CVIT 2025 clinical expert consensus document on intravascular ultrasound

Area of Science:

• Cardiovascular Imaging
• Interventional Cardiology

Background:

• Intravascular ultrasound (IVUS) offers detailed anatomical insights into coronary arteries.
• Standardized analysis is crucial for consistent interpretation of IVUS data.

Purpose of the Study:

• To update expert consensus on IVUS analysis methods.
• To summarize IVUS image assessment and measurement techniques.
• To review clinical evidence supporting IVUS use in percutaneous coronary intervention (PCI).

Main Methods:

• Consensus-based review of IVUS analysis methodologies.
• Summarization of quantitative and morphological assessment techniques.
• Evidence synthesis of IVUS applications in PCI.

Main Results:

• Provides standardized guidelines for IVUS measurements and image interpretation.
• Highlights the role of IVUS in guiding and assessing PCI outcomes.
• Consolidates current understanding of IVUS utility in clinical practice.

Conclusions:

• Standardized IVUS analysis enhances diagnostic accuracy and procedural guidance.
• Updated consensus ensures consistent application of IVUS in interventional cardiology.
• IVUS remains a valuable tool for optimizing percutaneous coronary intervention.