Fundamentals of PTA and stenting for peripheral arterial disease (2021) – online course

Description

Please note that this course is no longer CME accredited and will be taken offline on February 23, 2025.

Authors: K. Katsanos and D. Tsetis

Reviewer: S. Müller-Hülsbeck

This course corresponds to chapter 2.2.1.1.1 Peripheral arterial disease in the European Curriculum and Syllabus for Interventional Radiology.

Abstract

Peripheral Arterial Obstructive Disease (PAOD) is at least as frequent as angina in the U.S. population; according to the results of the Framingham study the annual incidence of symptomatic PAOD is 26/10,000 in men and 12/10,000 in women. If asymptomatic patients are also taken into consideration by use of non-invasive testing, the prevalence of the disease is estimated to be 3% in middle-aged patients, increasing to 20% in patients >70 years of age. About one-third of PAOD lesions in the body affect the aorto-iliac segment. The most common clinical manifestation of PAOD is intermittent claudication (IC) involving the upper thigh, often in combination with lower limb claudication. The worst clinical manifestation of PAOD is critical limb ischaemia (CLI) which is a limb- and life-threatening condition with a yearly incidence of around 220 new cases per million population. Patients presenting with CLI usually have multisegmental disease with involvement of the infrainguinal arteries. Typical below-the-knee (BTK) diabetic arterial disease is characterised by long, multilevel disease involving all three infrapopliteal vessels.

Learning objectives

• To understand the causes of peripheral ischaemia and recognise the risk factors for development and progression of PAOD.
• To know the arterial anatomy and recognise the collateral pathways for patients with PAOD.
• Describe the specific clinical features and categorise IC and CLI according to current systems i.e. SVS/ISVS
• To know the specific angiographic patterns and anatomical levels of disease involvement in patients with IC and CLI with a special focus on diabetes-related PAOD
• To understand strategies for imaging patients with PAOD including DSA, MRA, CTA and colour-doppler ultrasonography
• To learn how to plan optimal vascular access for percutaneous endovascular treatment of PAOD
• To learn correct selection and use of equipment including:
  • Guidewires
  • Catheters
  • Sheaths
  • Reentry devices
  • Balloons
  • Atherectomy devices
  • Stents and stent-grafts
• To obtain technical competence in the performance of peripheral vascular interventions including:
  • Crossing stenosis with selective catheters and guidewires
  • Recanalisation techniques of total occlusions including subintimal recanalisation and use of re-entry devices
  • Balloon angioplasty and stent placement including DCBs and DESs
  • Percutaneous atherectomy
  • Catheter-directed thrombolysis and Percutaneous Aspiration and Mechanical Thrombectomy
  • Management of complications

Further information

This course covers a basic level of IR knowledge and is designed for trainees, students or young consultants aiming to acquire essential knowledge or prepare for the EBIR exam. Thereby, it is tailored to the European Curriculum and Syllabus for Interventional Radiology and corresponds to chapter 2.2.1.1.1 Peripheral arterial disease.

The format of the course is interactive and easy to use, including texts, graphics, videos and a quiz to support your learning. The course duration is around one hour.

The enrolment period of this course is linked to the validity of the All-Access Pass.

Release date: February 2021