EVAR

Topic Package in Vascular Interventions, compiled by F. Fanelli and H. van Overhagen in March 2017.

11 Presentations Within 6 Sessions


Topic Package in Vascular Interventions, compiled by F. Fanelli and H. van Overhagen in March 2017.

Introduction

The progressive technical evolution of EVAR increases the inclusion criteria with the possibility to treat more and more patients also the most worst.

Fenestrated EVAR and chimney technique can solve the problems correlated to an unfit proximal neck.

Fenestrated and branched endovascular aneurysm repair (FEVAR/BEVAR) using supra-coeliac sealing zone can be considered safe with excellent outcomes.

Relevant Guidelines:

Quality Improvement Guidelines for Imaging Detection and Treatment of Endoleaks following Endovascular Aneurysm Repair (EVAR)
T. Rand, R. Uberoi, B. Cil, G. Munneke, D. Tsetis
Cardiovascular and  Interventional  Radiology (2013); 36:35–45.

Clinical Practice Guidelines for Endovascular Abdominal Aortic Aneurysm Repair
Society of Interventional Radiology: T. G. Walker, S. P. Kalva, K. Yeddula et al.
J Vasc Interv Radiol 2010; 21:1632–1655.

Further Reading:

Long-term outcomes of immediate repair compared with surveillance of small abdominal aortic aneurysms.
United Kingdom Small Aneurysm Trial Participants.
N Engl J Med. 2002 May 9;346(19):1445-52.

Meta-analysis of individual-patient data from EVAR-1, DREAM, OVER and ACE trials comparing outcomes of endovascular or open repair for abdominal aortic aneurysm over 5 years.
JT. Powell, MJ. Sweeting, P. Ulug P et al.
Br J Surg.2017 Feb;104(3):166-178. doi: 10.1002/bjs.10430.

Endovascular repair of abdominal aortic aneurysm.
SC. Paravastu, R. Jayarajasingam, R. Cottam et al.
Cochrane Database Syst Rev. 2014 Jan 23;(1):CD004178.

Endovascular aneurysm repair and outcome in patients unfit for open repair of abdominal aortic aneurysm (EVAR trial 2): randomised controlled trial.
EVAR trial participants.
Lancet. 2005 Jun 25-Jul 1;365(9478):2187-92.

Endovascular treatment for ruptured abdominal aortic aneurysm.
S. Badger, R. Bedenis, PH. Blair at al.
Cochrane Database Syst Rev. 2014 Jul 21;(7):CD005261.

ESIRonline presentations:

Gastrointestinal Interventions

Topic Package in Non-vascular Interventions, compiled by G. Mauri in February 2017.

38 Presentations Within 12 Sessions


Topic Package in Non-vascular Interventions, compiled by G. Mauri in February 2017.

Introduction

These days, interventional radiologists are playing an increasingly important role in the management of gastrointestinal diseases; several different gastrointestinal interventions are performed by interventional radiologists, including gastrointestinal tract stenting (from oesophagus to colon), percutaneous gastrostomy, gastrojejunostomy and PEG tube placement, as well as management of upper and lower gastrointestinal bleeding. A particular focus is managing complications after gastrointestinal surgery, which can include fluid collection drainages and fistula management. This package consists of presentations covering many of these various gastrointestinal interventional procedures with references to relevant documents also included.


Relevant Guidelines:

CIRSE Standards of Practice Guidelines on Gastrostomy
Sutcliffe, J., Wigham, A., Mceniff, N. et al.
Cardiovasc Intervent Radiol (2016) 39: 973.

Quality Assurance Guidelines for Placement of Gastroduodenal Stents
Sabharwal, T., Irani, F. & Adam, A.
Cardiovasc Intervent Radiol (2007) 30:1.

Quality Improvement Guidelines for Placement of Oesophageal Stents
Sabharwal, T., Morales, J.P., Irani, F.G. et al.
Cardiovasc Intervent Radiol (2005) 28: 284.


Further Reading:

Percutaneous endoscopic gastrostomy versus percutaneous radiological gastrostomy for swallowing disturbances.
Yuan Y, Zhao Y, Xie T, Hu Y.
Cochrane Database Syst Rev. 2016 Feb 3;2:CD009198.

New advances in lower gastrointestinal bleeding management with embolotherapy.
Ierardi AM, Urbano J, De Marchi G, Micieli C, Duka E, Iacobellis F, Fontana F, Carrafiello G.
Br J Radiol. 2016;89(1061):20150934.

Image-guided percutaneous drainage: a review.
Jaffe TA, Nelson RC.
Abdom Radiol (NY). 2016 Apr;41(4):629-36.

Role of interventional radiology in the management of complications after pancreatic surgery: a pictorial review.
Mauri G, Mattiuz C, Sconfienza LM, Pedicini V, Poretti D, Melchiorre F, Rossi U, Lutman FR, Montorsi M.
Insights Imaging. 2015 Apr;6(2):231-9.


ESIRonline presentations:

Critical Limb Ischaemia

Topic Package with expert video in Vascular Interventions, compiled by D. Tsetis in January 2017.

7 Presentations Within 7 Sessions


Topic Package with expert video in Vascular Interventions, compiled by D. Tsetis in January 2017.

Introduction

Critical limb ischaemia (CLI) is the most severe expression of peripheral artery disease (PAD) and is associated with a high rate of major amputation and mortality due to advance systemic cardiovascular disease. The goals of treating patients with CLI not only include the prevention of limb loss but also to relieve pain, improve quality of life and prevent death.

IRs have a wide range of options in their arsenal in order to combat CLI, whether that be drug-eluting stents, PTA, self-expanding stents or balloon-expandable stents. Looking to the future, recent trial data from the YUKON Study, are showing that drug-eluting stents are improving patency and drastically reducing amputation rates. By creating a multidisciplinary foot team to work against this disease, the ability to treat the diabetic foot patient has greater potential than ever before. 

Below-the-knee (BTK) lesions are a frequent occurrence in these patients, and, because CLI occurs in the setting of severe progressive atherosclerosis disease, treatment of chronic total occlusion (CTO) in BTK lesions is challenging. Endovascular therapy confers distinct advantages vs. distal bypass surgery in these patients because of frequent comorbidity and high surgical risks. Angiosome-oriented primary targeted infrapopliteal angioplasty shows a highly effective treatment outcome in diabetic critical limb ischaemia; however, in cases with inadequate angioplastic results of the target artery, angioplasty of the non-target artery should be recommended to improve the limb salvage rates.

Compiled by D. Tsetis, this educational package examines the therapy of chronic limb ischaemia and features a range of CIRSE webcasts and relevant guidelines alongside this expert video filmed at CIRSE 2016.
 

Relevant Guidelines:

Guidelines for Stenting in Infrainguinal Arterial Disease
D. Tsetis,  AM. Belli
Cardiovascular and  Interventional  Radiology 2004; 27(3):198-203.

Below-the-knee interventions
H. van Overhagen, S. Spiliopoulos, D. Tsetis
Cardiovascular and  Interventional Radiology  2013; 36 (2):302-11

Standards of practice for superficial femoral and popliteal artery angioplasty and stenting
K. Katsanos, G. Tepe, D. Tsetis, F.  Fanelli
Cardiovascular and  Interventional  Radiology 2014;37(3):592-603
 

Further Reading:

Angiosomes: how do they affect my treatment?
Palena LM, Garcia LF, Brigato C, Sultato E, Candeo A, Baccaglini T, Manzi M.
Tech Vasc Interv Radiol. 2014 Sep;17(3):155-69

Comparative Effectiveness of Plain Balloon Angioplasty, Bare Metal Stents, Drug-Coated Balloons, and Drug-Eluting Stents for the Treatment of Infrapopliteal Artery Disease: Systematic Review and Bayesian Network Meta-analysis of Randomized Controlled Trials.
Katsanos K, Kitrou P, Spiliopoulos S, Diamantopoulos A, Karnabatidis D.
J Endovasc Ther. 2016 Dec;23(6):851-863.

Clinical Outcomes of Pedal Artery Angioplasty for Patients With Ischemic Wounds: Results From the Multicenter RENDEZVOUS Registry.
Nakama T, Watanabe N, Haraguchi T, Sakamoto H, Kamoi D, Tsubakimoto Y, Ogata K, Satoh K, Urasawa K, Andoh H, Fujita H, Shibata Y.
JACC Cardiovasc Interv. 2017 Jan 9;10(1):79-90
 

ESIRonline presentations:
 

Provision of IR Services

Topic Package with expert video in IR Management, compiled by R. Uberoi in December 2016.

22 Presentations Within 6 Sessions


Topic Package with expert video in IR Management, compiled by R. Uberoi in December 2016.

Introduction

The core skills and techniques used in minimally invasive, image-guided therapies are transferrable to many organ systems. This has therefore allowed interventional radiology to be very versatile and expand rapidly in both elective and emergency treatments for many patient groups.

Due to the growing demand for interventional radiological services to be available 24/7, it is vital that all units providing IR services have the required infrastructure, processes and procedures to ensure they are able to provide a safe and sustainable round-the-clock service. CIRSE in cooperation with other societies such as ESR, SIR, BSIR and several other national IR societies are leading the way in setting out the requirements with achievable standards for the provision of interventional radiology. A well-structured and clear training pathway of the next generation of interventionalists likewise plays an important role in the future of interventional radiology, as well as ongoing education for IRs throughout their careers.

CIRSE documents:

The Provision of Interventional Radiology Services in Europe: CIRSE Recommendations.
Tsetis D, Uberoi R, Fanelli F et al.
Cardiovasc Intervent Radiol (2016) 39: 500. doi:10.1007/s00270-016-1299-0.

Patient Safety in Interventional Radiology: A CIRSE IR Checklist.
Lee MJ, Fanelli F, Haage P et al.
Cardiovasc Intervent Radiol (2012) 35: 244. doi:10.1007/s00270-011-0289-5.

CIRSE Working Paper on Subspecialty Status for Interventional Radiology.
Lee MJ, Belli A-M, Brountzos E et al.
Cardiovascular and Interventional Radiological Society of Europe.

European Curriculum and Syllabus for Interventional Radiology.
Belli A-M et. al.
Cardiovascular and Interventional Radiological Society of Europe, First Edition, March 2013.

The Interventional Radiology Curriculum Harmonising Standards, Ensuring Quality.
Zoidl M.
Cardiovascular and Interventional Radiological Society of Europe.

ESIRonline presentations:

Acute stroke intervention

Topic Package with expert video in Neurointerventions, compiled by H. van Overhagen and A. Krajina in November 2016.

9 Presentations Within 4 Sessions


Topic Package with expert video in Neurointerventions, compiled by H. van Overhagen and A. Krajina in November 2016.

Introduction

Acute stroke is the prevalent cause for disability among adults in the industrialised world and one of the most common causes for death globally. At CIRSE 2016, a range of sessions covered exciting new research, technological advances and clinical management of the stroke patient. Find out more in this expert video from CIRSE 2016:

Despite the proven clinical efficiency of tissue plasminogen activator (tPA), at least 50% of IV-treated stroke patients remain disabled or die. Clear evidence has since accrued showing that urgent recanalisation is crucial in patients with ischaemic stroke caused by an occluded major intracranial artery. However, early recanalisation after IV treatment is seen in only about one third of patients with an occlusion of the internal carotid artery terminus, and the prognosis without revascularisation is generally poor for such patients. Thought-provoking new studies such as MR CLEAN and more recently the HERMES meta-analysis have produced positive results on intra-arterial thrombectomy as a solid treatment option for patients suffering from a large vessel occlusion.  Furthermore, the American CRISP study showed that using CT perfusion imaging, large areas of the brain of patients, who had received endovascular therapy, could be salvaged up to 18 hours following stroke symptoms. 

Relevant guidelines:

2015 American Heart Association/ American Stroke Association focused update of the 2013 guidelines for early management of patients with acute ischemic stroke regarding endovascular treatment.
Powers WJ, Derdeyn CP, Biller J. et al.
Stroke 2015;46:3020-3035.

Canadian stroke best practice recommendations: hyperacute stroke care guidelines, Update 2015.
Casaubon LK, Boulanger J-M, Blacquiere D et al.
Int J Stroke 2015;10:924-940.

European Recommendations on Organisation of Interventional Care in Acute Stroke (EROICAS).
Fiehler J, Cognard CH, Gallitelli M. et. al.
Int J Stroke 2016 Aug;11(6):701-16.

Training guidelines for endovascular ischemic Stroke Intervention: An International multi-society consensus document  of American Academy of Neurological Surgeons /Congress of Neurological Surgeons (AANS/CNS); American Society of Neuroradiology (ASNR); Asian Australasian Federation of Interventional and Therapeutic Neuroradiology (AAFITN) et al.
Lavine S, Rowley H, Chong W et al.
AJNR Am J Neuroradiol. 2016 Apr;37(4):E31-4. doi: 10.3174/ajnr.A4766. Epub 2016 Feb 18.

Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association.
Jauch EC, Saver JL, Adams HP Jr, Bruno A, Connors JJ, Demaerschalk BM, Khatri P, McMullan PW Jr, Qureshi AI, Rosenfield K, Scott PA, Summers DR, Wang DZ, Wintermark M, Yonas H; American Heart Association Stroke Council; Council on Cardiovascular Nursing; Council on Peripheral Vascular Disease; Council on Clinical Cardiology.
Stroke 2013 Mar;44(3):870-947. doi: 10.1161/STR.0b013e318284056a. Epub 2013 Jan 31.

Relevant articles:

Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials.
Goyal M.,Menon BK, Zwam HW, et. al. for the HERMES collaborators.
Lancet 2016 Apr 23;387(10029):1723-31. doi: 10.1016/S0140-6736(16)00163-X. Epub 2016 Feb 18.

Endovascular treatment of acute ishemic stroke: new data, new truth
Sacks D.
J Vasc Interv Radiol 2015:26: 1272-1276

Emergency stenting of the extracranial internal carotid Artury in combination with anterior circulation thrombectomy in acute ischemic stroke: a retrospective multicenter study.
Behme D,Mpotsaris A,Zeyen P et al.
AJNR 2015;36:2340-2345.

Mechanical thrombectomy in acute ischemic stroke: Consensus statement by ESO-Karolinska Stroke Update 2014/2015, supported by ESO, ESMINT, ESNR and EAN.
Wahlgren N., Moreira T., Michel P. el al.
Internat J Stroke 2016; 11(1): 134-147.


ESIRonline presentations:

Prostate Embolisation

Topic Package with expert video in Embolisation, compiled by T.Kroencke and S. Müller-Hülsbeck in October 2016.

36 Presentations Within 12 Sessions


Topic Package with expert video in Embolisation, compiled by T. Kroencke and S. Müller-Hülsbeck in October 2016.

Introduction

Rapidly growing in popularity since the first procedure in 2009, prostate artery embolisation (PAE) uses microspheres to embolise the prostatic artery, blocking the blood supply to the prostate in order to improve lower urinary tract symptoms caused by benign prostatic hyperplasia (BPH). Find out more from this expert video filmed at CIRSE 2016:

BPH frequently occurs in men over the age of 50, and up to 75% of men develop at least one symptom of BPH by the time they reach their 70s. Lower urinary tract symptoms are the most common complaints resulting from BPH. By embolising the blood vessels to induce ischaemia and thus shrink the prostate, this procedure relieves the patient of his symptoms with minimal side effects and offers an alternative to the traditional surgery, a transurethral resection of the prostate (TURP), at a quarter of the cost and without the risk of injuring the bladder neck or disturbing sexual function.

Publications on PAE, headed primarily by leaders in this field, Prof. Carnevale in Brazil, and Dr. Pisco in Portugal, have already taken huge steps in gaining traction for the treatment by showing that it is safe and effective. Gaining significant recognition will take time and many clinical studies will need to be conducted by teams of PAE experts.

 

Relevant guidelines:

American Urological Association and European Association of Urology guidelines in the management of benign prostatic hypertrophy: revisited.
Juliao AA, Plata M, Kazzazi A, Bostanci Y, Djavan B.
Curr Opin Urol. 2012 Jan;22(1):34-9. doi: 10.1097/MOU.0b013e32834d8e87.

Society of Interventional Radiology Position Statement: Prostate Artery Embolization for Treatment of Benign Disease of the Prostate.
McWilliams JP, Kuo MD, Rose SC, Bagla S, Caplin DM, Cohen EI, Faintuch S, Spies JB, Saad WE, Nikolic B; Society of Interventional Radiology.
J Vasc Interv Radiol. 2014 Sep;25(9):1349-51. doi: 10.1016/j.jvir.2014.05.005. Epub 2014 Jun 30.

Relevant articles:

Review of Current Literature for Prostatic Artery Embolization.
Yu H, Isaacson AJ, Burke CT.
Semin Intervent Radiol. 2016 Sep;33(3):231-5. doi: 10.1055/s-0036-1586141. Review.
PMID: 27582611

Patient selection and counseling before prostatic arterial embolization.
A Pereira J, Bilhim T, Duarte M, Rio Tinto H, Fernandes L, Martins Pisco J. Tech Vasc Interv Radiol. 2012 Dec;15(4):270-5. doi: 10.1053/j.tvir.2012.09.003.

Prostatic Artery Embolization (PAE) for Symptomatic Benign Prostatic Hyperplasia (BPH): Part 1, Pathological Background and Clinical Implications.
Sun F, Crisóstomo V, Báez-Díaz C, Sánchez FM.
Cardiovasc Intervent Radiol. 2016 Jan;39(1):1-7. doi: 10.1007/s00270-015-1233-x. Epub 2015 Nov 18.
PMID: 26581418

Prostatic Artery Embolization (PAE) for Symptomatic Benign Prostatic Hyperplasia (BPH): Part 2, Insights into the Technical Rationale.
Sun F, Crisóstomo V, Báez-Díaz C, Sánchez FM.
Cardiovasc Intervent Radiol. 2016 Feb;39(2):161-9. doi: 10.1007/s00270-015-1238-5. Epub 2015 Nov 12.

Medical and Surgical Treatment Modalities for Lower Urinary Tract Symptoms in the Male Patient Secondary to Benign Prostatic Hyperplasia: A Review.
Macey MR, Raynor MC.
Semin Intervent Radiol. 2016 Sep;33(3):217-23. doi: 10.1055/s-0036-1586142. Review.

ESIRonline presentations:

Venous stenting

Topic Package with expert video in Vascular Interventions, compiled by S. Müller-Hülsbeck in August 2016.

17 Presentations Within 6 Sessions


Topic Package with expert video in Vascular Interventions, compiled by S. Müller-Hülsbeck in August 2016.

Introduction:

Venous disorders are an increasing clinical issue with an estimated 90% of the population affected by some form of venous disease during their lifetime. Interventional radiologists are becoming more involved in providing treatments for a variety of venous issues, such as deep vein thrombosis (DVT), pulmonary embolus (PE), varicose veins and post-thrombotic syndrome among others.  Watch the video below to get an idea of the potential improvements in patients’ quality of life that IRs can offer through venous interventions:

As pointed out in the video above, venous disorders can be major healthcare issues with PE alone killing more patients than road traffic accidents, AIDS and breast and prostate cancer combined, and DVT remaining vastly undertreated. While chronic venous insufficiency and varicose veins tend to have less severe outcomes for patients, they can still have a huge impact on quality of life, and IRs have the capability to provide care to those suffering from these and other venous diseases. Through catheter-based interventions, IRs are offering treatments that have shown a high success rate and low risk for the patient and are cost effective for healthcare systems.

This topic package, compiled by Stefan Müller-Hülsbeck offers an overview of the various venous disorders and corrective procedures as well as patient selection and controversies in treatment.

Further reading:

Inferior Vena Cava Filters, May-Thurner Syndrome, and Vein Stents.
Carroll S, Moll S.
Circulation. 2016 Feb 9;133(6):e383-7.
doi: 10.1161/CIRCULATIONAHA.115.019944.

Editor's Choice-- A Systematic Review of Endovenous Stenting in Chronic Venous Disease Secondary to Iliac Vein Obstruction.
Seager MJ, Busuttil A, Dharmarajah B, Davies AH.
Eur J Vasc Endovasc Surg. 2016 Jan;51(1):100-20.
doi: 10.1016/j.ejvs.2015.09.002. Epub 2015 Oct 14.

Safety and Effectiveness of Stent Placement for Iliofemoral Venous Outflow Obstruction: Systematic Review and Meta-Analysis.
Razavi MK, Jaff MR, Miller LE.
Circ Cardiovasc Interv. 2015 Oct;8(10):e002772.
doi: 10.1161/CIRCINTERVENTIONS.115.002772.

Use of percutaneous aspiration thrombectomy vs. anticoagulation therapy to treat acute iliofemoral venous thrombosis: 1-year follow-up results of a randomised, clinical trial.
Cakir V, Gulcu A, Akay E, Capar AE, Gencpinar T, Kucuk B, Karabay O, Goktay AY.
Cardiovasc Intervent Radiol. 2014 Aug;37(4):969-76.
doi: 10.1007/s00270-014-0925-y. Epub 2014 Jun 17.

CIRSE standards of practice guidelines on iliocaval stenting.
Mahnken AH, Thomson K, de Haan M, O'Sullivan GJ.
Cardiovasc Intervent Radiol. 2014 Aug;37(4):889-97.
doi: 10.1007/s00270-014-0875-4. Epub 2014 Mar 15.


ESIRonline presentations:

Colorectal liver metastases

Topic Package with expert video in Interventional Oncology, compiled by T. de Baère and D. Filippiadis in July 2016.

14 Presentations Within 5 Sessions


Topic Package with expert video in Interventional Oncology, compiled by T. de Baère and D. Filippiadis in July 2016.

Introduction:

Interventional oncology is playing a strong part in the multidisciplinary treatment of colorectal metastases. The liver is the most common site for metastases originating from tumours located in sites that initially drain via the portal circulation and specifically for colorectal carcinoma: metastatic liver disease ranges from 10-25% with more than half of these patients having extra-hepatic  disease as well (in lungs, lymph nodes etc.).

As discussed in the introductory video above, percutaneous and intra-vascular IO therapies mainly targeting liver and lung are well tolerated by patients and are governed by satisfactory efficacy and safety rates resulting in prolonged survival. Recent studies report statistically significant better survival in patients who combine chemotherapy and ablation than chemotherapy alone in patients with metastatic liver disease with colorectal carcinoma.

Compiled by Dimitrios Filippiadis and Thierry de Baère, this educational package examines the rational for the various therapy options (local ablation, radioembolisation, TACE, etc.), offers a critical appraisal of current guidelines, and addresses key clinical considerations such as combination therapies, an individualised approach, clinical markers and follow-up.

Further Reading:

Thermal ablation of colorectal liver metastases: a position paper by an international panel of ablation experts, the interventional oncology sans frontières meeting 2013
Gillams A, Goldberg N, Ahmed M, et al.
Eur Radiol. 2015; 25(12): 3438–3454.
doi:10.1007/s00330-015-3779-z.

Interventional oncology for liver and lung metastases from colorectal cancer: The current state of the art.
de Baere T, Tselikas L, Pearson E, Yevitch S, Boige V, Malka D, Ducreux M, Goere D, Elias D, Nguyen F, Deschamps F.
Diagn Interv Imaging. 2015 Jun;96(6):647-54. 

Local recurrence rates after radiofrequency ablation or resection of colorectal liver metastases. Analysis of the European Organisation for Research and Treatment of Cancer #40004 and #40983.
Tanis E, Nordlinger B, Mauer M, Sorbye H, van Coevorden F, Gruenberger T, Schlag PM, Punt CJ, Ledermann J, Ruers TJ.
Eur J Cancer. 2014 Mar;50(5):912-9.

Radiofrequency ablation combined with systemic treatment versus systemic treatment alone in patients with non-resectable colorectal liver metastases: a randomized EORTC Intergroup phase II study (EORTC 40004).
Ruers T, Punt C, Van Coevorden F, Pierie JP, Borel-Rinkes I, Ledermann JA, Poston G, Bechstein W, Lentz MA, Mauer M, Van Cutsem E, Lutz MP, Nordlinger B; EORTC Gastro-Intestinal Tract Cancer Group, Arbeitsgruppe Lebermetastasen und—tumoren in der Chirurgischen Arbeitsgemeinschaft Onkologie (ALM-CAO) and the National Cancer Research Institute Colorectal Clinical Study Group (NCRI CCSG).
Ann Oncol. 2012 Oct;23(10):2619-26. Epub 2012 Mar 19.

ESIRonline presentations:

Oncologic Interventions: Bone

Topic Package with expert video in Interventional Oncology, compiled by T. de Baère and D. Filippiadis in June 2016.

13 Presentations Within 8 Sessions


Topic Package with expert video in Interventional Oncology, compiled by T. de Baère and D. Filippiadis in June 2016.

Introduction:

Interventional oncology is playing an increasingly important role in the field of bone cancers: not only does it offer local tumour control and effective pain palliation by means of ablation, but further techniques have been developed to provide structural support or reduce pre-operative bleeding. Get a quick overview with this ECIO 2016 video:

The local tumour control offered by thermal ablation is undoubtedly an important tool in the oncology arsenal, but in weight-bearing locations, structural support is mandatory and can be performed by cement injection, percutaneous osteosynthesis with screws and other metallic implants, or combined hybrid techniques. Embolisation can be performed either pre-operatively for bleeding reduction or for pain palliation, but good patient selection and thorough anatomical knowledge is, naturally, a deciding factor in the efficacy of all of these therapies.

This topic package, compiled by Thierry de Baère and Dimitrios Filippiadis, offers a comprehensive overview of the palliative and curative IO therapies available, and features the latest clinical data, advice on tools and imaging, and guided “how I do it” videos.


Further Reading:

Quality improvement guidelines for bone tumour management.
Gangi A, Tsoumakidou G, Buy X, Quoix E.
Cardiovasc Intervent Radiol. 2010 Aug;33(4):706-13. Epub 2010 Feb 12.
doi: 10.1007/s00270-009-9738-9.

Percutaneous osteosynthesis in the pelvis in cancer patients.
Deschamps F, de Baere T, Hakime A, Pearson E, Farouil G, Teriitehau C, Tselikas L
Eur Radiol. 2016 Jun;26(6):1631-9. doi: 10.1007/s00330-015-3971-1. Epub 2015 Aug 30.

Percutaneous Long Bone Cementoplasty for Palliation of Malignant Lesions of the Limbs: A Systematic Review.
Cazzato RL, Palussière J, Buy X, Denaro V, Santini D, Tonini G, Grasso RF, Zobel BB, Poretti D, Pedicini V, Balzarini L, Lanza E.
Cardiovasc Intervent Radiol. 2015 Dec;38(6):1563-72. Epub 2015 Mar 24.
doi: 10.1007/s00270-015-1082-7.

Percutaneous Augmented Peripheral Osteoplasty in Long Bones of Oncologic Patients for Pain Reduction and Prevention of Impeding Pathologic Fracture: The Rebar Concept.
Kelekis A, Filippiadis D, Anselmetti G, Brountzos E, Mavrogenis A, Papagelopoulos P, Kelekis N, Martin JB.
Cardiovasc Intervent Radiol. 2016 Jan;39(1):90-6. Epub 2015 Jun 6.
doi: 10.1007/s00270-015-1138-8.

Percutaneous image-guided cryoablation of painful metastases involving bone: multicenter trial.
Callstrom MR, Dupuy DE, Solomon SB, Beres RA, Littrup PJ, Davis KW, Paz-Fumagalli R, Hoffman C, Atwell TD, Charboneau JW, Schmit GD, Goetz MP, Rubin J, Brown KJ, Novotny PJ, Sloan JA.
Cancer. 2013 Mar 1;119(5):1033-41. 

Motor evoked potential monitoring during cryoablation of musculoskeletal tumors.
Kurup AN, Morris JM, Boon AJ, Strommen JA, Schmit GD, Atwell TD, Carter RE, Brown MJ, Wass CT, Rose PS, Callstrom MR.
J Vasc Interv Radiol. 2014 Nov;25(11):1657-64. Epub 2014 Sep 22.
Doi: 10.1016/j.jvir.2014.08.006.


ESIRonline presentations:

Oncologic Interventions: Lung

Topic Package with expert video in Interventional Oncology, compiled by T. de Baère and D. Filippiadis in May 2016.

13 Presentations Within 9 Sessions


Topic Package with expert video in Interventional Oncology, compiled by T. de Baère and D. Filippiadis in May 2016.

Introduction:

Lung ablation, along with clinical data and multi-disciplinary management of primary and secondary tumours, was a highlight of this year’s ECIO congress. Find out more in this expert video from ECIO 2016:

Interventional oncology provides percutaneous techniques for diagnosis (e.g. biopsy), therapy (e.g. ablation) and palliation (ablation, embolisation) of both primary and secondary lung lesions. Organ-specific differences in the lung favour ablation, since the heat insulation and low electrical conductivity provided by air around the tumour result in larger ablation volumes.

Careful patient selection governs the efficacy of local therapies in the curative setting, and this topic package seeks to give a comprehensive overview of the current recommendations, regarding not only this, but also tools, techniques and expert advice.


Further Reading:

Systemic Versus Local Therapies for Colorectal Cancer Pulmonary Metastasis: What to Choose and When?
Ibrahim T, Tselikas L, Yazbeck C, Kattan J. 
J Gastrointest Cancer. 2016 Apr 14. [Epub ahead of print]

Standards of practice: guidelines for thermal ablation of primary and secondary lung tumors.
Pereira PL, Masala S
Cardiovascular and Interventional Radiological Society of Europe (CIRSE). Cardiovasc Intervent Radiol. 2012 Apr;35(2):247-54.

A national analysis of the complications, cost, and mortality of percutaneous lung ablation.
Welch BT, Brinjikji W, Schmit GD, Callstrom MR, Kurup AN, Cloft HJ, Woodrum DA, Nichols FC, Atwell TD.
J Vasc Interv Radiol. 2015 Jun;26(6):787-91.
doi: 10.1016/j.jvir.2015.02.019. Epub 2015 Apr 10.

Evaluating Cryoablation of Metastatic Lung Tumors in Patients--Safety and Efficacy: The ECLIPSE Trial--Interim Analysis at 1 Year.
de Baere T, Tselikas L, Woodrum D, Abtin F, Littrup P, Deschamps F, Suh R, Aoun HD, Callstrom M.
J Thorac Oncol. 2015 Oct;10(10):1468-74.

Radiofrequency ablation is a valid treatment option for lung metastases: experience in 566 patients with 1037 metastases.
de Baère T, Aupérin A, Deschamps F, Chevallier P, Gaubert Y, Boige V, Fonck M, Escudier B, Palussiére J.
Ann Oncol. 2015 May;26(5):987-91.
doi: 10.1093/annonc/mdv037. Epub 2015 Feb 16.

ESIRonline presentations:

Embolisation of peripheral and pulmonary AVMs: an update

Topic Package in Vascular Interventions, compiled by S. Müller-Hülsbeck in April 2016.

32 Presentations Within 8 Sessions


Topic Package in Vascular Interventions, compiled by S. Müller-Hülsbeck in April 2016.

Further Reading

Transcatheter Arterial Embolization with n-Butyl Cyanoacrylate for the Treatment of Acquired Uterine Vascular Malformations.
Picel AC, Koo SJ, Roberts AC.
Cardiovasc Intervent Radiol. 2016 Mar 28. [Epub ahead of print]
PMID: 27021069

The retrograde transvenous push-through method: a novel treatment of peripheral arteriovenous malformations with dominant venous outflow.
Wohlgemuth WA, Müller-Wille R, Teusch VI, Dudeck O, Cahill AM, Alomari AI, Uller W.
Cardiovasc Intervent Radiol. 2015 Jun;38(3):623-31. doi: 10.1007/s00270-015-1063-x. Epub 2015 Mar 12.
PMID: 25762488
 

ESIRonline presentations:

SIRT for HCC and liver metastases: an update

Topic Package in Interventional Oncology, compiled by M. Bezzi in February 2016.

31 Presentations Within 14 Sessions


Topic Package in Interventional Oncology, compiled by M. Bezzi in February 2016.

Quality improvement guidelines:

Standards of Practice in Transarterial Radioembolization
Andreas H. Mahnken • Carlo Spreafico • Geert Maleux • Thomas Helmberger • Tobias F. Jakobs
© Springer Science+Business Media New York and the CIRSE, 2013 

Research reporting standards for radioembolization of hepatic malignancies
Salem et al., J Vasc Interv Radiol. (2011) 22:265-78
© SIR, 2011

ACR–SIR practice parameter for radioembolization with microsphere brachytherapy device (RMBD) for treatment of liver malignancies
© ACR, 2014

The CIRSE Registry for SIR-Spheres Therapy (CIRT)

ESIRonline presentations:

Aortic stent grafting: an update

Topic Package in Vascular Interventions, compiled by A.H. Mahnken in December 2015.

10 Presentations Within 5 Sessions


Topic Package in Vascular Interventions, compiled by A.H. Mahnken in December 2015.

Quality Improvement Guidelines

Standard of Practice for the Endovascular Treatment of Thoracic Aortic Aneurysms and Type B Dissections
Fabrizio Fanelli • Michael D. Dake
Cardiovasc Intervent Radiol (2009) 32:849–860
© The Author(s) 2009

Quality Improvement Guidelines for Imaging Detection and Treatment of Endoleaks following Endovascular Aneurysm Repair (EVAR)
T. Rand • R. Uberoi • B. Cil • G. Munneke • D. Tsetis
Cardiovasc Intervent Radiol (2013) 36:35–45
© Springer Science+Business Media, LLC and CIRSE, 2012

Clinical Practice Guidelines for Endovascular Abdominal Aortic Aneurysm Repair
T. Gregory Walker, MD, Sanjeeva P. Kalva, MD, Kalpana Yeddula, MBBS, Stephan Wicky, MD, Sanjoy Kundu, MD, Peter Drescher, MD, B. Janne d’Othee, MD, MPH, Steven C. Rose, MD, and John F. Cardella, MD
J Vasc Interv Radiol 2010; 21:1632–1655
© SIR, 2010

ESIRonline presentations:

Renal tumour ablation: an update

Topic Package in Interventional Oncology, compiled by G. Mauri in November 2015.

22 Presentations Within 7 Sessions


Topic Package in Interventional Oncology, compiled by G. Mauri in November 2015.

Relevant Literature and Quality Improvement Guidelines:

Image-guided tumor ablation: standardization of terminology and reporting criteria--a 10-year update. Ahmed M, Solbiati L, Brace CL, Breen DJ, Callstrom MR, Charboneau JW, Chen MH, Choi BI, de Baère T, Dodd GD 3rd, Dupuy DE, Gervais DA, Gianfelice D, Gillams AR, Lee FT Jr, Leen E, Lencioni R, Littrup PJ, Livraghi T, Lu DS, McGahan JP, Meloni MF, Nikolic B, Pereira PL, Liang P, Rhim H, Rose SC, Salem R, Sofocleous CT, Solomon SB, Soulen MC, Tanaka M, Vogl TJ, Wood BJ, Goldberg SN; International Working Group on Image-guided Tumor Ablation; Interventional Oncology Sans Frontières Expert Panel; Technology Assessment Committee of the Society of Interventional Radiology,; Standard of Practice Committee of the Cardiovascular and Interventional Radiological Society of Europe. Radiology. 2014 Oct;273(1):241-60. doi: 10.1148/radiol.14132958. Epub 2014 Jun 13

Renal cell carcinoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Escudier B, Porta C, Schmidinger M, Algaba F, Patard JJ, Khoo V, Eisen T, Horwich A; ESMO Guidelines Working Group. Ann Oncol. 2014 Sep;25 Suppl 3:iii49-56. doi: 10.1093/annonc/mdu259. No abstract available. Erratum in: Ann Oncol. 2015 Sep;26 Suppl 5:v174-7.

EAU guidelines on renal cell carcinoma: 2014 update. Ljungberg B, Bensalah K, Canfield S, Dabestani S, Hofmann F, Hora M, Kuczyk MA, Lam T, Marconi L, Merseburger AS, Mulders P, Powles T, Staehler M, Volpe A, Bex A. Eur Urol. 2015 May;67(5):913-24. doi: 10.1016/j.eururo.2015.01.005. Epub 2015 Jan 21.

Reporting standards for percutaneous thermal ablation of renal cell carcinoma. Clark TW, Millward SF, Gervais DA, Goldberg SN, Grassi CJ, Kinney TB, Phillips DA, Sacks D, Cardella JF; Technology Assessment Committee of the Society of Interventional Radiology. J Vasc Interv Radiol. 2009 Jul;20(7 Suppl):S409-16. doi: 10.1016/j.jvir.2009.04.013. No abstract available.

Systematic review and meta-analysis of thermal ablation versus surgical nephrectomy for small renal tumours. Katsanos K, Mailli L, Krokidis M, McGrath A, Sabharwal T, Adam A. Cardiovasc Intervent Radiol. 2014 Apr;37(2):427-37. doi: 10.1007/s00270-014-0846-9. Epub 2014 Jan 31

ESIRonline presentations:

Carotid and supra-aortic interventions

Topic Package in Vascular Interventions, compiled by F. Fanelli in October 2015.

12 Presentations Within 5 Sessions


Topic Package in Vascular Interventions, compiled by F. Fanelli in October 2015.

Quality Improvement Guidelines:

CIRSE Quality Assurance Guidelines for the Endovascular Treatment of Occlusive Lesions of the Subclavian and Innominate Arteries
Original document: Elias N. Brountzos, Katerina Malagari, and Dimitrios A. Kelekis  
Revision: Andreas H. Mahnken and Stefan Müller‐Hülsbeck (2013)
© CIRSE, 2013

ESIRonline presentations:

Spinal interventions and bone tumour ablation

Topic Package in Interventional Oncology, compiled by D. Filippiadis in September 2015.

12 Presentations Within 5 Sessions


Topic Package in Interventional Oncology, compiled by D. Filippiadis in September 2015.

Quality improvement guidelines:

Quality Improvement Guidelines for Bone Tumour Management
Gangi, A., Tsoumakidou, G., Buy, X., Quoix, E., 2010. Cardiovasc Intervent Radiol 33, 706–713. doi:10.1007/s00270-009-9738-9

Quality Assurance Guidelines for Percutaneous Treatments of Intervertebral Discs
A. Kelekis et al., CIRSE Standards of Practice
© CIRSE, 2010

Quality Improvement Guidelines for Percutaneous Vertebroplasty
A. Gangi et al., CIRSE Standards of Practice
© CIRSE, 2006

ESIRonline presentations:

Women's health

Topic Package in Embolisation, compiled by F. Wolf in July 2015.

23 Presentations Within 6 Sessions


Topic Package in Embolisation, compiled by F. Wolf in July 2015.

ESIRonline presentations:

TIPS and portal vein interventions

Topic Package in Vascular Interventions, compiled by V. Válek in June 2015.

16 Presentations Within 7 Sessions


Topic Package in Vascular Interventions, compiled by V. Válek in June 2015.

Quality Improvement Guidelines:

Quality Improvement Guidelines for Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Antonin Krajina • Petr Hulek • Tomas Fejfar • Vlastimil Valek
Cardiovasc Intervent Radiol (2012) 35:1295–1300
DOI 10.1007/s00270-012-0493-y

ESIRonline presentations:

Venous interventions and IVC filters

Topic Package in Vascular Interventions, compiled by M. Bezzi in May 2015.

15 Presentations Within 6 Sessions


Topic Package in Vascular Interventions, compiled by M. Bezzi in May 2015.

Quality improvement guidelines:

CIRSE Guidelines: 
Quality Improvement Guidelines for Percutaneous Inferior Vena Cava Filter Placement for the Prevention of Pulmonary Embolism
J.A. Reekers, CIRSE Standards of Practice
© CIRSE, 2009

SIR Guidelines: 
Quality Improvement Guidelines for the Performance of Inferior Vena Cava Filter Placement for the Prevention of Pulmonary Embolism
Drew M. Caplin, MD, Boris Nikolic, MD, MBA, Sanjeeva P. Kalva, MD, Suvranu Ganguli, MD, Wael E.A. Saad, MD, and Darryl A. Zuckerman, MD, for the Society of Interventional Radiology Standards of Practice Committee
J Vasc Interv Radiol 2011; 22:1499-1506

Society of Interventional Radiology Position Statement: Treatment of Acute Iliofemoral Deep Vein Thrombosis with Use of Adjunctive Catheter-directed Intrathrombus Thrombolysis
Suresh Vedantham, MD, Steven F. Millward, MD, John F. Cardella, MD, Lawrence V. Hofmann, MD, Mahmood K. Razavi, MD, Clement J. Grassi, MD, David Sacks, MD, and Thomas B. Kinney, MD
J Vasc Interv Radiol 2006; 17:613–616

Reporting Standards for Endovascular Treatment of Lower Extremity Deep Vein Thrombosis
Suresh Vedantham, MD, Clement J. Grassi, MD, Hector Ferral, MD, Nilesh H. Patel, MD, Patricia E. Thorpe, MD, Vittorio P. Antonacci, MD, Bertrand M. Janne d’Othe'e, MD, Lawrence V. Hofmann, MD, John F. Cardella, MD, Sanjoy Kundu, MD, Curtis A. Lewis, MD, MBA, Marc S. Schwartzberg, MD, Robert J. Min, MD, and David Sacks, MD, for the Technology Assessment Committee of the Society of Interventional Radiology
J Vasc Interv Radiol 2006; 17:417–434

Quality Improvement Guidelines for the Treatment of Lower Extremity Deep Vein Thrombosis with Use of Endovascular Thrombus Removal
Suresh Vedantham, Akhilesh K. Sista, Seth J. Klein, Lina Nayak, Mahmood K. Razavi, Sanjeeva P. Kalva, Wael E. Saad, Sean R. Dariushnia, Drew M. Caplin, Christine P. Chao, Suvranu Ganguli, T. Gregory Walker, Boris Nikolic, Society of Interventional Radiology and Cardiovascular and Interventional Radiological Society of Europe Standards of Practice Committees 
J Vasc Interv Radiol 2014; 25:1317–1325 (JVIR)

ESIRonline presentations:

Embolisation in trauma haemorrhage: an update

Topic Package in Embolisation, compiled by F. Wolf in December 2014.

30 Presentations Within 6 Sessions


Topic Package in Embolisation, compiled by F. Wolf in December 2014.

Quality improvement guidelines:

CIRSE Guidelines: Quality Improvement Guidelines for Endovascular Treatment of Traumatic Hemorrhage
Sam Chakraverty • Karen Flood • David Kessel • Simon McPherson • Tony Nicholson • Charles E. Ray Jr. • Iain Robertson • Otto M. van Delden
Cardiovasc Intervent Radiol (2012) 35:472–482
DOI 10.1007/s00270-012-0339-7

ESIRonline presentations:

BTK intervention

Topic Package in Vascular Interventions, compiled by A.H. Mahnken in December 2014.

17 Presentations Within 7 Sessions


Topic Package in Vascular Interventions, compiled by A.H. Mahnken in December 2014.

Quality improvement guidelines:

Below-the-knee Interventions
H. van Overhagen • S. Spiliopoulos • D. Tsetis
Cardiovasc Intervent Radiol (2013) 36:302–311
DOI 10.1007/s00270-013-0550-1

ESIRonline presentations:

HCC: transarterial treatments

Topic Package in Embolisation, compiled by I. Bargellini in October 2014.

11 Presentations Within 10 Sessions


Topic Package in Embolisation, compiled by I. Bargellini in October 2014.

Quality improvement guidelines:

Standards of Practice in Transarterial Radioembolization
Andreas H. Mahnken • Carlo Spreafico • Geert Maleux • Thomas Helmberger • Tobias F. Jakobs
Cardiovasc Intervent Radiol (2013) 36:613–622
DOI 10.1007/s00270-013-0600-8

Quality-Improvement Guidelines for Hepatic Transarterial Chemoembolization
Antonio Basile • Gianpaolo Carrafiello • Anna Maria Ierardi • Dimitrios Tsetis • Elias Brountzos
Cardiovasc Intervent Radiol
DOI 10.1007/s00270-012-0423-z

ESIRonline presentations:

SFA: from standard treatment to medicated devices

Topic Package in Vascular Interventions, compiled by F. Fanelli in August 2014.

11 Presentations Within 6 Sessions


Topic Package in Vascular Interventions, compiled by F. Fanelli in August 2014.

Quality improvement guidelines:

Standards of practice for superficial femoral and popliteal artery angioplasty and stenting.
Katsanos K, Tepe G, Tsetis D, Fanelli F. Cardiovasc Intervent Radiol. 2014 Jun;37(3):592-603. Epub 2014 Apr 11.

ESIRonline presentations:

Stroke Intervention

Topic Package in Neurointerventions, compiled by L. Hechelhammer in June 2014.

18 Presentations Within 7 Sessions


Topic Package in Neurointerventions, compiled by L. Hechelhammer in June 2014.

Quality improvement guidelines:

Multisociety consensus quality improvement guidelines for intraarterial catheter-directed treatment of acute ischemic stroke, from the American Society of Neuroradiology, Canadian Interventional Radiology Association, Cardiovascular and Interventional Radiological Society of Europe, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of NeuroInterventional Surgery, European Society of Minimally Invasive Neurological Therapy, and Society of Vascular and Interventional Neurology.

Sacks D, Black CM, Cognard C, Connors JJ 3rd, Frei D, Gupta R, Jovin TG, Kluck B, Meyers PM, Murphy KJ, Ramee S, Rüfenacht DA, Bernadette Stallmeyer MJ, Vorwerk D; American Society of Neuroradiology; Canadian Interventional Radiology Association; Cardiovascular and Interventional Radiological Society of Europe; Society for Cardiovascular Angiography and Interventions; Society of Interventional Radiology; Society of NeuroInterventional Surgery; European Society of Minimally Invasive Neurological Therapy; Society of Vascular and Interventional Neurology. J Vasc Interv Radiol. 2013 Feb;24(2):151-63. doi: 10.1016/j.jvir.2012.11.028. Epub 2013 Jan 28. PMID: 23369552 [PubMed - indexed for MEDLINE]

ESIRonline presentations:

Lung tumour ablation

Topic Package in Interventional Oncology, compiled by F. Orsi in April 2014.

14 Presentations Within 8 Sessions


Topic Package in Interventional Oncology, compiled by F. Orsi in April 2014.

ESIRonline presentations:

Liver tumour ablation: an update

Topic Package in Interventional Oncology, compiled by M. Bezzi in March 2014.

17 Presentations Within 6 Sessions


Topic Package in Interventional Oncology, compiled by M. Bezzi in March 2014.

ESIRonline presentations:

High-intensity focused ultrasound

Topic Package in Interventional Oncology, compiled by M. Bezzi in February 2014.

17 Presentations Within 8 Sessions


Topic Package in Interventional Oncology, compiled by M. Bezzi in February 2014.

ESIRonline presentations:

Biliary interventions

Topic Package in Non-vascular Interventions, compiled by M. Bezzi in August 2013.

14 Presentations Within 7 Sessions


Topic Package in Non-vascular Interventions, compiled by M. Bezzi in August 2013.

Quality improvement guidelines:

Quality Improvement Guidelines for Percutaneous Transhepatic Cholangiography and Biliary Drainage
A. Hatzidakis, CIRSE Standards of Practice
© CIRSE, 2005

Quality Improvement Guidelines for Percutaneous Transhepatic Cholangiography, Biliary Drainage, and Percutaneous Cholecystostomy
W.E.A.Saad et al., J Vasc Interv Radiol 2010; 21:789–795.
© SIR, 2010

American College of Radiology. ACR Appropriateness Criteria®: Radiologic Management of Benign and Malignant Biliary Obstruction.
© ACR, 2012

ESIRonline presentations:

Bleeding Embolization

Topic Package in Embolisation, compiled by F. Wolf in April 2013.

13 Presentations Within 5 Sessions


Topic Package in Embolisation, compiled by F. Wolf in April 2013.

Quality improvement guidelines:

Quality Improvement Guidelines for Transcatheter Embolization for Acute Gastrointestinal Nonvariceal Hemorrhage
V. Valek, J. Husty; Cardiovasc Intervent Radiol. (2012): 1-5
© Springer Science+Business Media, LLC and CIRSE, 2012

ESIRonline presentations:

Renal tumor ablation

Topic Package in Interventional Oncology, compiled by F. Orsi in March 2013.

12 Presentations Within 8 Sessions


Topic Package in Interventional Oncology, compiled by F. Orsi in March 2013.

Quality improvement guidelines:

Reporting Standards for Percutaneous Thermal Ablation of Renal Cell Carcinoma
W.I. Timothy et al. for the Technology Assessment Committee of the Society of Interventional Radiology - J Vasc Interv Radiol (2006) 17:1563–1570
© SIR, 2006

Image-guided tumor ablation: standardization of terminology and reporting criteria
S.N. Goldberg et al., for the Technology Assessment Committee of the Society of Interventional Radiology; International Working Group on Image-Guided Tumor Ablation -  Radiology (2005) 235(3):728-39
© RSNA, 2005

Renal Cell Carcinoma Guideline
B. Ljungberg et al., European Urology (2007) 51:1502–1510
© European Association of Urology, 2007. Published by Elsevier B.V.

Renal cell carcinoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up
B. Escudier et al.on behalf of the ESMO Guidelines Working Group - Ann Oncol (2012) 23 (suppl 7): vii65-vii71.
© The Author, 2012. Published by Oxford University Press on behalf of ESMO.

Guidelines on renal cell carcinoma
B. Ljungberg et al., Arnhem, The Netherlands: European Association of Urology (EAU); 2010 Apr. 44 p.
© European Association of Urology, 2010

Guideline for Management of the Clinical Stage 1 Renal Mass
A.C. Novick et al., American Urological Association; 2009.
© 2009 American Urological Association Education and Research, Inc.®

ESIRonline presentations:

Renal access

Topic Package in Non-vascular Interventions, compiled by P. Haslam in March 2013.

5 Presentations Within 4 Sessions


Topic Package in Non-vascular Interventions, compiled by P. Haslam in March 2013.

Quality improvement guidelines:

Quality Improvement Guidelines for Percutaneous Nephrostomy
P. Ramchandani et al., J Vasc Interv Radiol (2003) 14:S277–S281
© SIR, 2003

ESIRonline presentations:

Treatment of aorto-iliac occlusive disease

Topic Package in Vascular Interventions, compiled by A.H. Mahnken in February 2013.

8 Presentations Within 4 Sessions


Topic Package in Vascular Interventions, compiled by A.H. Mahnken in February 2013.

Quality improvement guidelines:

Standard of Practice for the Interventional Management of Isolated Iliac Artery Aneurysms
Uberoi et al., Cardiovasc Intervent Radiol (2011) 34:3–13
© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2010

Quality Improvement Guidelines for Endovascular Treatment of Iliac Artery Occlusive Disease
Tsetis et al., Cardiovasc Intervent Radiol (2008) 31:238–245 
© Springer Science+Business Media, LLC 2007

ESIRonline presentations:

Aortic stent-grafting

Topic Package in Vascular Interventions, compiled by A.H. Mahnken in February 2013.

12 Presentations Within 8 Sessions


Topic Package in Vascular Interventions, compiled by A.H. Mahnken in February 2013.

Quality improvement guidelines:

Clinical Practice Guidelines for Endovascular Abdominal Aortic Aneurysm Repair
Walker et al., J Vasc Interv Radiol (2010) 21:1632–1655
© SIR, 2010

ESIRonline presentations:

IROS 2017
114 Presentations Within 42 Sessions
CIRSE 2016
1222 Presentations Within 184 Sessions
ECIO 2016
151 Presentations Within 36 Sessions
IROS 2016
122 Presentations Within 49 Sessions
CIRSE 2015
1002 Presentations Within 158 Sessions
GEST 2015 Europe
202 Presentations Within 36 Sessions
ECIO 2015
127 Presentations Within 32 Sessions
IROS 2015
124 Presentations Within 41 Sessions
CIRSE 2014
878 Presentations Within 152 Sessions
ICCIR 2014
4 Presentations Within 4 Sessions
ECIO 2014
119 Presentations Within 29 Sessions
IROS 2014
104 Presentations Within 37 Sessions
CIRSE 2013
956 Presentations Within 156 Sessions
ECIO 2013
129 Presentations Within 33 Sessions
GEST 2013 Europe
185 Presentations Within 34 Sessions
IROS 2013
121 Presentations Within 49 Sessions
CIRSE 2012
834 Presentations Within 149 Sessions
ECIO 2012
113 Presentations Within 30 Sessions
IROS 2012
96 Presentations Within 42 Sessions
CIRSE 2011
981 Presentations Within 146 Sessions
GEST 2011
178 Presentations Within 36 Sessions
IROS 2011
85 Presentations Within 36 Sessions
2011 ESIR courses
12 Presentations Within 3 Sessions
CIRSE 2010
902 Presentations Within 146 Sessions
ECIO 2010
117 Presentations Within 35 Sessions
2010 ESIR courses
26 Presentations Within 5 Sessions
CIRSE 2009
932 Presentations Within 141 Sessions
GEST 2009
156 Presentations Within 38 Sessions
2009 ESIR courses
35 Presentations Within 1 Session
CIRSE 2008
800 Presentations Within 145 Sessions
ECIO 2008
78 Presentations Within 21 Sessions
ET 2008
38 Presentations Within 8 Sessions
2008 ESIR courses
33 Presentations Within 1 Session
CIRSE 2007
693 Presentations Within 141 Sessions
2007 ESIR courses
17 Presentations Within 1 Session
CIRSE 2006
522 Presentations Within 105 Sessions