023.11.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 09/21/2023] [Accepted: 10/03/2023] [Indexed: 01/12/2024] Open
Abstract
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.
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Affiliation(s)
- Eric A Secemsky
- Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology and Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
| | - Herbert D Aronow
- Department of Medicine, Michigan State University, East Lansing, Michigan; Heart & Vascular Services, Henry Ford Health, Detroit, Michigan
| | - Christopher J Kwolek
- Harvard Medical School, Boston, Massachusetts; Newton-Wellesley Hospital, Wellesley, Massachusetts
| | - Mark Meissner
- Department of Surgery, University of Washington School of Medicine, Seattle, Washington
| | - Patrick E Muck
- Department of Vascular Surgery, Good Samaritan Hospital, Cincinnati, Ohio
| | - Sahil A Parikh
- Center for Interventional Cardiovascular Care, Division of Cardiology, Columbia University Irving Medical Center, New York, New York
| | - Ronald S Winokur
- Weill Cornell Vein Treatment Center and Division of Interventional Radiology, Department of Radiology, Weill Cornell Medicine, New York, New York
| | - Jon C George
- Division of Interventional Cardiology and Endovascular Medicine, Pennsylvania Hospital, Philadelphia, Pennsylvania
| | - Gloria Salazar
- Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
| | - Erin H Murphy
- Venous and Lymphatic Center, Division of Vascular Surgery, Sanger Heart and Vascular, Atrium Health, Charlotte, North Carolina
| | | | - Wei Zhou
- Division of Vascular Surgery, University of Arizona and Banner University Medical Center, Tucson, Arizona
| | - Jun Li
- Harrington Heart and Vascular Institute, University Hospitals, Cleveland, Ohio
| | | | - Kush R Desai
- Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
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2
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Secemsky EA, Aronow HD, Kwolek CJ, Meissner M, Muck PE, Parikh SA, Winokur RS, George JC, Salazar G, Murphy EH, Costantino MM, Zhou W, Li J, Lookstein R, Desai KR. Intravascular Ultrasound Use in Peripheral Arterial and Deep Venous Interventions: Multidisciplinary Expert Opinion From SCAI/AVF/AVLS/SIR/SVM/SVS. JOURNAL OF THE SOCIETY FOR CARDIOVASCULAR ANGIOGRAPHY & INTERVENTIONS 2024; 3:101205. [PMID: 39131984 PMCID: PMC11307416 DOI: 10.1016/j.jscai.2023.101205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 09/21/2023] [Accepted: 10/03/2023] [Indexed: 08/13/2024]
Abstract
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.
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Affiliation(s)
- Eric A. Secemsky
- Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology and Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts
- Harvard Medical School, Boston, Massachusetts
| | - Herbert D. Aronow
- Department of Medicine, Michigan State University, East Lansing, Michigan
- Heart & Vascular Services, Henry Ford Health, Detroit, Michigan
| | - Christopher J. Kwolek
- Harvard Medical School, Boston, Massachusetts
- Newton-Wellesley Hospital, Wellesley, Massachusetts
| | - Mark Meissner
- Department of Surgery, University of Washington School of Medicine, Seattle, Washington
| | - Patrick E. Muck
- Department of Vascular Surgery, Good Samaritan Hospital, Cincinnati, Ohio
| | - Sahil A. Parikh
- Center for Interventional Cardiovascular Care, Division of Cardiology, Columbia University Irving Medical Center, New York, New York
| | - Ronald S. Winokur
- Weill Cornell Vein Treatment Center and Division of Interventional Radiology, Department of Radiology, Weill Cornell Medicine, New York, New York
| | - Jon C. George
- Division of Interventional Cardiology and Endovascular Medicine, Pennsylvania Hospital, Philadelphia, Pennsylvania
| | - Gloria Salazar
- Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
| | - Erin H. Murphy
- Venous and Lymphatic Center, Division of Vascular Surgery, Sanger Heart and Vascular, Atrium Health, Charlotte, North Carolina
| | | | - Wei Zhou
- Division of Vascular Surgery, University of Arizona and Banner University Medical Center, Tucson, Arizona
| | - Jun Li
- Harrington Heart and Vascular Institute, University Hospitals, Cleveland, Ohio
| | | | - Kush R. Desai
- Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
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Faucon AL, Bobrie G, Azarine A, Mousseaux E, Mirault T, Lorthioir A, Azizi M, Amar L. Renal Outcome and New-Onset Renal and Extrarenal Dissections in Patients With Nontrauma Renal Artery Dissection Associated With Renal Infarction. Hypertension 2021; 78:51-61. [PMID: 33966454 DOI: 10.1161/hypertensionaha.120.16540] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
[Figure: see text].
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Affiliation(s)
- Anne-Laure Faucon
- Hypertension Unit (A.-L.F., G.B., A.L., M.A., L.A.), AP-HP, Hôpital Européen Georges Pompidou, Paris, France.,Rare Vascular Diseases Reference Centre (A.-L.F., G.B., E.M., T.M., M.A., L.A.), AP-HP, Hôpital Européen Georges Pompidou, Paris, France.,Université de Paris, France (A.-L.F., E.M., T.M., M.A., L.A.)
| | - Guillaume Bobrie
- Hypertension Unit (A.-L.F., G.B., A.L., M.A., L.A.), AP-HP, Hôpital Européen Georges Pompidou, Paris, France.,Rare Vascular Diseases Reference Centre (A.-L.F., G.B., E.M., T.M., M.A., L.A.), AP-HP, Hôpital Européen Georges Pompidou, Paris, France
| | - Arshid Azarine
- Department of Cardiovascular Radiology (A.A., E.M.), AP-HP, Hôpital Européen Georges Pompidou, Paris, France
| | - Elie Mousseaux
- Department of Cardiovascular Radiology (A.A., E.M.), AP-HP, Hôpital Européen Georges Pompidou, Paris, France.,Université de Paris, France (A.-L.F., E.M., T.M., M.A., L.A.).,PARCC, INSERM, Paris, France (E.M., T.M., L.A.)
| | - Tristan Mirault
- Department of Vascular Medicine (T.M.), AP-HP, Hôpital Européen Georges Pompidou, Paris, France.,Rare Vascular Diseases Reference Centre (A.-L.F., G.B., E.M., T.M., M.A., L.A.), AP-HP, Hôpital Européen Georges Pompidou, Paris, France.,Université de Paris, France (A.-L.F., E.M., T.M., M.A., L.A.).,PARCC, INSERM, Paris, France (E.M., T.M., L.A.)
| | - Aurélien Lorthioir
- Hypertension Unit (A.-L.F., G.B., A.L., M.A., L.A.), AP-HP, Hôpital Européen Georges Pompidou, Paris, France
| | - Michel Azizi
- Hypertension Unit (A.-L.F., G.B., A.L., M.A., L.A.), AP-HP, Hôpital Européen Georges Pompidou, Paris, France.,Rare Vascular Diseases Reference Centre (A.-L.F., G.B., E.M., T.M., M.A., L.A.), AP-HP, Hôpital Européen Georges Pompidou, Paris, France.,Université de Paris, France (A.-L.F., E.M., T.M., M.A., L.A.).,Inserm, CIC 1418, Paris, France (M.A.)
| | - Laurence Amar
- Hypertension Unit (A.-L.F., G.B., A.L., M.A., L.A.), AP-HP, Hôpital Européen Georges Pompidou, Paris, France.,Rare Vascular Diseases Reference Centre (A.-L.F., G.B., E.M., T.M., M.A., L.A.), AP-HP, Hôpital Européen Georges Pompidou, Paris, France.,Université de Paris, France (A.-L.F., E.M., T.M., M.A., L.A.).,PARCC, INSERM, Paris, France (E.M., T.M., L.A.)
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