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    Intravascular Ultrasound (IVUS)

    An Intravascular Ultrasound (IVUS) is an advanced imaging technique that produces detailed images of the heart and blood vessels from within the body. At Apollo Hospitals in Jubilee Hills, Hyderabad, our doctors use this important tool in diagnosing and treating coronary artery disease.

    IVUS provides detailed information on arterial structure, plaque composition, and stent placement. It is frequently used during coronary angioplasty to offer a clear view of the inside of coronary arteries in patients.

    How Does IVUS Work?

    Intravascular Ultrasound (IVUS) employs a small probe to emit sound waves, producing images of the interior of blood vessels. A specialised catheter, equipped with an ultrasonic transducer at one end, is threaded through an artery or vein to the area of interest. Once in place, the transducer emits sound waves to capture detailed images of the blood vessels, aiding in the evaluation of various conditions.

    What Happens During an IVUS Procedure?

    A nurse will insert an IV line into your hand or arm to give a sedative, often using moderate sedation without a breathing tube. In a few cases, general anaesthesia might be required.

    During an IVUS, your interventional cardiologist:

    • Makes a small incision in your groin and inserts a hollow plastic tube into a blood vessel.
    • Guides a catheter through the plastic tube and moves it to your heart using X-ray or ultrasound imaging.
    • Inserts a wire with an ultrasound probe through the catheter.
    • Uses the probe to emit sound waves, creating ultrasound images of your blood vessels.
    • Removes the catheter and applies pressure and a bandage to the insertion site to stop any bleeding.

    Benefits of IVUS-Guided Angioplasty

    • IVUS offers a more precise assessment of blood vessel walls, allowing for personalised treatment strategies.
    • Unlike angiography, which provides 2D images, IVUS creates 3D images of the blood vessels.
    • IVUS helps determine if additional procedures, like atherectomy or stenting, are needed.
    • Visualising the vessel walls with IVUS reduces the risk of complications compared to angiography.

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    FAQ's

    After an Intravascular Ultrasound (IVUS), you might be able to go home the same day or may need to stay overnight. If IVUS was used during an angioplasty and stenting procedure, you will get specific recovery instructions.

    IVUS is generally a safe procedure, but rare complications can include arrhythmias (irregular heart rhythms), blood clots, heart attack, or stroke.

    The results of the procedure are interpreted by an interventional radiologist or the treating doctor. They will send a report to your referring physician, who will then share and discuss the results with you.
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