Course: Angiography and interventional radiology

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Course title Angiography and interventional radiology
Course code KIR/P4AIR
Organizational form of instruction Lecture + Lesson
Level of course Bachelor
Year of study 2
Semester Summer
Number of ECTS credits 3
Language of instruction Czech
Status of course Compulsory
Form of instruction Face-to-face
Work placements This is not an internship
Recommended optional programme components None
Lecturer(s)
  • Krajina Antonín, prof. MUDr. CSc.
  • Storm Jaroslav, Mgr.
  • Valešová Pavla, MUDr. Ph.D.
Course content
Fundamentals of x-ray imaging, radiologic angiology, basic information on vascular system, angiography suite equipment, diagnostic and treatment catheters for intervention procedures. Recording options of angiography examination, conventional radiology, DSA, angiography equipment setup parameters, angiography examination protocols, managing the record quality, and its postprocessing. Radiation hygiene, patient and staff protection against adverse x-ray radiation effects, biological impact of radiation on man, cumulative dose, ALARA principle. Laboratory examination before intervention procedures, options of preparation of the patient before angiography or intervention procedure, premedication in allergic patients, patient treatment after intervention procedure. Basic overview of access points into the vascular system, Seldinger technique, risks of catheterization, complications after catheterization, and vascular access point care. X-ray anatomy of supra-aortic trunks supplying the CNS, options of imaging, overview of interventions in carotid basin, stents, embolism, demonstration of brain death. X-ray anatomy of thoracic and abdominal aortic branches, specifics of imaging of coronary arteries and their intervention, stents and stent grafts in aneurysm, imaging of visceral arteries, proof of gastrointestinal bleeding, embolization techniques in kidney tumours, and intervention in pelvis bleeding. Thrombolysis in treatment of arterial occlusions. Examination procedures of venous system, diagnostic phlebography, pelvis congestion syndrome, deep pelvis thrombosis thrombolysis, vascular malformation, portal hypertensions - TIPS. Non-vascular interventions, fundamentals of navigation-based puncture, drainage catheters, drainage techniques of pathological knee abscesses. Intervention in upper GIT, stents and stent grafts of the esophagus. Intervention in stomach, PEG. Intervention in lower GIT, stents in colon tumours, option of intervention solution of acute intestinal obstruction. Intervention procedures in biliary obstructions, stents in malign and benign biliary strictures, easing cholecystotomy. Intervention procedures in children. Intervention procedures in spine, vertebroplasty, root blockades and options of managing spine pain, hemangioma in a vertebral body and its treatment. Radiofrequency ablation of liver tumours and colorectal carcinoma metastases. Overview of used instrumentarium, stents, coated stents - stent grafts, embolization material and techniques. Long-term venous access in cancer patients, PICC, CICC, port systems.

Learning activities and teaching methods
Monologic (reading, lecture, briefing), Demonstration, Skills training
Learning outcomes
The aim of the subject is to acquaint students with the historical development of angiographic techniques and their evolution to the modern methods of imaging of the vascular system. Furthermore, the subject introduces students to the basics of work with the patient in the department of angiography and with investigative work during intervention procedures on the human vascular system and also it introduces to the basics of non-vascular interventions.
The student is familiar with angiography techniques and the methodology of work during the investigation of patients. The student will be ready to use the gained knowledge and skills in clinical practice of the radiology assistant.
Prerequisites
unspecified

Assessment methods and criteria
Written examination, Student performance assessment

Completion of compulsory 80% attendance at the practicum sessions.
Recommended literature
  • ELIÁŠ, P. Angiologie. 1. vyd. Hradec Králové : Nucleus, 1999.
  • ELIÁŠ, P. Intervenční radiologie. 1. vyd. Hradec Králové : Nucleus, 1998.
  • KRAJINA, A.; PEREGRIN, J., H. Intervenční radiologie - miniinvazivní terapie. 1. vyd. Hradec Králové : Olga Čermáková, 2005. ISBN 80-86703-08-8.


Study plans that include the course
Faculty Study plan (Version) Category of Branch/Specialization Recommended year of study Recommended semester
Faculty: Faculty of Health Studies Study plan (Version): Radiology Assistant (2014) Category: Health service 2 Recommended year of study:2, Recommended semester: Summer
Faculty: Faculty of Health Studies Study plan (Version): Radiology Assistant (2013) Category: Health service 2 Recommended year of study:2, Recommended semester: Summer