Acquisition of endovascular skills for obstetrician-gynecologists

Journal of Minimally Invasive Gynecology
B McLucas

Abstract

To identify skills not part of the training of obstetrician-gynecologists that are needed to perform endovascular procedures, especially uterine artery embolization. Literature review of known skills necessary to perform endovascular procedures. Important areas of endovascular skills are as follows. Understanding of the modern C-arm image intensifier is basic to performing endovascular procedures safely for the patient, physician, and others in the procedure room. Many states require physicians to obtain a Fluoroscopy Supervisors Permit when doing such interventions. Arteriotomy begins every endovascular procedure. Physicians must understand catheter manipulation and selection, and the use of microcatheters. An understanding of the pelvic arterial anatomy will help the surgeon identify the uterine arteries. Once in the uterine artery, the surgeon must understand how to successfully embolize the artery. As in any surgery, prevention of complications is important as well as management of complications once they arise. Obstetrician-gynecologists should plan on devoting a year for the acquisition of skills needed to perform endovascular procedures. Methods of acquiring such skills include simulator training, animal laboratory proce...Continue Reading

References

Sep 1, 1991·Cardiovascular and Interventional Radiology·M E Clouse
Jul 1, 1997·Journal of Vascular and Interventional Radiology : JVIR·S C GoodwinR Perrella
Oct 20, 1999·Journal of Vascular and Interventional Radiology : JVIR·S C GoodwinM DeLeon
Jun 30, 2001·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·B McLucasR Perrella
Sep 6, 2001·Journal of Vascular and Interventional Radiology : JVIR·J B SpiesJ P Pelage
Apr 11, 2003·Clinical Obstetrics and Gynecology·Bruce McLucas
Dec 29, 2004·Journal of Vascular Surgery·Rajeev DayalK Craig Kent
Jan 27, 2005·AJR. American Journal of Roentgenology·Tetsuya KatsumoriTadashi Mihara
Jun 25, 2005·Current Opinion in Obstetrics & Gynecology·Giovanna Tropeano

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Citations

Aug 28, 2012·Journal of Vascular and Interventional Radiology : JVIR·John A Kaufman
Dec 1, 2009·International Journal of Obstetric Anesthesia·Bhavani Shankar Kodali
Mar 5, 2009·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Bruce McLucas

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