A tiny ultrasound wand is attached to the top of a tiny tube called a catheter. This ultrasound catheter is inserted into an artery in your groin area and moved up to the heart.
A computer measures how the sound waves reflect off blood vessels, and changes the sound waves into pictures. IVUS gives the health care provider a look at your coronary arteries from the inside-out.
IVUS is almost always done at the end of angioplasty with stent placement, or coronary catheterization. Angioplasty gives a general look at the coronary arteries, but it cannot show the walls of the arteries. IVUS images show the artery walls and can reveal cholesterol and fat deposits (plaques). Buildup of these deposits can increase your risk of a heart attack.
IVUS has provided a lot of insight into how stents become clogged (stent restenosis).
IVUS is commonly done to make sure a stent is correctly placed during angioplasty. It may also be done to determine where a stent should be placed.
IVUS may also be used to:
There is a slight risk of complications with angioplasty and cardiac catheterization. However, the tests are very safe when done by an experienced team. IVUS adds little additional risk.
In general, risks may include:
After the test, the catheter is completely removed. A bandage is placed on the area. You will usually be asked to lie flat on your back with pressure on your groin area for a few hours after the test to prevent bleeding.
If IVUS was done during cardiac catheterization, you will stay in the hospital for about 3 to 6 hours. If IVUS was done during angioplasty, you will stay in the hospital for 12 to 24 hours. The IVUS does not add to the time you must stay in the hospital.
IVUS; Ultrasound - coronary artery; Endovascular ultrasound; Intravascular echocardiography
Hartnell GG, Gates J. Ischaemic heart disease. In: Grainger RC, Allison D, Adam, Dixon AK, eds. Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. New York, NY: Churchill Livingstone; 2008:chap 25.
Nicholson T, Patel J. The aorta, including intervention. In: Grainger RC, Allison D, Adam, Dixon AK, eds. Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. New York, NY: Churchill Livingstone; 2008:chap 27.
Popma JJ. Coronary arteriography and intravascular imaging. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 20.
Updated by: Ken Levin, MD, private practice specializing in Radiology and Nuclear Medicine, Allentown, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
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