Michael Lichtenberg (Arnsberg, Germany) talks to BLearning Venous at LINC 2020 (Leipzig Interventional Course; 28–31 January 2020, Leipzig, Germany) about the rationale behind his team’s study which looked at Intravascular ultrasound (IVUS) compared with fluoroscopic-guided recanalisation in patients with iliofemoral obstruction, who were treated by venous stenting.
The study included a retrospective analysis of a 228-patient cohort following endovenous stent implantation. Lichtenberg says he was “very surprised to see” that IVUS could reduce fluoroscopic time, radiation exposure and Kerma-area product, “especially” in young patients and those with post-thrombotic syndrome.
Lichtenberg recommends that IVUS “should be a standard tool” to be used for endovenous stent implantation recanalisation, “particularly in young patients”, because of its ability to reduce radiation exposure. He notes, however, that use of IVUS alone is “not possible” from a technical standpoint and that fluoroscopy is still needed– but notes that a great deal of information can be gained from IVUS analysis.