the use of oct in peripheral interventions: can the ...€¦ · dept. of vascular surgery,...

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

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