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Henrik Sillesen, MD, DMScDept. of Vascular Surgery, RigshospitaletUniversity of Copenhagen, Denmark
The use of OCT in peripheral interventions: Can the Clarity of this imaging system provide better, safer outcomes? Opportunities of real-time 3D ultrasound using XL14-3 for guiding intervention in vascular disease
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Conflicts of interest
• Novo Nordisk Consulting
• Philips Ultrasound Research grant, consulting
• Bayer Research grant, consulting
• Gore Consulting
• Cook Medical Research grants
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OCT ?
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Conclusion OCT
• Interesting technique offering guidance for endovascular treatment of complex lesions
• Its use can result in fairly high success-rate – obviously case dependant
• Early data are encouraging
• No comparative studies published
• Has not really found its place in daily practice
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2D – single, linear array
3D Matrix – how does it work?
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Ultrasound guided endovascular treatmentExperience in Copenhagen
• AV-fistula stenosis more or less ALL treated by USG endovascular therapy in our outpatient clinic since autumn 2017
• > 250 cases done
• Since 2019, 15 selected in-situ vein graft stenosis treated with USG
• Almost all done using L12-3, single linear array, just a few using XL14-3
• Will show examples with XL 14-3
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In-situ bypass graft stenosis few cm from proximal anastomosis
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Conclusion Endovascular treatment guided by 3D ultrasound
• New promising technique
• May be useful in
• Guiding arterial puncture – especially in severely diseased vessels
• Guiding passage of complex lesions
• Evaluating result post treatment
• No scientific data exits at present
• Designing study to prove the value …
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Henrik Sillesen, MD, DMScDept. of Vascular Surgery, RigshospitaletUniversity of Copenhagen, Denmark
The use of OCT in peripheral interventions: Can the Clarity of this imaging system provide better, safer outcomes? Opportunities of real-time 3D ultrasound using XL14-3 for guiding intervention in vascular disease