Evidence map›Paper›PMID 35926922›Full record

ArticleJACC. Cardiovascular interventions2022

Appropriate Use of Intravascular Ultrasound During Arterial and Venous Lower Extremity Interventions.

Eric A Secemsky, Ramya C Mosarla, Kenneth Rosenfield, Maureen Kohi, Michael Lichtenberg, Mark Meissner, Ramon Varcoe, Andrew Holden, Michael R Jaff, David Chalyan and 3 more

Open access · greenAbstract read
In one paragraph

Article in JACC. Cardiovascular interventions, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
10.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Review
  5. Popliteal cystic adventitial disease unmasked by intravascular ultrasound.Journal of vascular surgery cases and innovative techniques · 2026
    Article
  6. Intravascular Ultrasound in Chronic Limb-Threatening Ischemia Endovascular Revascularization: A Multidisciplinary Survey of Clinical Practices and Operator Perceptions.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Article
  7. Review
  8. Article
  9. Contemporary Chronic Limb-Threatening Ischemia Care in the United States-Part 2: Designing Clinical Device Trials.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Review
  10. Article
  11. Review
  12. Intravascular Ultrasound and Infrapopliteal Arterial Interventions: Helping the Blind Squirrel Find a Nut?Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  13. The Impact of Intravascular Ultrasound Use on 1-Year Outcomes After Infrapopliteal Endovascular Intervention.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  14. Maneuvering Through the Uncertainty of Deep Vein Thrombosis Interventions: An Encouraging Contemporary Analysis.Journal of the Society for Cardiovascular Angiography & Interventions · 2024
    Article
  15. Article
  16. Article
  17. Review
  18. Analog interface amplifiers for sub-mm broadband polymer intravascular ultrasonic imaging.IEEE Biomedical Circuits and Systems Conference : healthcare technology : [proceedings]. IEEE Biomedical Circuits and Systems Conference · 2023
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 12 institutions in 5 countries.

Eric A SecemskyRichard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA; Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA. Electronic address: esecemsk@bidmc.harvard.edu.
Ramya C MosarlaDivision of Cardiology, Department of Medicine, New York University Medical Center, New York, New York, USA.
Kenneth RosenfieldMassachusetts General Hospital, Boston, Massachusetts, USA.
Maureen KohiDepartment of Radiology, University of North Carolina, Chapel Hill, North Carolina, USA.
Michael LichtenbergClinic for Angiology, Klinikum Arnsberg, Arnsberg, Germany.
Mark MeissnerDepartment of Surgery, University of Washington School of Medicine, Seattle, Washington, USA.
Ramon VarcoeDepartment of Surgery, Prince of Wales Hospital, Sydney, Australia; Faculty of Medicine, University of New South Wales, Sydney, Australia; The Vascular Institute, Prince of Wales Hospital, Sydney, Australia.
Andrew HoldenDepartment of Interventional Radiology, Auckland City Hospital, Auckland, New Zealand.
Michael R JaffHarvard Medical School, Boston, Massachusetts, USA; Boston Scientific, Marlborough, Massachusetts, USA.
David ChalyanDepartment of Radiological Sciences, University of California, Irvine, Irvine, California, USA; Royal Philips, Noord-Holland, Amsterdam, the Netherlands.
Daniel ClairDepartment of Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Beau M HawkinsDepartment of Cardiology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Sahil A ParikhCenter for Interventional Cardiovascular Care and Division of Cardiology, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
Columbia University Irving Medical Center · USAuckland City Hospital · NZBeth Israel Deaconess Medical Center · USBoston Scientific (United States) · USKlinikum Arnsberg · DEMassachusetts General Hospital · USPrince of Wales Hospital · AUUniversity of California, Irvine · USUniversity of North Carolina at Chapel Hill · USUniversity of Oklahoma Health Sciences Center · USUniversity of Washington · USVanderbilt University · US

Funding

Shared Decision-Making to Improve the Health Status of Patients with Claudication: Developing and Implementing Strategies to Individualize Treatment DecisionsK23HL150290 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SECEMSKY, ERIC ALEXANDER · 2020 to 2024
$851k
NHLBI NIH HHS K23 HL150290
6 · The paper itself

Abstract

backgroundThere has been growing use of intravascular ultrasound (IVUS) during lower extremity arterial and venous revascularization. Observational data suggest that the use of IVUS can improve periprocedural and long-term outcomes, but largescale prospective data remain limited. Consensus opinion regarding the appropriate use of IVUS during peripheral intervention is needed.

objectivesThe purpose of this consensus document is to provide guidance on the appropriate use of IVUS in various phases of peripheral arterial and venous interventions.

methodsA 12-member writing committee was convened to derive consensus regarding the appropriate clinical scenarios for use of peripheral IVUS. The group iteratively created a 72-question survey representing 12 lower extremity arterial interventional scenarios. Separately, a 40-question survey representing 8 iliofemoral venous interventional scenarios was constructed. Clinical scenarios were categorized by interventional phases: preintervention, intraprocedure, and postintervention optimization. Thirty international vascular experts (15 for each survey) anonymously completed the survey instrument. Results were categorized by appropriateness using the median value and disseminated to the voting panel to reevaluate for any disagreement.

resultsConsensus opinion concluded that IVUS use may be appropriate during the preintervention phase for evaluating the etiology of vessel occlusion and plaque morphology in the iliac and femoropopliteal arteries. IVUS was otherwise rated as appropriate during iliac and femoropopliteal revascularization in most other preintervention scenarios, as well as intraprocedural and postprocedural optimization phases. IVUS was rated appropriate in all interventional phases for the tibial arteries. For iliofemoral venous interventions, IVUS was rated as appropriate in all interventional phases.

conclusionsExpert consensus can help define clinical procedural scenarios in which peripheral IVUS may have value during lower extremity arterial and venous intervention while additional prospective data are collected.

Indexed as

Endovascular ProceduresLower ExtremityUltrasonography, InterventionalConsensusFemoral ArteryHumansProspective StudiesTreatment Outcomeconsensus documentiliofemoral venous diseaseintravascular ultrasoundlower extremityperipheral artery disease

Identifiers

PMID35926922
PMCPMC12695727
OpenAlexW4289262505

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.