Management of acute peripheral arterial occlusion remains a challenge with catheter-directed thrombolysis, aspiration thrombectomy, and mechanical thrombectomy as excellent treatment options in the appropriate clinical settings. Despite these advances, the morbidity, mortality, and limb loss rates from acute lower extremity ischemia remain high, necessitating early diagnosis and rapid treatment in order to salvage the limb. This course will review how to evaluate patients with suspected acute lower-limb ischemia, how to determine appropriate management, and what tools are available to assist in limb-saving intervention.
The lectures within this course were originally presented at the SIR 2016 annual meeting in Vancouver, B.C.; the SIR 2017 annual meeting in Washington, DC; and the SIR 2019 annual meeting in Austin, TX.
This course is intended for interventional radiologists, in-training radiologists, nurse practitioners and physician assistants.
The following components are included in this course:
Presentation, pre-procedure evaluation & patient selection: Soup to Nuts - Parag J. Patel, MD, MS, FSIR
Pre-procedure Non-invasive imaging: What & when & how to minimize potential complications - Derek Mittleider, MD, FSIR
Native and bypass anatomy -- Treatment options: How I Do It - Daniel A. Leung, MD, FSIR
Endovascular Management of Acute Native Arterial and Extra-Anatomic Bypass Occlusion - Venu Vadlamudi, MD
Latest Techniques and Devices - Sabeen Dhand, MD
Thrombolysis Workshop SIR 2019 - Peter Drescher, MD, MS
Alternative Techniques: Access & Devices -- How I Do It - James F. Benenati, MD, FSIR
Aspiration Thrombectomy versus Conventional Catheter-Directed Thombolysis as First-Line Treatment for Noniatrogenic Acute Lower Limb Ischemia
On completion of this course, an attendee should be able to:
- Discuss pre-procedure patient evaluation and minimize potential complications
- Identify appropriate candidates and best treatment options based on presentation and anatomy
- Review technical pearls that can lead to improved clinical outcomes
Parag J. Patel, MD, MS, FSIR - Medical College of Wisconsin, Milwaukee, WI
Derek Mittleider, MD, FSIR - Vascular & Interventional Physicians, Melbourne, FL
Daniel A. Leung, MD, FSIR - Chistiana Care Health System, Newark, DE
Venu Vadlamudi, MD - Memphis Physicians Radiological Group, PC, Memphis, TN
Sabeen Dhand, MD - PIH Health, Los Angeles, CA
Peter Drescher, MD, MS - AMG Imaging Service, Hartland, WI
James F. Benenati, MD, FSIR - Miami Cardiac and Vascular Institute, Miami, FL
This activity has been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME). The Society of Interventional Radiology (SIR) is accredited by the ACCME to provide medical education for physicians.
SIR designates this enduring material for a maximum of 2.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This program will be approved for a maximum of 2.00 self-assessment CME credits (SA-CME) by the Society of Interventional Radiology (SIR). SIR is awarded Deemed Status by the American Board of Radiology (ABR). The SA-CME offered within this enduring material meet the ABR’s criteria for a self-assessment toward the purpose of fulfilling requirements in the ABR Maintenance of Certification (MOC) Program.