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Efficacy, Education, Administration, Informatics

E1183. Back to the Basics: A Trainees’ Guide to Essential Interventional Radiology Equipment

Kim D,  Eweka A,  Szaflarski D,  Hoffmann J. NYU Winthrop Hospital, Mineola, NY

Address correspondence to J. Hoffmann (jasonchoffmann@yahoo.com)

Background Information: While hundreds of devices exist in the interventional radiology (IR) armamentarium to perform a wide variety of image-guided interventions, a number of basic concepts regarding device use exist. A basic understanding and working knowledge of tools used by the interventional radiologist is important for trainees during their IR rotations. The goal of this exhibit is to provide an image-rich review of a variety of important imaging equipment and procedural tools used routinely in the IR suite to educate IR trainees and prepare them for immediate involvement in the IR suite.

Educational Goals/Teaching Points: An array of basic tools exist for interventional radiologists (IRs) to successfully perform procedures with optimal patient outcomes. Knowledge of the types of catheters, wires, sheaths, and other frequently used IR products, including their composition and basic functional properties, is critical for safe, efficient procedural success. Trainees, including residents and medical students interested in IR, should develop a working understanding of these products so that they can participate fully in procedures and discussions with patients, thus maximizing their educational experience.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques: This image-rich, educational exhibit reviews both basic and unique devices that are critical for IRs to efficiently and safely perform procedures. The exhibit utilized a variety of case-based discussions to highlight the utility of various types of products, and detail how and when they should be used. Products reviewed include, but are not limited to: needles, trocars, sheaths, catheters and microcatheters, wires, drainage tubes, balloons, stents, contrast agents (including alternative contrast agents such as carbon dioxide), embolic (coils, plugs, particles, glue, Gelfoam, etc.), single and biplane fluoroscopy units, cone-beam CT, CT fluoroscopy, and basic concepts of radiation safety. Recommendations about scenarios to use or not use certain products will include relevant literature review.

Conclusion: A working knowledge of imaging equipment and devices used in the IR suite is essential for trainees to immerse themselves in the IR training experience, maximizing their procedural experience and involvement in patient care in the IR suite.