Contemporary use of IVUS in peripheral artery disease

Contemporary use of IVUS in peripheral artery disease

Practical insights to guide and optimise treatment strategy


Additional presentation by Dr John Rundback

Angiography remains an important and practical way to evaluate vasculature in patients with peripheral artery disease (PAD). However, it has several limitations. Adjunctive imaging modalities such as intravascular ultrasound (IVUS) can provide a more accurate visualization of what is happening within diseased blood vessel. IVUS is easy to use and is widely available but requires an understanding of image interpretation.

In this virtual round table, Dr Fabrizio Fanelli, Dr Nicholas Shammas, Dr Konstantinos Stavroulakis and Dr John Rundback will:

  • Inspire a new way of thinking about intraoperative disease characterization and performance goals.
  • Demonstrate the benefits of intravascular imaging with a focus on vessel dissection and calcium detection and management.
  • Use exemplary case examples to show that IVUS is critically important in contemporary practice and improves patient outcomes.

These discussions aim to inform and educate viewers on how to use the additional information that IVUS provides, including:

  • To understand the limitations of digital subtraction angiography
  • To learn the advantages of IVUS in the peripheral vessels with a focus on dissection and calcium visualisation and management
  • To learn how to conduct a correct IVUS evaluation in the peripheral vessels using the '4 pillars' framework
  • To get up-to-date with the latest research on the use of IVUS to guide PAD intervention

Speaker 1: Dr Fanelli – IVUS introduction and learning objectives (8-10 mins)

Discussion / Q&A (3-5 mins)

Speaker 2: Dr Shammas – Understanding the severity of post intervention dissections (8-10 mins)

Discussion / Q&A (3-5 mins)

Speaker 3: Dr Konstantinos Stavroulakis – Vessel calcification patterns to determine balloon sizing strategy (8-10 mins)

Discussion / Q&A (3-5 mins)

Speaker 4: Dr John Rundback – where to use IVUS and why it is critically important in my practice (8-10 mins)

Discussion / Q&A and close (3-8 mins)


Dr Fabrizio Fanelli
Director of Vascular and Interventional Radiology, Careggi University Hospital, Florence, Italy
Fabrizio Fanelli is a Full Professor of Radiology and Director of the Vascular and Interventional Radiology Department at Careggi University Hospital in Florence, Italy. He graduated with honors from Sapienza University of Rome Medical School, where he completed his residency in radiology and imaging sciences. He served as a visiting resident at Stanford University Medical Center, California, US. He is involved in several experimental studies for the evaluation of new materials and devices in clinical practice. Author and co-author of 115 papers in peer-reviewed journals concerning the radiological, surgical and clinical fields, he has also authored four books and co-authored a further sixteen. He has delivered over 500 oral presentations at international congresses.
Prof. Fanelli has taught more than 90 interventional radiology training courses and has organized several congresses, seminars, and courses. Deeply involved in the Cardiovascular and Interventional Radiology Society of Europe (CIRSE), he has served as a member of the Executive Committee (2009-2020) and Chairman of the CIRSE programme committee (2018-2019). He was also as programme committee member of IDEAS (Interdisciplinary Endovascular Aortic Symposium), ET European Conference on Embolotherapy and ECIO (European Conference on Interventional Oncology). From 2012 to 2018 he served as Treasure of the UEMS (European Union of Medical Specialties) - Interventional Radiology division.
Since 2008 he has been a Fellow of CIRSE, and a Member of the “EBIR Council” (European Board of Interventional Radiology). He also serves as Associate Editor of the Journal of Vascular and Interventional Radiology and CVIR - Endovascular. Since 2010 he has been a member of the Editorial Board of Cardiovascular and Interventional Radiology, and a Section Editor of EURORAD (Vascular and Interventional Radiology), ESR (European Society of Radiology), and an Editorial board member of “ESR e-learning” (European Society of Radiology).


Dr Nicholas Shammas
Founder and Research Director, Midwest Cardiovascular Research Foundation, Davenport, IA, US
Dr Nicolas W Shammas received his combined Master of Science-Doctor of Medicine (MS-MD) degrees at the American University of Beirut, Lebanon and Internal Medicine Residency at the University of Iowa Hospitals, and his Cardiology Fellowship at the University of Rochester Medical Center, Rochester, NY in 1994. He returned to the University of Iowa, Division of Cardiology where he was a Fellow Associate in Interventional Cardiology.
Dr Shammas has published over 400 manuscripts, abstracts, books and book chapters. In addition, he has been the Principal Investigator or Co-Investigator on over 200 multi-center clinical trials and the primary investigator of over 40 investigator-initiated trials. He has served on the editorial boards of several peer-reviewed journals. In 1997, he established the Coronary and Peripheral Vascular Research Program at Genesis Medical Center. In 2002, he founded the Midwest Cardiovascular Research Foundation, an independent non-profit 501c3 public charitable organization, dedicated to cardiovascular research and education.
Dr Shammas is a co-author on the cardiovascular chapter in the Rakel Texbook of Medicine, a key reference for family practice physicians. He is an Adjunct Clinical Associate Professor of Medicine at the University of Iowa Hospitals and Clinics and the President and Research Director of the Midwest Cardiovascular Research Foundation.


Dr Konstantinos Stavroulakis
Consultant Vascular and Endovascular Surgeon at St Franziskus Hospital, Münster, Germany.
He trained at the University of Crete Medical School until 2009. He moved to Germany in 2012 and became a Trainee of Surgery and Vascular Surgery at the Paracelsus Clinic Marl, Germany. He achieved his Postgraduate (Dr. med) qualification in March 2016 from the Westphälische-Wilhelms-Universität Münster. His thesis was centred on combination therapy with directional atherectomy and drug eluting balloon angioplasty for isolated lesions of the popliteal artery. He currently is Scientific Director of the Institute for Vascular Research as well as Editor in Chief Vascupedia. He is involved in numerous research trials and he is often a presenter at major vascular congresses.


Dr John Rundback
Director, Interventional Institute, Holy Name Medical Center, Briarcliff Manor, New York, US
John H Rundback, MD, is the Director of the Interventional Institute at Holy Name Medical Center. He is a graduate of SUNY Downstate Medical Center, and completed his radiology residency at Beth Israel Medical Center in New York City and his fellowship in Interventional Radiology at Washington Hospital Center in Washington, DC. He is a member of the Board of Directors of VIVA Physicians, and has served as Principal Investigator of multiple trials evaluating new device and drug therapy for peripheral arterial disease. Dr Rundback has authored or contributed to nearly 100 scientific manuscripts and has served on the editorial board of many publications. His primary research activities are in the area of interventional radiology, with a particular interest in complex endovascular interventions.


    Peripheral Vascular Intervention specialists including:
  • Vascular surgeons
  • Interventional Radiologists
  • Angiologists
  • Cardiologists
  • General vascular and endovascular medicine specialists
  • Nurses
  • Radiographers

This webinar is sponsored by