Opportunities to Improve Clinical Outcomes with Intravascular Ultrasound (IVUS) in Lower Extremity Revascularizations
Abstract
Peripheral vascular disorders are prevalent and mounting health conditions, particularly in light of the aging population. Both acute and chronic arterial and venous disease result in excess morbidity and mortality and dramatically reduce health-related quality of life. Yet, despite the expanded indications in guidelines for the types and complexities of vascular lesions resulting in a rising volume of endovascular interventions in general, we have not seen a meaningful impact on clinical outcomes like amputation rates, which continue to increase despite better access to peripheral vascular procedures. With the known health outcome benefits of Intravascular Ultrasound (IVUS) in coronary applications and the much higher reintervention rates in peripheral vascular procedures, the uptake of IVUS has been increasing in lower extremity revascularizations. In this seminar, we examine the up-to-date evidence, cross-disciplinary consensus and emerging Real-World Data (RWD) for the role of IVUS in peripheral interventions in order to provide guidance on where this invasive imaging modality may be most beneficial to improve the quality of patient care during lower extremity arterial and venous intervention.
Biography
David A. Chalyan received his Doctor of Medicine degree from Roy J. and Lucille A. Carver College of Medicine at the University of Iowa and his Master of Science degree in Biomedical Engineering from the University of California, Irvine where he studied invasive coronary hemodynamics, angiography-based Fractional Flow Reserve, and diastolic Fractional Flow Reserve. He currently holds a position in Philips Chief Medical Office
