В принципе, подготовка "инвазиологов" проходиt c 4-го до 6-го годов и "билет" они получают с навыками:
Core Techniques and Procedures Emergency
Diagnostic skills
Vascular
i. Interpretation of plain films, ultrasound, computerised tomography and magnetic resonance
scanning for the detection and assessment of vascular pathology ��
ii. Interpretation of non-invasive imaging studies of acute/ emergent conditions relevant to vascular
intervention, e.g. trauma, GI bleeding, pulmonary embolism, acute arterial or venous
thromboembolism, etc
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iii. Diagnostic peripheral angiography ��
iv. Diagnostic mesenteric angiography. ��
v. Diagnostic renal angiography
vi. Angiography in the trauma setting ��
vii. Performance and interpretation of arterial duplex ��
viii. Performance and interpretation of venous duplex ��
Non-vascular
i. Interpretation of plain films, ultrasound, computerised tomography and magnetic resonance
scanning for the detection and assessment of pathology relevant to non-vascular intervention ��
Interventional skills
Vascular
i. Obtaining vascular access at common sites including use of ultrasound guidance ��
ii. Elective and acute recannalisation and stenting of iliac artery occlusion ��
iii. Elective and acute femoro-popliteal arterial angioplasty ��
iv. Elective and acute embolisation therapy with coils and particulate agents. ��
v. Elective and acute mechanical and pharmacological thrombolysis and thrombectomy in the
arterial and venous systems ��
vi. Stent grafting for arterial rupture ��
vii. Insertion of vena cava filter ��
viii. Acute interventional management of massive pulmonary embolus ��
ix. Management of failing/failed dialysis access
x. Insertion of central venous tunnelled catheters
Non-vascular
i. Image-guided access into the urinary or biliary systems ��
ii. Image-guided biopsy
iii. Image-guided aspiration and drainage of collections/abscesses ��
iv. Elective and acute percutaneous drainage procedures in the urinary system ��
v. Ureteric stenting
vi. Elective and acute percutaneous drainage procedures in the biliary tree ��
vii. Stenting of the biliary tree – for distal obstruction
viii. Radiologically inserted percutaneous gastrostomy
ix. Colonic stenting – to relieve acute obstruction from distal colonic tumours ��
x. Oesophageal stenting – for mid and low obstruction
Non-vascular
i. Gastro-duodenal stenting
ii. Oesophageal stenting – for high obstruction and fistulae
iii. Stenting of the biliary tree – for central obstruction
viii. Radiologically inserted percutaneous gastrostomy
ix. Colonic stenting – to relieve acute obstruction from distal colonic tumours ��
x. Oesophageal stenting – for mid and low obstruction
Advanced Techniques and Procedures**
Vascular
i. Elective and acute transjugular intrahepatic portosystemic shunt†
ii. Tibial artery angioplasty in critical limb ischaemia
iii. Visceral artery stenting
iv. Aortic stent grafting
v. Foreign body retrieval
*Emergency safe – group of key procedures considered necessary for the provision of an acute and out-of-hours
emergency service. Every interventional radiologist will be expected to be able to perform the core procedures at
completion of training.
**Advanced techniques and procedures – the trainee should have exposure to and have performed these
techniques/procedures, but not necessarily be proficient in them as an independent operator.
†It is recognised that not every centre will be appropriately staffed to provide cover for every acute/emergent
procedure but it is assumed that responsible interventional radiologists will alert their Trusts to areas where the service
is deficient so that formal alternative arrangements for cover can be organised
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