The value of IVUS in PAD procedures: a game changer

Watch the replay of this PVI 2025 symposium dedicated to imaging in peripheral arterial disease (PAD), with a strong focus on the role of intravascular ultrasound (IVUS). 

The session opens with a data-driven overview of IVUS in PAD, addressing key concepts such as the “treatment paradox,” the spectrum of devices used in CLTI, what we are truly crossing during interventions, and how IVUS helps characterise vessel biology and mechanisms of failure.

The discussion then highlights growing evidence supporting IVUS use in PAD—particularly in complex CLTI cases—while underlining the wide variability in practice across operators and centres, and the current lack of standardisation in IVUS acquisition and interpretation. This gap is now being tackled through the Global Delphi Consensus.

Finally, the symposium brings theory into practice by exploring how IVUS informs vessel preparation strategies, illustrated through real-life, IVUS-guided cases that make decision-making tangible and clinically relevant.

If you want to sharpen your understanding of IVUS-guided PAD interventions and see how imaging directly shapes treatment choices, this replay is not to be missed!