The First Part Course Curriculum (Cairo)

The First Part Course Curriculum Consists of three Pillars (1) State of the art lectures Topics ,(2) Hands on Workshop, (3) Cath-lab training
 
Identification of specific tools in different types of emergency kits that have to be available in the endovasclar suite. Early detection of endovasclar emergency during the intervention as; acute thrombosis, arterial perforation or rupture and retrieval of foreign body from endovascular tools. How complication can happen, how to avoid, how to treat, and which emergency kit you need to deal with each complications.
 
 
First : State of the art lectures Topics :

Lectures given by national faculty of Cairo University Vascular Surgery department and German faculty of Cologne Vascular surgery department encompass the following topics



TOPICS OF THE LECTURES :

1.Minimally invasive surgery & Peripheral Endovascular intervention, strategy

This is to give an overall view on future and needs for minimally invasive procedures, the intended learning objectives and the basic structure of endovascular strategy



  1. Endovascular imaging & Basic radiology safety concepts

It is intended to cover the basics of radiological safety to go with the

international guidelines and regulation in that field.



  1. Endo-Vascular access & How to get there from here

This fundamental lecture will cover the most common endovascular access sites, and why, and also their advantages and disadvantages, and special elaborations on certain tools in certain access sites.

  1. Endovascular tools; needle, sheath,

Will elaborate and discuss different types of needles and sheaths in different procedures of endovascular interventions, with advantage and disadvantage of each type.



  1. Endovascular tools; wires,

As Wire technology is an essential part of successful intervention and with the

development in the field of wire technology, this presentation will cover nearly all types of wires used in peripheral interventions for PAD.

  1. Endovascular tools; catheters,

This presentation will cover the common shapes and characteristics of catheters used in endovascular interventions, with more elaboration on the use and advantage and disadvantage of each type of catheter.











  1. Endovascular balloons

Mechanism of balloon action on different types of arterial diseases. Different types and shapes of balloons. Special balloons for special lesions and for specific sites. Indication, complication and contraindication in use of different balloons in different diseases and different sites.

  1. Endovascular stents

This presentation will cover all types of stents used for peripheral interventions and their different classification. Indications, contraindication and special characteristics for certain types of stents in specific peripheral lesions at different regions.

  1. Endovascular complications; puncture site, remote lesion site and journey rout site.

This presentation will cover complications of endovascular interventions. What are the precautions to avoid complications, early detection and proper management.

  1. IVC filter; Indication, techniques, types , pitfalls , and complications and how to manage them.

  1. How to build endovascular strategy

This lecture’s aim is to help participants how to build an effective and safe endovascular strategy, how to take a decision to change strategy of treatment and when to stop endovascular trial for revascularization.



  1. Tools for complications (Emergency Tools)

  2. Thrombolytic therapy

  3. Tools and materials for arterial embolization

  4. Basics in patient and device selection for EVAR



Second : Hands on Workshop :



  1. Identify types and specifications of cath-lab components, rules to protect the patient and himself from hazards of radiation exposure, and correct sterilization.

  2. Proper general pre-intervention patient evaluation & patient selection, pre-intervention medication and common pitfalls and complications.

  3. Recognize all common tools needed for peripheral endovascular intervention in general.

  4. Recognize types of each tool, specific features of each one and its proposed benefit and possible hazard.

  5. Rules to use each tool, indication, contraindication, limitation and known trick for each.

  6. Identify specific tools to use in different locations and from different access sites and why.

  7. Identify the specific group of tools for specific situations as CTO, IPAD, intended catheter directed thrombolytic therapy, retrieval system tools and emergency kits.

  8. Recognize the pitfalls associated with various endovascular procedures and how to avoid them.

  9. Principles of how to plan endovascular approach and to select access site in management of different lesions on different sites.



Endovascular surgery basics:

Concept & Strategy of Peripheral Endovascular intervention

Pre and Post endovascular intervention preparation and follow up

Imaging for endovascular procedure

Radiation Safety

Tools in Peripheral Endovascular intervention

Endovascular access sites, Fundamental techniques and complications.

Angioplasty; indication, types and results

Endovascular stents; Types, indications, limitations and complications

Endovascular Management of indicated reconstruction of significant arterial stenosis

Endovascular management of Arterial CTO

Indications, Roles and limitations of thrombolytic therapy.

Endovascular aneurysm repair

Roles in endovascular management of venous diseases.

Complications of endovascular procedures

Future ambitions in endovascular management of PAD

Endovascular therapeutic embolization



Third : Cath-lab training :

Hands on in cathlab training that encompass



  1. Identification of all components of endovascular angiography suite, characteristics and specifications of all its equipment.

2- Identification of all types of wires, sheaths, catheters, stents, balloon angioplasty, atherectomy, and thrombolytic tools to develop basic independent skills, or enhance existing skills in all non-coronary vascular beds.



Time and Duration of each session   Three to Four hour for five days and in each Hands-on session specific tools will be seen handled and maneuvered with multiple tutors to answer candidates’ questions as follows :

  1. Types of needles , sheaths, diagnostic catheter, and how to do puncture

  2. Types of wires and balloons, and how to use wire-balloon combinations

  3. Guiding catheter, stents and stent deployment systems

  4. IVC filters types, techniques and possible complications.

  5. Thrombolytic tools and tools of complications (emergency kits)

  6. Also various procedures including



(a) Diagnostic angiography to lower limb

(b) Diagnostic angiography to renal, carotid and mesenteric arteries

(c) Cross over technique for contra-lateral approach from one femoral to the other

(d) When and how to use brachial or radial approach

(e) How to manage different TASC lesions by endovascular intervention.

(f) Early diagnosis and Management of complications during peripheral endovascular Intervention.