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Intravascular ultrasound for endovascular precision in pediatrics

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Abstract

Intravascular ultrasound (IVUS) is used as a diagnostic adjunct to angiography and has become a valuable diagnostic and interventional tool with a well-documented safety profile. The American College of Cardiology and the European Society of Cardiology have published guidelines regarding the use of IVUS in the setting of percutaneous coronary intervention. IVUS has gained popularity in the interventional radiology (IR) community in recent years; however, there are no consensus guidelines for utilization. Furthermore, IVUS remains an infrequently used modality in pediatric IR, likely because of unfamiliarity with the equipment and techniques, as well as concerns over the compatibility of these instruments with pediatric anatomy. IVUS can be safely used as a helpful and sometimes necessary tool for pediatric interventions in appropriately selected patients. The utility of IVUS for reducing both fluoroscopy time and contrast agent volume makes it particularly valuable in pediatric practice. This article presents an overview of both the rotational and phased-array IVUS types and an in-depth discussion on the most common applications of these techniques in the pediatric setting across multiple procedure categories.

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Authors and Affiliations

  1. Section of Vascular and Interventional Radiology, Department of Radiology, University of Washington, Seattle, WA, USA

    John J. Weaver, David S. Shin & Jeffrey Forris Beecham Chick

  2. Section of Vascular and Interventional Radiology, Department of Radiology, Seattle Children’s Hospital, Seattle, WA, USA

    Jeffrey Forris Beecham Chick

  3. Section of Vascular and Interventional Radiology, Department of Radiology, American Family Children’s Hospital, 1675 Highland Ave., Madison, WI, 53792, USA

    Eric J. Monroe

  4. Section of Vascular and Interventional Radiology, Department of Radiology, University of Wisconsin, Madison, WI, USA

    Eric J. Monroe

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  1. John J. Weaver
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  2. David S. Shin
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  3. Jeffrey Forris Beecham Chick
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  4. Eric J. Monroe
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Correspondence to Eric J. Monroe.

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Conflicts of interest

Jeffrey Forris Beecham Chick is a consultant and speaker for Inari Medical, Guerbet, C. R. Bard, Argon Medical Devices and Boston Scientific. Eric J. Monroe is a scientific adviser and speaker for Biogen.

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Weaver, J.J., Shin, D.S., Chick, J.F.B. et al. Intravascular ultrasound for endovascular precision in pediatrics. Pediatr Radiol 52, 559–569 (2022). https://doi.org/10.1007/s00247-021-05220-7

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  • DOI: https://doi.org/10.1007/s00247-021-05220-7

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