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Association of Vascular and Interventional Radiographers Interventional Fall 2013 President’s Message | Change is Good... Dear AVIR Members, assisting with the planning process of the 2014 Annual It is my pleasure to update you on what Meeting in San Diego and will be attending the site visit later has been happening in the forefront and this month with the team. Our Director at Large Crystal has behind the scenes with AVIR. As you know, been working tirelessly on local activity, reaching out to chapter the board of directors and I have been on heads and offering our assistance in any ways necessary. Dave a campaign to reignite AVIR membership Nicholson, our Annual Meeting Chair, has taken on a lot of with awareness through a grass roots responsibilities for us on top of the tedious task of planning strategy. We reached out to over twelve thousand Radiology our 2014 annual meeting agenda. Dave and Crystal will be Technologists that work in the business of interventional attending RSNA on our behalf this year in an effort to reach radiology through out the United States and offered them a out to the wider radiology community. Our Media Chair, trial membership and some free education. We offered the Jared has been keeping a close eye on not only our website but free education in the form of recorded presentations from all our social media activity, keeping it up to date, functional, our annual meeting this past year so that the new members and most importantly, operational. And of course you would can appreciate the quality of the lectures we provide in that not even be reading this if it wasn’t for our Publication Chair, forum. We are about a month into the campaign and we have Dave Douthett. Thanks for keeping us all in line Dave. I roughly two hundred and fifty clinical technologists working would also like to recognize our Immediate Past President in IR or cathlabs as well as leaders, supervisors, and managers Tony, and our Associate Representative Dana for all your input on board as guest members. We are pleased with the outcome and participation in all these above mentioned tasks. As we thus far but with more than twelve thousand of us out there, I come into the middle of the term, our management team led am setting the bar much higher. We need to, as members and by Bruce has been invaluable these past few months in helping professionals, continue to get the word out about who we are AVIR to transition into a viable and stable fiscal environment. and why we are here. We are now better positioned for growth and success then we have been in several years. We are measurably gaining The board of directors continues to work hard at each momentum and growing. I am privileged to be working with specific task at hand: Rob Sheridan has continued his fiscal such an amazing team of professionals dedicated to what they responsibilities from last year almost seamlessly, while we do and what we stand for. ramp up our newly appointed Secretary Treasurer, Amanda Popovitch. Amanda has hit the ground running, she is already Our members, I look to you now for where you want to go from here. We have posted twenty online credits for you and continued on page 2 Inside Fall 2013 | David S. Douthett, RT(R)(CV), Editor 2 Simulation Training in IR 10 Medical Technology Manufacturers 24 Updates from ARRT 3 Myths about interventional management Surpass $1 Billion Payment to IRS 27 AVIR Board of Directors of vascular malformations for Device Tax 28 Board of Directors Responsibilities 4 Membership! Why be a member? 11 Board of Directors Candidate Application 29 Sponsors 5 AVIR Meetings Schedule for 2013 13 What’s new in 2013? 30 CIT Review 6 2013 Summer Chapter Updates 18 Anatomy of a Hybrid OR 31 Membership Application 8 AVIR Annual Scientific Meeting 21 2014 Award of Excellence 32 What is AVIR? 9 Membership Announcement 23 Associate Member Highlights 2201 Cooperative Way | Suite 600 | Herndon, VA 20171 | 703.234.4055 | Fax: 703.435.4390 | email: [email protected] | www.avir.org we offer more than that in education and community in the don’t control this someone else will do it for us. I’ve heard too four days we bring you all together for our annual meeting. often in my twenty years in the business that our profession We have provided numerous forums for you to voice your is under rated and no one cares, well my colleagues, it is thoughts and concerns and even for us to educate each other my experience that this needs to come from within. If we in the virtual community. So as President I ask, what would don’t care then why should anyone else? Lets start caring you like to see next? What can AVIR do for you on the local collectively, lets get AVIR on the map, and lets get our voices level? How do we get you all involved in your communities? heard. Your opinions do matter and they need to be out We are the voice of our profession so its time to work on there. There are many ways we can impact our profession our professional scope together. Have you all reviewed the in a positive way if we all put our heads together so I am practice standards listed on the ARRT website? They asked tasking us this year to do just that. Who’s in? Email us with for our opinion a few months ago, did you respond? If we your thoughts. Simulation Training in IR- Its come a long way… Simulation training is not new to our field. In fact specific complex procedures has diminished for for several years, vendors have been claiming that the many IR trainees as surgeons, cardiologist and now technology is realistic enough that it will be an extremely interventional nephrologists and pulmonologist all valuable tool for training our future interventional compete for the same patient in many institutions. staff. From personal and physician feedback, I would Simulation with repetitive practice of hand eye have trepidations fully supporting that claim, however; coordination and experienced based know how can recently simulators have undergone vast improvements in now be obtained prior to treating patients. This ability technological capabilities, dare I say breaking through the to avoid harm to patients while acquiring realistic skills technology limitations. in a repetitive, short time-line is vital to ensure patient MGH has recently purchased a simulator that supports safety. The aviation industry has utilized simulators all endovascular service training programs across the effectively for many years now, and avoids countless institution. With the advances with the technology, the human harm in doing so; isn’t it time medicine tacit learning has reached a new height. As real catheters, embraces and capitalizes on the available simulation wires and various endovascular devices are deployed; the technology to ensure the same safe training practices! simulators today provide a high quality 2D display of a The AVIR is currently investigating a simulation simulated fluoro image with 3D anatomy. Changing angles, session for our members at our next annual meeting injecting contrast and deploying stents are simulations that would allow members to sign-up for sessions with significant improvement with today’s simulators. where they could simulate cases, become acclimated to As simulators are being introduced as part of training the advancing simulation technology while practicing curriculums for radiology residents, training modules are catheter and wire techniques with members, expert broadly available for a host of different procedures with vendors and AVIR friends. Please take a moment and variable complexities. The technology curve has reached a let us if you are interested in a simulation session. place that truly has a huge value with training in terms if the learning curves and errors that can now be worked-out on a simulator, rather than on patients. Respectfully, Rob Sheridan, Director IR, MGH These realistic simulators enhance training on several Vice President, AVIR fronts: with the diffusion of our specialty, volume of 2 | Fall 2013 | Interventional Informer www.avir.org Myths about interventional management of vascular malformations By Dr. Ahmad Alomari Ahmad Almori wrote to dispel common myths about the Myth 3. Interventional radiologists are well-trained to management and diagnosis of vascular malformations manage vascular anomalies and said that dispelling these myths can “only help in the This is correct for only a handful of institutions. A reasonably management of this challenging disorder” Vascular anomalies large volume of patients with vascular anomalies is essential can be broadly classified into vascular tumours (eg. infantile to consolidate such experience In reality, the current high- haemangioma) and vascular malformations. The two intensity interventional radiology fellowship training cannot main categories of vascular malformations are slow-flow provide a comprehensive knowledge base and the practical (venous, lymphatic and capillary malformations) or fastflow skills necessary for managing these diseases in a one-year (arteriovenous malformations and fistulas). The interventional period. I advocate further specific training and retraining in management of vascular malformations is the primary this field beyond the fellowship and institutional experience minimally-invasive therapy which largely replaced the surgical limits. approach. The use of accurate terminology to describe this heterogenous, occasionally overlapping group of disorders is Myth 4. Surgical management of vascular anomalies is an crucial for proper management and research. Unfortunately, antiquated practice despite the major improvement in the clinical, genetic and Imprecise! For some vascular anomalies, successful therapeutic management of vascular anomalies, myths and management can be primarily achieved surgically. In addition, misconceptions about the diagnosis and management of these combined interventional radiological-surgical approach is anomalies continue to be surprisingly pervasive with frequent particularly helpful for large vascular anomalies requiring serious consequences.

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