Intravascular Ultrasound: A Review of Radial and Side Firing IVUS

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Techniques in Vascular and Interventional Radiology Pub Date : 2025-03-01 DOI:10.1016/j.tvir.2025.101021

Aria Nazeri MD , Alexander Ushinsky MD , Sanjeeva P. Kalva MD , Moaz M. Choudhary MD

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引用次数: 0

Abstract

Intravascular ultrasound (IVUS) has become an essential tool for endovascular procedures, particularly during complex interventions. The benefits include improved visualization of vascular and extravascular anatomy, reduced complication rates, and enhanced accuracy during catheter-based interventions. In this review, we discuss the properties of side-firing (also commonly known as intracardiac echo ICE) and radial IVUS and explore their unique applications in endovascular procedures. The side-firing IVUS is advantageous for visualizing lesions and vascular structures in a plane parallel to the vessel wall, making it effective for guiding portal venous interventions, transvenous biopsies, and endoleak embolization, while the radial IVUS provides a 360-degree view of the vessel lumen, enabling detailed cross-sectional images of normal anatomy, pathologic processes requiring different endovascular therapy and their response to intervention(s).

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血管内超声：桡骨和侧射IVUS的回顾

血管内超声（IVUS）已成为血管内手术的重要工具，特别是在复杂的干预过程中。其好处包括改善血管和血管外解剖的可视化，降低并发症发生率，提高导管介入的准确性。在这篇综述中，我们讨论了侧射（也称为心内回声ICE）和径向IVUS的特性，并探讨了它们在血管内手术中的独特应用。侧射IVUS有利于在平行于血管壁的平面上观察病变和血管结构，使其有效地指导门静脉介入、经静脉活检和腔内栓塞，而径向IVUS提供血管腔的360度视图，使正常解剖、需要不同血管内治疗的病理过程及其对干预的反应的详细横断面图像成为可能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Techniques in Vascular and Interventional Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： Interventional radiology is an area of clinical diagnosis and management that is highly technique-oriented. Therefore, the format of this quarterly journal, which combines the visual impact of an atlas with the currency of a journal, lends itself perfectly to presenting the topics. Each issue is guest edited by a leader in the field and is focused on a single clinical technique or problem. The presentation is enhanced by superb illustrations and descriptive narrative outlining the steps of a particular procedure. Interventional radiologists, neuroradiologists, vascular surgeons and neurosurgeons will find this a useful addition to the clinical literature.