Aorto-iliac angioplasty and stenting – online course
Please note that this course is no longer CME accredited, but we are working on a new accredited version.
Authors: D. Tsetis and M. Tsitskari
Reviewers: L. Kamper, A. Krajina, G. Mauri, C. Nice and S. Müller-Hülsbeck
This course corresponds to chapter 220.127.116.11.1 Peripheral Arterial Disease in the European Curriculum and Syllabus for IR.
Atherosclerotic disease is a common medical condition that is generally underdiagnosed and undertreated. The aorto-iliac arteries constitute a common anatomic site for atherosclerotic disease, accounting for approximately one-third of all symptomatic peripheral artery disease. The majority of patients are asymptomatic. Symptomatic patients may present with intermittent claudication or critical limb ischaemia in the form of either tissue loss (ichaemic foot ulcers or gangrene) or ischaemic rest pain. A range of surgical and endovascular treatment options are available. Open surgery has historically been the gold-standard treatment. With increasing experience, and advances in devices and imaging, less invasive endovascular treatments have expanded to treat even more complex cases. Endovascular treatment has good safety and long-term efficacy with decreased morbidity, complications and costs compared with open surgical procedures. Both percutaneous transluminal angio-plasty (PTA) and stenting are commonly used endovascular treatment options for iliac artery occlusive disease. A number of new balloon and stent technologies can be utilised with high long-term patency, but comparative data on these treatment strategies and in more com-plex lesions are lacking since both techniques showed high patency rates. As a general consensus, stenotic or occlusive lesion of the aortoiliac artery can be treated successfully by PTA alone. If PTA alone is technically unsuccessful, additional stent placement is indicated. Alternatively, primarily stenting may be used for more complex aorto-iliac lesions. However, there is limited evidence to prove which endovascular treatment strategy is superior for ste-notic and occlusive lesions of the iliac arteries.
- Recognise clinical manifestations of PAD
- Be able to categorise patients according to their symptoms
- Know the indications/contraindications for treatment
- Understand the range of treatment strategies including medical, endovascular/interventional and surgical alternatives sufficiently to discuss management with patients and formulate appropriate treatment plans
- To learn how to treat iliac lesions, lesions of the aorta, and aorto-iliac lesions including obstructions
- Get familiar with the different stent types, balloon types and devices used for recanalisation
- To learn the results and complications and their prompt treatment options
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 IR and corresponds to chapter 18.104.22.168.1 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.
Access to complete and revisit the course is granted for an enrolment period of 90 days.
Release date: March 2019