Vascular Anatomy
Arterial Trees | Major Branches Aorta Iliac Femoral Carotid Renal Hepatic | Venous System Including IVC And Portal Vein
Organ And Soft Tissue Targets
Liver | Kidney | Lung | Bone | Pelvis | Soft Tissue Masses
Access Landmarks
Common Femoral Artery | Internal Jugular Vein | Brachial Artery | Percutaneous Entry Sites
Diagnostic And Therapeutic
Catheter Access To Arterial System | Contrast Injection For Vessel Mapping | Balloon Angioplasty And Stent Placement For Stenosis
Hemorrhage And Tumor Therapy
Selective Catheterization | Delivery Of Embolic Agents | Uterine Fibroid Embolization And Trauma Bleed Control
CT Ultrasound Or Fluoro Guidance
Percutaneous Needle Biopsy Of Liver Lung Kidney Bone Or Soft Tissue | Coaxial Techniques And Core Or FNA Sampling
Abscess And Fluid Collections
Ultrasound Or CT Guided Drain Placement | Percutaneous Nephrostomy | Biliary Drainage And Catheter Exchanges
Ports And PICC Lines
Ultrasound Guided Venous Puncture | Fluoro For Catheter Positioning | Tunneled And Non Tunneled Devices
Thermal And Chemical
Radiofrequency Microwave Or Cryoablation Under CT Or US Guidance | Periprocedural Imaging For Targeting And Monitoring
Thrombectomy And Stenting
Mechanical Or Pharmacologic Thrombectomy | IVC Filter Placement And Retrieval | Venous Stent Placement For Obstruction
Aseptic Field And Local Anesthesia
Strict Sterile Prep | Ultrasound Guided Vessel Access | Local Anesthesia And Conscious Sedation Or General Anesthesia As Indicated
Fluoro Time And Dose Monitoring
Use Pulsed Fluoroscopy | Collimation And Last Image Hold | Monitor Cumulative Dose And Document Skin Dose For Prolonged Procedures
Allergy And Renal Precautions
Screen For Contrast Allergy And Renal Function | Prepare Reversal Medications And Resuscitation Equipment | Document Contrast Volume
Sheath Removal And Monitoring
Manual Pressure Or Closure Devices For Arterial Access | Monitor For Bleeding Hematoma And Vascular Complications | Post Procedure Instructions And Follow Up Imaging
Flat Panel C Arm Systems
Digital Subtraction Angiography | Roadmapping And High Frame Rate Fluoroscopy For Vascular Procedures
Real Time Needle Visualization
High Frequency Linear Probes For Superficial Access | Curvilinear Probes For Abdominal Targets | Doppler For Vessel Identification
Precise Targeting And Confirmation
CT Fluoro For Real Time Guidance | Thin Slice Acquisition For Accurate Needle Trajectory And Post Procedure Assessment
Coils Particles And Liquid Agents
Selection Based On Vessel Size And Desired Permanence | Use Of Microcatheters For Superselective Delivery
DSA
Digital Subtraction Angiography | Removes Background Anatomy To Highlight Vessels
Sheath
Vascular Access Device Inserted Into Artery Or Vein To Facilitate Catheter Exchanges
Microcatheter
Small Diameter Catheter For Superselective Embolization Or Targeting
Roadmap
Fluoroscopic Overlay Of Contrast Filled Vessels To Guide Device Navigation
Thrombectomy
Mechanical Or Pharmacologic Removal Of Thrombus From A Vessel