A Review of Interventional Radiology

Course #90444 - $60 -

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Overview

Over the years, the radiology department has evolved from a purely diagnostic area to one where multifaceted therapies are performed. Radiologists have evolved to become super-specialists, able to guide referring physicians to further tests and/or radiological therapies. The radiology residency now incorporates training in many areas that were unknown a few decades ago. Today, as patients spend a steadily increasing amount of time away from regular hospital units, they must be properly prepared for what is going to happen to them. The purpose of this course is to provide information about the rapidly expanding field of radiologic medicine. Knowledge of the basic procedures will assist physicians and nurses in preparing patients and their families for the many procedures performed in the radiology department.

Education Category: Medical / Surgical
Release Date: 07/01/2022
Expiration Date: 06/30/2025

Table of Contents

Audience

This course is designed for physicians, physician assistants, and nurses involved in the care of patients who may require radiological interventions.

Accreditations & Approvals

In support of improving patient care, NetCE is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. NetCE is accredited by the International Accreditors for Continuing Education and Training (IACET). NetCE complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, NetCE is authorized to issue the IACET CEU.

Designations of Credit

This activity was planned by and for the healthcare team, and learners will receive 10 Interprofessional Continuing Education (IPCE) credit(s) for learning and change. NetCE designates this enduring material for a maximum of 10 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. NetCE designates this continuing education activity for 10 ANCC contact hour(s). NetCE designates this continuing education activity for 2 pharmacotherapeutic/pharmacology contact hour(s). NetCE designates this continuing education activity for 12 hours for Alabama nurses. Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 10 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Completion of this course constitutes permission to share the completion data with ACCME. Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and/or Self-Assessment requirements of the American Board of Surgery's Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit. This activity has been approved for the American Board of Anesthesiology’s® (ABA) requirements for Part II: Lifelong Learning and Self-Assessment of the American Board of Anesthesiology’s (ABA) redesigned Maintenance of Certification in Anesthesiology Program® (MOCA®), known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements. Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of the American Board of Anesthesiology®. MOCA 2.0® is a trademark of the American Board of Anesthesiology®. Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME's "CME in Support of MOC" program in Section 3 of the Royal College's MOC Program. AACN Synergy CERP Category A. NetCE is authorized by IACET to offer 1 CEU(s) for this program.

Individual State Nursing Approvals

In addition to states that accept ANCC, NetCE is approved as a provider of continuing education in nursing by: Alabama, Provider #ABNP0353, (valid through July 29, 2025); Arkansas, Provider #50-2405; California, BRN Provider #CEP9784; California, LVN Provider #V10662; California, PT Provider #V10842; District of Columbia, Provider #50-2405; Florida, Provider #50-2405; Georgia, Provider #50-2405; Kentucky, Provider #7-0054 through 12/31/2025; South Carolina, Provider #50-2405; West Virginia RN and APRN, Provider #50-2405.

Special Approvals

This course fulfills the requirement for California physicians who hold a radiography Supervisor and Operator Permit that are required to complete 10 credits of continuing education regarding the application of x-ray to the human body to renew their certification or permit. This activity is designed to comply with the requirements of California Assembly Bill 1195, Cultural and Linguistic Competency.

Course Objective

The purpose of this course is to provide information about an expanding field of radiological medicine. Knowledge of the basic procedures will assist physicians and nurses in preparing patients and their families for the many procedures performed in the radiology department.

Learning Objectives

Upon completion of this course, you should be able to:

  1. Explain the indications and risks of interventional radiologic procedures and describe them to patients and their families.
  2. List measurable criteria to review before safely deciding to proceed with any interventional radiologic procedure.
  3. Discuss the factors involved in administering moderate sedation.
  4. Identify indications and outcomes for image-guided biopsy.
  5. Describe how drainage of obstructed organ systems or large fluid collections may be provided by percutaneous approaches.
  6. Discuss the methods by which percutaneous nephrostomy and ureteral stents aid in the treatment of urologic disease.
  7. Review the role of interventional procedures in establishing drainage of the biliary system.
  8. Describe indications for and possible complications resulting from various angiography procedures.
  9. Summarize the proper placement of vascular stents and filters.
  10. Discuss the use of celiac plexus block, including expected outcomes.
  11. Identify conditions that warrant the use of intentional embolization.
  12. Review the mechanism of action and objectives of radiofrequency tumor ablation.
  13. List side effects and contraindications of interventional intravascular drug therapy.

Faculty

Linda Strangio, RN, MA, CCRN, CRN, graduated from The Mount Sinai Hospital School of Nursing in New York City. Linda has been a staff nurse, head nurse and patient care coordinator in medical, surgical and pulmonary intensive care units in New York, Ohio and New Jersey. In 1992, she became the nursing coordinator of the department of radiology at Atlantic Health System's Mountainside Hospital in Montclair, New Jersey, where she had worked for twenty-six years. She held national certification in critical care nursing (CCRN) and radiology nursing (CRN), as well as two degrees in psychology. She was the editor of Images, which is the national journal of the American Radiological Nurses Association (ARNA), has been published over fifty times in professional journals and magazines and has authored three books. Regrettably, Linda Strangio passed away in October 2002.

Faculty Disclosure

Contributing faculty, Linda Strangio, RN, MA, CCRN, CRN, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Division Planners

John M. Leonard, MD

Jane C. Norman, RN, MSN, CNE, PhD

Division Planners Disclosure

The division planners have disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Director of Development and Academic Affairs

Sarah Campbell

Director Disclosure Statement

The Director of Development and Academic Affairs has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

About the Sponsor

The purpose of NetCE is to provide challenging curricula to assist healthcare professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of healthcare.

Our contributing faculty members have taken care to ensure that the information and recommendations are accurate and compatible with the standards generally accepted at the time of publication. The publisher disclaims any liability, loss or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents. Participants are cautioned about the potential risk of using limited knowledge when integrating new techniques into practice.

Disclosure Statement

It is the policy of NetCE not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.

Technical Requirements

Supported browsers for Windows include Microsoft Internet Explorer 9.0 and up, Mozilla Firefox 3.0 and up, Opera 9.0 and up, and Google Chrome. Supported browsers for Macintosh include Safari, Mozilla Firefox 3.0 and up, Opera 9.0 and up, and Google Chrome. Other operating systems and browsers that include complete implementations of ECMAScript edition 3 and CSS 2.0 may work, but are not supported. Supported browsers must utilize the TLS encryption protocol v1.1 or v1.2 in order to connect to pages that require a secured HTTPS connection. TLS v1.0 is not supported.

Implicit Bias in Health Care

The role of implicit biases on healthcare outcomes has become a concern, as there is some evidence that implicit biases contribute to health disparities, professionals' attitudes toward and interactions with patients, quality of care, diagnoses, and treatment decisions. This may produce differences in help-seeking, diagnoses, and ultimately treatments and interventions. Implicit biases may also unwittingly produce professional behaviors, attitudes, and interactions that reduce patients' trust and comfort with their provider, leading to earlier termination of visits and/or reduced adherence and follow-up. Disadvantaged groups are marginalized in the healthcare system and vulnerable on multiple levels; health professionals' implicit biases can further exacerbate these existing disadvantages.

Interventions or strategies designed to reduce implicit bias may be categorized as change-based or control-based. Change-based interventions focus on reducing or changing cognitive associations underlying implicit biases. These interventions might include challenging stereotypes. Conversely, control-based interventions involve reducing the effects of the implicit bias on the individual's behaviors. These strategies include increasing awareness of biased thoughts and responses. The two types of interventions are not mutually exclusive and may be used synergistically.