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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
Intravascular Ultrasound in Percutaneous Coronary Intervention: A Consensus Document from the UK
John Hung1, Brian Cox1, Michael Foley2
1Department of Cardiology, Liverpool Heart and Chest Hospital Liverpool, UK.
Interventional Cardiology (London, England)
|July 23, 2026
Summary
This UK consensus statement provides guidance on using intravascular ultrasound (IVUS) during percutaneous coronary intervention, aiming to improve patient outcomes. It addresses barriers and proposes solutions for wider adoption of IVUS technology.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- European Society of Cardiology and American Heart Association updated intravascular imaging recommendations.
- Growing evidence supports intravascular ultrasound (IVUS) use in percutaneous coronary intervention (PCI).
Purpose of the Study:
- To present a UK consensus statement on IVUS application in PCI.
- To guide consistent integration of IVUS into clinical practice for optimized patient outcomes.
Main Methods:
- Consensus developed by 26 senior interventional cardiologists across UK centers.
- Discussion of IVUS indications, current UK usage patterns, and future standards.
- Proposal of a standardized workflow and core IVUS dataset documentation.
Main Results:
- Identified persistent barriers including cost, training variability, and procedural integration.
- Proposed practical solutions like national training curricula and accreditation for IVUS operators.
- Emphasized the need for broader adoption of IVUS in PCI.
Conclusions:
- The consensus statement aims to support clinicians and teams in embedding IVUS into practice.
- Standardized workflows and training are crucial for consistent IVUS use.
- Optimizing patient outcomes through enhanced PCI procedures is the ultimate goal.