EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part V

Abstract

The fifth section of the Guidelines on Interventional Ultrasound (INVUS) of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) assesses the evidence for all the categories of endoscopic ultrasound-guided treatment reported to date. Celiac plexus neurolysis and block, vascular intervention, drainage of fluid collections, drainage of biliary and pancreatic ducts, and experimental tumor ablation techniques are discussed. For each topic, all current evidence has been extensively analyzed and summarized into major recommendations for reader consultation in clinical practice (long version).

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“…Practitioners need to be competent in the intravenous administration of contrast agents, be familiar with contraindications and be able to manage any possible adverse effects within the medical and legal framework of their country [4,38]. We refer to the educational activities of the collaborating societies of this paper, the World Federation of Ultrasound in Medicine and Biology (WFUMB) [9,23,[93][94][95][96][97][98][99][100][101][102], the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) [1,3,4,11,37,38,49,50,74,79,[103][104][105][106][107][108][109][110][111][112][113][114][115][116][117][118][119] and the CEUS LI-RADS Working Group for Liver Imaging Reporting and Data System (LI-RADS®) [34][35][36][120]…”

The EFSUMB website, a great source for ultrasound information and education

“…The guidelines consist of six main parts that are published in Ultraschall in der Medizin / European Journal of Ultrasound [22][23][24][25][26][27][28][29][30], an introduction [19] and Editorial [18] and comment papers [31][32][33]. In addition, EFSUMB has made recommendations for the performance and reporting of US examinations in portal hypertension [34,35].…”

“…The atlas is work in process including also videos and figures for the INVUS guidelines [19,[22][23][24][25][26][27][28][29][30].…”

Ultrasound contrast agents

“…Extravascular applications with SonoVue ® , mentioned in the European Federation of Societies for US in Medicine and Biology guideline,[37] include injection of contrast for assessment of hysterosalpingo-contrast-sonography, ascites to evaluate hepatic hydrothorax, bile ducts via percutaneous transhepatic cholangiography and drainage,[3839] endoscopic retrograde cholangiography or surgically placed T-tube, sialography, perianal fistula, abscesses,[40] pseudocysts, gastroesophageal reflux, Zenker's diverticulum,[41] enema, and nephrostomy tubes. [12637]…”