PDF(Pubmed)
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.
摘要：
经皮血管重建术是治疗下肢静脉和动脉疾病的主要策略。血管造影受限于其准确调整血管大小的能力，精确确定狭窄程度和病变长度，表征病变形态，或正确诊断干预后并发症。通过使用血管内超声(IVUS)克服了这些限制。IVUS已证明能够改善经皮冠状动脉介入治疗后的结果，越来越多的证据支持其在外周血管介入治疗中的益处。在其进化的这个阶段，仍需要标准化外周血管IVUS成像的使用和方法.该手稿代表了圆桌讨论中出现的考虑因素和共识观点，其中包括15位具有介入心脏病学专业知识的医生。介入放射学,血管手术，代表6个心血管专业协会，2023年2月3日举行。圆桌会议的目的是评估下肢血运重建的现状，确定知识差距和证据需求，并确定IVUS如何改善外周动脉和深静脉病变患者的护理和预后。
