Peripheral vascular malformations (CME) – online course
Authors: I. McCafferty and L. Marques
Reviewers: T. Jahnke, A. Krajina, C. Nice, D. Tsetis and M. Tsitskari
This course corresponds to chapter 184.108.40.206.6 Vascular Malformations in the European Curriculum and Syllabus for IR.
Vascular anomalies are a complex group of developmental abnormalities due to inborn errors of vasculogenesis or angiogenesis that present significant challenges in diagnosis and management. The rarity and diverse presentation often means patients are seen by multiple specialists before the correct diagnosis is made and treatment can be instigated. Accurate and timely diagnosis is crucial, and a multidisciplinary team approach is essential for appropriate evaluation and management.
The understanding of vascular anomalies was significantly improved with the first classification by Mulliken & Glowacki in 1982 and the subsequent formation of the International Society for the Study of Vascular Anomalies (ISSVA), which modified the classification in 2014.
Vascular malformations can occur anywhere within the body. The majority are present at birth, although occasionally high flow malformations can be acquired following trauma. They are often referred to as “iceberg lesions” as the clinically visible area is often the tip of the underlying malformation. The clinical presentation and timing, however, often varies depending on the site and nature of the underlying abnormality.
The management of vascular malformations is dependent on the clinical symptoms, features and the extent of the underlying abnormality. Imaging therefore plays a crucial role in diagnosis and treatment planning. As the vast majority of vascular malformations have an underlying cellular abnormality of angiogenesis, called “field defects”, treatments are aimed to relieve symptoms rather than cure.
Management of vascular malformations requires an understanding of the underlying anatomy and classification, which guides the various treatment options available to interventional radiologists.
- Understand the classification of vascular anomalies
- Understand the common clinical presentations and features of vascular malformations
- Understand the common syndromes associated with vascular malformations
- Understand the imaging of vascular malformations and how that affects management planning
- Understand the principles underpinning the treatment options for vascular malformations
- Common techniques employed
- Common sclerosant agents used
- Understand the potential complications of vascular malformations and their management
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 220.127.116.11.6 Vascular Malformations.
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 two hours and is accredited by the European Accreditation Council for Continuing Medical Education (EACCME) to award 2 European CME credits (ECMEC). The CME accreditation for this course will expire on July 4, 2021. A non-CME accredited version of the course will remain available until the new CME accredited course is published.
Upon purchase, access to complete and revisit the course is granted for an enrolment period of 90 days.
The CME certificate will be available in the myCIRSE area past the enrolment period if the course is completed before July 4, 2021.
Release date: July 2019