{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T12:14:15Z","timestamp":1788092055988,"version":"build-2803163510"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Endovasc Ther"],"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Intravascular ultrasound (IVUS) provides cross-sectional information on the intraluminal features of blood vessels, aiding procedural planning and postprocedural assessment of results. Although the use of IVUS in aortic procedures is increasing worldwide, consensus on best practices in aortoiliac interventions is still lacking. This study aims to obtain experts\u2019 consensus and define recommendations regarding applications of intravascular ultrasound in aortoiliac endovascular interventions<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Delphi consensus methodology was performed over 3 rounds, using a panel of 27 experts. Each member was asked to grade (grade A-grade D) 26 statements regarding various applications of IVUS in aortoiliac surgery. Statements that passed the first round were proposed at the second round unmodified. Statements that failed the first round underwent stylistic modifications without altering their meaning and were proposed in the second and third rounds. Agreement and consistency were used to develop recommendations on the applications of IVUS in aortoiliac endovascular interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After 3 rounds, 17 recommendations were made (16 grade B, 1 grade A), whereas 8 statements were rejected, and the core team eliminated 1. Ten recommendations (58.8%) obtained grade IV (poor), 1 (5.9%) grade III (fair), 2 (11.8%) grade II (high), and 4 (23.5%) were classified as grade I (very high).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Intravascular ultrasound is an important adjunct imaging technology in hybrid rooms. Most of the recommendations concerned the use of IVUS in aortic dissection. Other important recommendations for preoperative planning and evaluation of postoperative results were made in radioprotection, aortic aneurysms, and blunt thoracic aortic injury. Intravascular ultrasound assistance in aortoiliac occlusive disease is not routinely recommended at the present time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Impact<\/jats:title>\n                    <jats:p>This international expert-based Delphi consensus provides a comprehensive perspective on the current applications of intravascular ultrasound across various aspects of aortoiliac endovascular therapy. Clinical practice guidelines are currently lacking recommendations on the use of intravascular ultrasound (IVUS) as an adjunctive tool in aortoiliac endovascular surgery; therefore, this study aims to fill the current gap in the literature by assessing the role of IVUS across high-volume aortic centers and offering recommendations on possible IVUS applications in aortoiliac endovascular interventions. Areas of ongoing debate regarding IVUS are also highlighted in this article, to provide inputs for further research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15266028261479540","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:16:59Z","timestamp":1787789819000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Role of Intravascular Ultrasound in Aortoiliac Endovascular Interventions: International Expert-Based Delphi Consensus"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-3053-8384","authenticated-orcid":false,"given":"Pietro","family":"Dioni","sequence":"first","affiliation":[{"name":"Division of Vascular Surgery, Department of Experimental and Clinical Sciences, University of Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6871-2176","authenticated-orcid":false,"given":"Luca","family":"Bertoglio","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of Experimental and Clinical Sciences, University of Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"D\u2019Amico","sequence":"additional","affiliation":[{"name":"IRCCS San Raffaele Scientific Institute, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3861-3163","authenticated-orcid":false,"given":"Eric A.","family":"Secemsky","sequence":"additional","affiliation":[{"name":"Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA, USA"},{"name":"Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad A.","family":"Hussain","sequence":"additional","affiliation":[{"name":"Division of Vascular &amp; Endovascular Surgery, Brigham and Women\u2019s Hospital and the Center for Surgery and Public Health, Mass General Brigham, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4278-964X","authenticated-orcid":false,"given":"Marc L.","family":"Schermerhorn","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Antonello","sequence":"additional","affiliation":[{"name":"Clinic of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yamume","family":"Tshomba","sequence":"additional","affiliation":[{"name":"Unit of Vascular Surgery, Department of Cardiovascular Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Universit\u00e0 Cattolica del Sacro Cuore, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Gennai","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Ospedale Civile di Baggiovara, Azienda Ospedaliero-Universitaria di Modena, University of Modena and Reggio Emilia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Pratesi","sequence":"additional","affiliation":[{"name":"Department of Integrated Surgical and Diagnostic Sciences, University of Genoa School of Medicine, Ospedale Policlinico San Martino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Farber","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery, The University of North Carolina at Chapel Hill, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0129-1607","authenticated-orcid":false,"given":"Vincent","family":"Jongkind","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam University Medical Centres, Location University of Amsterdam, The Netherlands"},{"name":"Amsterdam Cardiovascular Sciences, Atherosclerosis &amp; Aortic Diseases, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6827-8584","authenticated-orcid":false,"given":"J\u00f6rg","family":"Tessarek","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Bonifatius Hospital Lingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8170-4960","authenticated-orcid":false,"given":"Andrew","family":"Holden","sequence":"additional","affiliation":[{"name":"Northern Region Interventional Radiology Service, Auckland City Hospital, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8800-6911","authenticated-orcid":false,"given":"Christopher","family":"Delaney","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Flinders Medical Centre, Bedford Park, SA, Australia"},{"name":"College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Mani","sequence":"additional","affiliation":[{"name":"Section of Vascular Surgery, Department of Surgical Sciences, Uppsala University, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8125-8577","authenticated-orcid":false,"given":"Erin C.","family":"Saricilar","sequence":"additional","affiliation":[{"name":"Section of Vascular Surgery, Department of Surgical Sciences, Uppsala University, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5081-9909","authenticated-orcid":false,"given":"Enrico","family":"Gallitto","sequence":"additional","affiliation":[{"name":"Vascular Surgery, University of Bologna\u2013DIMEC, Italy"},{"name":"Vascular Surgery Unit, IRCCS, University Hospital Policlinico S. 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