Recommendations for peripheral transluminal angioplasty: Training and facilities

Spittell, John A.; Creager, Mark A.; Dorros, Gerald; Isner, Jeffrey M.; Nanda, Navin C.; Ochsner, John L.; Wexler, Lewis; Young, Jess R.

doi:10.1016/0735-1097(93)90701-2

Cited by 69 publications

(10 citation statements)

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“…The fact that there are varying degrees of difficulty for certain procedures and that these procedures thus impart associated degrees of risk to the patient has also been specifically recognized and summarized by the ACC. 79 For example, in recognition of the critical nature of certain catheter based procedures, the ACC has published the Revised Recommendations for Training in Adult Cardiovascular Medicine Core Cardiology Training II statement (COCATS 2). 29 In addition to the required minimum 24 clinical months of training by COCATS 2, diagnostic coronary catheterization mandates a minimum of 8 dedicated months in a cardiac catheterization laboratory during training in the pathophysiology and treatment of heart disease with specific requirements for approved supervised training on at least 300 diagnostic coronary angiograms before a practitioner is judged competent for credentialing purposes.…”

Section: Risks Of Cervicocerebral Angiographic Procedures Risks Of Dmentioning

confidence: 99%

“…The ACC, the AHA, and the SIR have published guidelines requiring 100 diagnostic angiograms for credentialing in peripheral vascular angioplasty. 76,[78][79][80][81] These AHA, ACC, and SIR standards mandate competence regardless of subspecialty background and/or endovascular experience in any other vascular bed, including the heart.…”

Section: Risks Of Cervicocerebral Angiographic Procedures Risks Of Dmentioning

confidence: 99%

See 1 more Smart Citation

Training, competency, and credentialing standards for diagnostic cervicocerebral angiography, carotid stenting, and cerebrovascular intervention

Connors

Sacks

Furlan³

et al. 2005

Neurology

101

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Appropriate and adequate cognitive and technical training, proficiency and experience are essential for the safe performance of procedures that confer significant risk to patient well-being. This principle is the foundation of all medical education and is especially important when considering the cerebral vasculature, for which stroke is a defined risk for every endovascular procedure. Despite recent advances in noninvasive diagnostic neuroimaging, diagnostic cervicocerebral angiography remains the cornerstone and "gold standard" for the evaluation and treatment of patients with cerebrovascular disease.1 In addition to a high level of technical expertise, performance and interpretation of diagnostic cervicocerebral angiography requires in-depth cognitive knowledge of related neurological pathophysiology, neurovascular anatomy and pathology, and an understanding of the full range of neurodiagnostic possibilities. Expert diagnostic cervicocerebral angiography is the foundation for safe and successful cervicocerebral endovascular intervention, including carotid artery angioplasty and stenting for atherosclerosis, interventional stroke therapy, intracranial angioplasty and stenting, and embolization of cerebral aneurysms, epistaxis and vascular malformations. All of these procedures are increasing in volume and complexity with recent technological advances that further mandate the need for adequate cognitive acumen and technical skills. To ensure proper outcomes, formal neuroscience training, adequate procedural training and sufficient experience are all essential for competency in diagnostic cervicocerebral angiography and interventional procedures, including carotid stenting. These concepts have been delineated in training requirements by the Accreditation Council for Graduate Medical Education (ACGME) and by previously published official society statements. The purpose of this document is to define the minimum training and See also page 188 *These organizations represent all clinical medical specialties with formal accredited ACGME-approved training in the cervicocerebral vasculature and associated neurological pathophysiology. The executive committees and governing bodies of each organization have approved this document. †Authors/reviewers for the NeuroVascular Coalition Writing Group are listed in the Appendix.

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Section: Risks Of Cervicocerebral Angiographic Procedures Risks Of Dmentioning

confidence: 99%

Section: Risks Of Cervicocerebral Angiographic Procedures Risks Of Dmentioning

confidence: 99%

Training, competency, and credentialing standards for diagnostic cervicocerebral angiography, carotid stenting, and cerebrovascular intervention

Connors

Sacks

Furlan³

et al. 2005

Neurology

101

View full text Add to dashboard Cite

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“…[15][16][17][18][19][20] These numbers may be used to get an idea of how many cases are required to get started, and hospital credentialing committees may use these to establish requirements for hospital privileges. Basic skills can be used to treat iliac and superficial femoral arteries and place vena cava filters.…”

Section: Developing Endovascular Skillsmentioning

confidence: 99%

“…No one knows what the correct number of endovascular cases is to achieve competence; however, several societies, including the SVS, have issued minimum requirements (Table 1). [15][16][17][18][19][20] These numbers may be used to get an idea of how many cases are required to get started, and hospital credentialing committees may use these to establish requirements for hospital privileges.…”

Section: Developing Endovascular Skillsmentioning

confidence: 99%

Endovascular Surgery: Initiating a Program

Schneider¹,

Michael²,

Nelken³

2004

Perspectives in Vascular Surgery and Endovascular Therapy

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The practice of endovascular surgery is significantly enhanced by the use of a programmatic approach. Our goal as vascular specialists is to integrate endovascular techniques and concepts into vascular practice in the same way that we have integrated the medical and perioperative management of vascular patients into clinical care. In the not too distant future, the concept of vascular "surgery" is not likely to be independently functional. The most effective vascular specialists will be those who provide a full spectrum of management options that includes prevention, medical management, endovascular therapy, and open surgery; striving for the seamless care of patients with vascular problems. Vascular disease management appears to be approaching a stage in which endovascular surgery will be the treatment of choice for most situations that require mechanical intervention, with open surgery reserved for endovascular failures and those patients with the absolute worst disease morphology. Endovascular techniques have dramatically influenced the care of disease in every vascular bed. The opportunity to relieve suffering, reduce morbidity, and treat threatening illness with minimally invasive approaches is a privilege.

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“…Standards of training and for performance of medical and surgical procedures are necessary requirements for the practice of medicine. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is working with two other accrediting organizations, the National Committee for Quality Assurance and URAC (former- (122,123). Standards of performance and training specifically for peripheral vascular intervention have also been written by the AHA (124), the Society of Cardiac Angiography and Intervention (125), the Society of Interventional Radiology (126,127) and the Society for Vascular Surgery (128).…”

Section: Qualifications and Responsibilities Of Personnelmentioning

confidence: 99%

Society of Interventional Radiology

2010

Journal of Vascular and Interventional Radiology

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Recommendations for peripheral transluminal angioplasty: Training and facilities

Cited by 69 publications

References 0 publications

Training, competency, and credentialing standards for diagnostic cervicocerebral angiography, carotid stenting, and cerebrovascular intervention

Training, competency, and credentialing standards for diagnostic cervicocerebral angiography, carotid stenting, and cerebrovascular intervention

Endovascular Surgery: Initiating a Program

Society of Interventional Radiology

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