This is often done as part of a standby coronary angiogram to confirm or refute if a stent is needed. If a stent is needed then the doctor will often proceed to this in the same sitting in a standby coronary angiogram. If a stent is potentially needed but the procedure is not a standby coronary angiogram then a stent may be planned as another procedure at a later date.

What Are the Benefits of IVUS?

IVUS can help:

  • Assess the severity of coronary artery disease
  • Identify plaque composition
  • Measure vessel size accurately
  • Optimise stent selection
  • Confirm stent expansion and positioning
  • Improve procedural outcomes

What Happens During the Procedure?

The IVUS catheter is advanced through the coronary artery during a coronary angiogram or intervention.

As the ultrasound probe moves through the artery, detailed cross-sectional images are produced, allowing your cardiologist to assess the vessel with exceptional precision.

Why Might IVUS Be Recommended?

IVUS is particularly valuable in complex coronary artery disease, uncertain angiographic findings and procedures where detailed vessel imaging can help guide treatment decisions.

It is especially helpful where a lot of calcium is seen and a drill (rotablation) may be needed to treat the artery before stenting. It also helps ensure stents fit the artery properly and are properly deployed, reducing future risks.

Following the Procedure

The images are reviewed immediately during the procedure and can directly influence treatment planning and intervention strategy.

If your doctor places a stent you should not drive for 7 days after the procedure so will need someone to drive you home once you are ready for discharge. If no stent is placed then the restriction is only 48 hours

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Please note that with increased demand, and long NHS waits, our services and office are under more demand than ever. As a result our staff are exceptionally busy and often working under great pressure.

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