Interventional Radiology & Drug Diagnostic Radiology

Code (Credit) : CUTM2549 (3-1-0)

 

 

Course Objectives:

• To acquaint the students with various interventional procedures, to important studies, knowledge about various interventional
• Knowledge on different types of contrast media's, catheters, guide wires
• Knowledge on patient preparation for different interventional procedures
• Knowledge of guided procedures

Program outcome

• Able to assist the radiologist in interventional procedures

SYLLABUS  

Module-1:

Equipment:

Equipment in Cath lab units; C-Arm, Digital

Subtraction Angiographic Units, Pressure Injectors, Contrast media, Introduction to Stents, Endoscopes, pacemakers

 

Module -2:

Access, Equipment’s used in Access

Arterial and Venous access (Femoralapproach, Arm approach), Equipment and Instruments

used for access (Catheters, Guide wires, Dilators, Balloons) Seldinger technique.

 

Module-3:

Medications & Safety in Cath Lab:

Preparations, Contraindications, Risks and medication, Environmental safety and sterilization in cath lab

 

Module-4:

Angiography:

Coronary angiography, Peripheral angiography, Carotid angiography, Renal angiography, Cerebral angiography, Selective Aortography, Catheter Embolization, CT Angiography, MR Angiography, Vertebroplasty

 

Module-5:

Biopsy & Special Procedures:

CT Guided Biopsy, MR Guided Biopsy, US Guided Biopsy, Endogenous Ablation of Varicose veins, Trans jugular Intrahepatic Porto systemic Shunts, Introduction to Vascular Ultrasound

 

Module-6:

Anesthesia in Diagnostic Radiology

Facilities regarding general Anesthesia in the X-ray Department.

 

Module-7

Anesthetic Problems associated with specific technique-

1. Vascular Studies, b. Venography,d. NMR

Textbooks:

1. Radiological Procedures - A Guideline, Textbook of Radiology for residents and technicians - BHARGAVA K
2. Radiological Procedures - A Guideline - Bhushan  Lakhkar  2^nd  & 3^rd Edition

SESSION PLAN

SESSION 1-2

Cath lab units

Video:  https://youtu.be/Q-rjDTZSrrc

Presentation:  https://www.slideshare.net/shonimaindiaultrasound/cath-lab-39711806

Pdf: https://recintervcardiol.org/en/special-article/update-on-requirements-and-equipment-in-interventional-cardiology

 

 

SESSION 3                               

C-Arm

Video:  https://youtu.be/A39uJlidomg

Presentation: https://www.slideshare.net/ATHEENAMILAGIPANDIAN/c-arm-fluoroscopy-machines

Reference: https://www.iaea.org/sites/default/files/18/09/rpop-webinar-bosmans.Reference

 

 

SESSION 4 - 7

Digital Subtraction Angiographic Units

Video:  https://youtu.be/gS-qViRDzIk ,

Presentation:https://www.slideshare.net/subhayanmandal/digital-subtraction-angiography

Reference:https://radiopaedia.org/articles/digital-subtraction-angiography#:~:text=Digital%20subtraction%20angiography%20(DSA)%20is,depiction%20of%20the%20blood%20vessels.

 

 

SESSION 8

Pressure Injectors

Video:  https://youtu.be/P6APrhjEIgU

Reference: https://attendice.com/wp-content/uploads/2020/02/Introduction-to-Contrast-Injectors.Reference

 

 

SESSION 9

Radiological Contrast agents

Video: https://youtu.be/t7AUN5gRkT0

Presentation: https://www.slideshare.net/mr_koky/contrast-media

Reference: https://www.radiology.wisc.edu/wp-content/uploads/2017/10/contrast-agents-tutorial.pdf

 

 

 

SESSION 10-11

CM Side effects

Video: https://youtu.be/7vmWoiHKou4

Presentation:  https://www.slideshare.net/mohitgoel9212/contrast-media-reaction-50287812

Reference: https://www.hindawi.com/journals/bmri/2014/741018/

 

 

SESSION 12 – 13

Iodinated CM

Video: https://youtu.be/4t776n1ze-Y

            https://youtu.be/tCNgogMoKB0

Presentation: https://www.slideshare.net/NaikInayat/iodinated-contrast-media

Reference: https://www.radiology.wisc.edu/wp-content/uploads/2017/10/contrast-agents-tutorial.pdf

 

 

SESSION 14

Stents

Video: https://youtu.be/ZwoHT3xE26E

Presentation: https://www.slideshare.net/awakush/coronary-stent-design-ppt

Reference: https://medlineplus.gov/ency/article/002303.htm

https://www.webmd.com/heart-disease/stents-types-and-uses

 

 

SESSION 15

Endoscopes

Video: https://youtu.be/kHONXxQK3iE

Presentation: https://www.slideshare.net/sathishsak/endoscopy-82816596

Reference: https://www.sciencedirect.com/science/article/pii/S1878875012001659

 

 

SESSION 16

Pacemakers

Video:  https://youtu.be/SMXBR_YFocs

Presentation: https://www.slideshare.net/abhilashachaudhary4/pacemaker-71996509

Reference: https://my.clevelandclinic.org/health/treatments/17360-permanent-pacemaker

https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/pacemaker-insertion

 

 

SESSION 17

Arterial and Venous access  (Femoral approach, Arm approach),

Video:  https://youtu.be/xMsq7CsYzf0 ((Femoral approach), https://youtu.be/w1j_n8JxmqE https://youtu.be/w1j_n8JxmqE  (radial approach)

Presentation:  https://www.slideshare.net/CaliforniaCathy/femoral-site-complications

                       https://www.slideshare.net/ramachandrabarik/vascular-access-in-cardiac-catheterization

Reference: https://www.msdmanuals.com/en-in/professional/critical-care-medicine/approach-to-the-critically-ill-patient/vascular-access

 

 

SESSION 18 – 20

Catheters

Video:  https://youtu.be/ed6k42uGYBA

Presentation: https://www.slideshare.net/tozki/urinary-catheterization-2248691

Reference:https://cdn.dal.ca/content/dam/dalhousie/pdf/faculty/medicine/departments/department-sites/urology/ClinicalClerkshipBook/Foley_POM.pdf

https://www.nams-india.in/downloads/cmeevents/ircme/Cathetersandwires_DrVaibhav.pdf

 

 

SESSION 21

Guide wires

Video:  https://youtu.be/bqllXWxnmrE (Guide wires,),

Presentation: https://www.slideshare.net/mallesh2006/coronary-guide-wires

Reference: https://www.nams-india.in/downloads/cmeevents/ircme/Cathetersandwires_DrVaibhav.pdf

https://www.sciencedirect.com/topics/nursing-and-health-professions/guide-wire

 

 

 

SESSION 22

Dilators

Video:   https://youtu.be/82sFUrDTmmM  (Dilators)

Presentation: https://www.slideshare.net/ATHEENAMILAGIPANDIAN/dilators-mediucal-equipment

 

 

SESSION 23

Seldinger’s technique

Video:  https://youtu.be/aXOtUv4BnpM

Presentation: https://www.slideshare.net/RiyasMK1/seldinger-technique-interventional-radiology

Reference:https://www.sciencedirect.com/topics/medicine-and-dentistry/seldinger-technique

 

 

SESSION  24 - 26

Patient Preparations, Contraindications, Risks and medication, Environmental safety and sterilization in cath lab

Video:  https://youtu.be/HfaIngZbbnE,

Presentation: https://www.slideshare.net/SubrataKumar/commonly-used-drugs-in-cath-lab

https://www.slideshare.net/nfnajwa/patient-preparation-for-radiological-procedure

Reference:https://www.denverhealth.org/-/media/files/departments-services/radiology-patient-preparation-instructions.Reference

 

 

SESSION 27

Coronary angiography

Video:  https://youtu.be/MKRGgX5rYbY

Presentation: https://www.slideshare.net/madhumadhav143/coronary-angiography

Reference: https://medlineplus.gov/ency/article/003876.htm

 

 

SESSION 28

Peripheral angiography

Video:  https://youtu.be/4gZ76YTR_zM

Presentation: https://www.slideshare.net/InosRagan/peripheral-angiography-237668938

Reference: https://www.webmd.com/heart-disease/what-is-peripheral-angiogram

 

 

SESSION 29

Carotid angiography

Video:  https://youtu.be/kY5gKdFWT3k

Presentation:

Reference: https://www.uwmedicine.org/sites/default/files/2018-10/angiography-carotid-angiogram.pdf

https://radiopaedia.org/articles/cerebral-angiography

 

 

SESSION 30

Renal angiography,

Video:  https://youtu.be/cwKDy0aREpI

Presentation: https://www.slideshare.net/YashKumarAchantani/renal-angiography

Reference: https://www.intechopen.com/chapters/62340

 

 

SESSION 31

Cerebral angiography

 Video:  https://youtu.be/JJyf2lvB-Ps

Presentation: https://www.slideshare.net/NeurologyKota/cerebral-angiography-technique

Reference:  https://radiopaedia.org/articles/cerebral-angiography

 

 

SESSION 32

Selective Aortography

Video:  https://youtu.be/v0WFCa4rViY

Presentation: https://www.slideshare.net/mr_koky/angiography-arteriography

Reference:  https://www.ajronline.org/doi/pdf/10.2214/ajr.102.2.333

 

 

SESSION 33 - 37

Catheter Embolization

Video:  https://youtu.be/Sq8nofC9MKI

https://youtu.be/5NZSLsQwERA

https://youtu.be/fBoFy_LEVO4

Presentation: https://www.slideshare.net/meducationdotnet/uterine-artery-embolisation

Reference: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3379525/

https://radiopaedia.org/articles/uterine-artery-embolisation

 

 

SESSION 38

CT Angiography

Video:  https://youtu.be/giMBrS144b0

Presentation: https://www.slideshare.net/YashKumarAchantani/ct-angiography-head-and-neck

Reference: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/computed-tomography-angiography-cta

 

 

SESSION 39

MR Angiography

Video:  https://youtu.be/KOAdjMLBnSE

Presentation: https://www.slideshare.net/qavi786/ma-49560091

Reference: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6732109/

 

 

SESSION 40

Vertebroplasty

Video:  https://youtu.be/0sbrxbhfts0

Presentation: https://www.slideshare.net/docaashishgupt/vertebroplasty-65307960

Reference: https://mayfieldclinic.com/pe-kyphoplasty.htm

 

 

SESSION 41

Angioplasty

Video:  https://youtu.be/MKRGgX5rYbY

Presentation: https://www.slideshare.net/mattksee/angioplasty-18645554

Reference: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/angioplasty-and-stent-placement-for-the-heart

 

 

SESSION 42

CT Guided Biopsy

Video:  https://youtu.be/aQbF6BMGEo0

Presentation: https://www.advocatehealth.com/assets/documents/2015cme-kim-dreyerctpresentation.pdf

Reference: https://radiopaedia.org/articles/ct-guided-biopsy

 

 

SESSION 43

MR Guided Biopsy

Video:  https://youtu.be/ld1mQ8M8S7w

Presentation: https://www.slideshare.net/Apollo_Hospitals/mri-guided-trans-rectal-ultrasound-biopsy-a-molecular-approach-to-diagnosing-prostatic-cancer

Reference: https://radiopaedia.org/articles/mri-targeted-prostate-biopsy-1

 

SESSION 44

US Guided Biopsy

Video:  https://youtu.be/DQ-IkpQszUs

Presentation: https://www.slideshare.net/airwave12/ultrasound-guided-procedures

Reference: https://radiopaedia.org/articles/ultrasound-guided-biopsy-1

 

 

SESSION 45

Endogenous Ablation of Varicose veins

Video:  https://youtu.be/WGW8BUKp76g

Presentation: https://www.slideshare.net/muhammadbinzulfiqar5/radiofrequency-ablation-of-varicose-veins-dr-muhammad-bin-zulfiqar

Reference: https://www.radiologyinfo.org/en/info/varicoseabl

 

 

SESSION 46 - 47

Trans jugular Intrahepatic Porto systemic Shunts (TIPS)

Video:  https://youtu.be/O2u4_hF3234

Presentation: https://www.slideshare.net/airwave12/transjugular-intrahepatic-porto-systemic-shunt

Reference:1)  https://radiopaedia.org/articles/transjugular-intrahepatic-portosystemic-shunt-1#:~:text=Transjugular%20intrahepatic%20portosystemic%20shunt%20(TIPS%20or%20TIPSS)%20is%20a%20treatment,flow%20to%20bypass%20the%20liver.

2) https://radiopaedia.org/articles/tips-evaluation

 

SESSION 48

General Anesthesia

Video:  https://youtu.be/r-0Mg9FNchc

Presentation: https://www.slideshare.net/krishnabajgire/general-anaesthetics-62248880

Reference: https://www.webmd.com/a-to-z-guides/what-is-general-anesthesia

 

 

SESSION 49

Facilities regarding general Anesthesia in the X-ray Department.

Video:  https://youtu.be/YhBSkfrCrWA

Presentation: https://www.slideshare.net/kalpeshshah3388/anaesthesia-for-radiological-procedures-final-edit  

Reference:https://www.researchgate.net/publication/11469119_The_role_of_anaesthesia_in_interventional_radiology

 

 

SESSION 50

Vascular Ultrasound

Video:  https://youtu.be/ihXKv9qqbZw https://youtu.be/Hr3raIpRxWk

Presentation: https://www.slideshare.net/surgmax/henao-fundamentals-of-vascular-ultrasound

Reference: https://www.sciencedirect.com/topics/medicine-and-dentistry/vascular-ultrasound

 

 

SESSION 51

Venography

Video: https://youtu.be/Hr3raIpRxWk

Presentation: https://www.slideshare.net/sujankarki12/venography

Reference: https://www.sciencedirect.com/topics/medicine-and-dentistry/venography