UK Consensus Promotes Intravascular Ultrasound Use – EMJ
INTRAVASCULAR ULTRASOUND is at the centre of a new UK consensus statement that calls for broader adoption during percutaneous coronary intervention.
The consensus statement was developed by 26 senior interventional cardiologists from centres across the United Kingdom. Its release follows recent updates to recommendations for intravascular imaging by the European Society of Cardiology and the American Heart Association.
According to the authors, the document reflects a growing body of evidence supporting intravascular ultrasound (IVUS) and evolving expectations regarding its role in contemporary percutaneous coronary intervention (PCI).
The panel reviewed current indications for IVUS. As well as patterns of use across the UK, anticipated future standards, and the need for wider implementation in clinical practice.
Experts highlighted that greater consistency in the use of imaging guidance could help optimise procedural quality and improve outcomes for patients undergoing coronary intervention.
Standardising Practice and Data Collection
A key recommendation from the consensus group was the introduction of a standardised workflow for IVUS use.
The authors also advocated for the routine documentation during procedures, forming a core dataset that would support quality assurance initiatives and provide a framework for continuous service improvement.
The statement emphasised that systematic recording of imaging data could help clinicians and catheter laboratory teams monitor performance and identify opportunities to enhance care delivery.
Addressing Barriers to Implementation
In addition, the consensus document acknowledged several persistent barriers limiting broader uptake of IVUS.
Experts expressed concerns about cost, variation in operator training, and challenges associated with procedural integration. To address these obstacles, the authors proposed a rollout of practical training and education measures for healthcare professionals nationwide.
Ultimately, the consensus statement represents a coordinated push to move IVUS from selective use toward wider adoption. If adopted, these recommendations could lead to significant improvements in procedural quality and outcomes for patients undergoing PCI.
Reference
Hung J et al. Intravascular Ultrasound in Percutaneous Coronary Intervention: A Consensus Document from the UK. ICR3. 2026;DOI:10.15420/icr.2025.42.
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