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<p>Intravascular ultrasound (IVUS) has been used since the early&#xa0;1990s for image guidance in the coronary region complementary to angiography. The clinical value of IVUS for various pathologies in acute and elective scenarios has been assessed as superior to angiography in extensive prospective studies. This also applies to aortic and peripheral vascular segments with a&#xa0;delay of 10–20&#xa0;years. The advantages were recognizable with respect to the density of information of the images generated and the procedural and outcome quality. Additionally, the use of IVUS is also highly relevant for maximizing radiation safety in the face of the increasing dominance of endovascular radiation-based treatment strategies.</p><p>The practical aspects, future options and limitations of the technique for treating acute vascular occlusions are presented based on the currently published data. Practical aspects concerning its use in the vascular surgery setting including radiation safety issues are also presented and critically discussed.</p>

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IVUS beim arteriellen Verschluss: Die aktuelle Datenlage

  • 期刊论文

  • 发表日期：

    2026年5月20日

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  • Jörg Teßarek,
  • Seragalhak Ben Zayed,
  • Paolo Calo,
  • Ahmed Qozat,
  • Thomas Nüsse

摘要

Intravascular ultrasound (IVUS) has been used since the early 1990s for image guidance in the coronary region complementary to angiography. The clinical value of IVUS for various pathologies in acute and elective scenarios has been assessed as superior to angiography in extensive prospective studies. This also applies to aortic and peripheral vascular segments with a delay of 10–20 years. The advantages were recognizable with respect to the density of information of the images generated and the procedural and outcome quality. Additionally, the use of IVUS is also highly relevant for maximizing radiation safety in the face of the increasing dominance of endovascular radiation-based treatment strategies.

The practical aspects, future options and limitations of the technique for treating acute vascular occlusions are presented based on the currently published data. Practical aspects concerning its use in the vascular surgery setting including radiation safety issues are also presented and critically discussed.