在外周动脉和深静脉干预中使用血管内超声波:来自SCAI/AVF/AVLS/SIR/SVM/SVS的多学科专家意见
Eric A Secemsky1,2, Herbert D Aronow3,4, Christopher J Kwolek2,5
1Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology and Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
与血管造影相比,血管内超声波 (IVUS) 为下肢血管疾病提供了优越的成像. 标准化其使用可以提高外周再血管化程序的结果.
科学领域:
- 血管医学 血管医学
- 医疗成像医学成像
- 干预心脏病学 干预心脏病学
背景情况:
- 皮肤再血管化是下肢静脉和动脉疾病的标准.
- 血管造影在准确评估血管参数和病变特征方面存在局限性.
- 血管内超声波 (IVUS) 克服了这些局限性,在外围干预方面显示出前景.
研究的目的:
- 评估下肢再血管化的当前状态.
- 确定对外围IVUS的知识差距和证据需求.
- 确定IVUS如何改善患者护理和外围动脉和深静脉疾病的结果.
主要方法:
- 圆桌讨论中的共识观点.
- 涉及15名来自干预心脏病学,干预放射学和血管外科的医生.
- 代表6个心血管专业协会.
主要成果:
- 血管造影在血管尺寸,狭窄性评估,病变特征和并发症诊断方面的局限性.
- IVUS显示了提高皮肤穿冠状动脉干预结果的能力.
- 越来越多的证据支持IVUS在外周血管干预中的好处.
结论:
- 需要标准化外围血管IVUS成像的使用和方法.
- IVUS可以显著改善周围动脉和深静脉病理的诊断和治疗.
- 需要进一步的证据和标准化的协议来优化IVUS在下肢再血管化中的应用.
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