Cardiovascular and Interventional Radiological Society of Europe
Science for people
Science for people
Science for people
Slider
ProgrammeHands-on trainingHands-on Device Training (HDT)

Hands-on Device Training (HDT)

After a short kick-off presentation by the HDT coordinators, participants will have the opportunity to learn about the specifics as well as safe and effective use of the available technology in an interactive setting.

Each HDT will feature a round-table discussion with the coordinators at the end of each session, allowing participants to ask questions and provide feedback.

Participating industry partners have been invited by CIRSE to provide an overview of their devices and technologies.

How to participate

Participation will be free of charge for registered CIRSE 2022 delegates, but places are limited and will be allocated on a first-come, first-served basis. As these sessions offer practical medical training, participation is for qualified medical professionals only.

A closer look at closure devices

Closure devices play an important part in a growing number of percutaneous vascular procedures and are now used routinely for haemostasis of small to larger diameter sheath sizes. There is a variety of systems that use different methods to achieve haemostasis. It is imperative that the operator understands the mechanisms involved when deploying a device in order to achieve safe haemostasis and to be able to trouble-shoot when required.

This Hands-on Device Training (HDT) aims to provide an overview of the vascular closure devices currently available.

  • CD

A closer look at closure devices

Coordinators: J.-Y. Chun (London/GB), L. Marques (Flensburg/DE)

HDT-CD 1: Saturday, September 10, 09:45-11:15
HDT-CD 2: Saturday, September 10, 12:45-14:15

Central lines and ports

Central lines and ports are continually more and more important in the daily activities of interventional radiologists. Thanks to imaging and interventional capabilities, IRs are able to position these catheters in complex situations that other specialists cannot resolve.

This Hands-on Device Training will provide an overview of available devices.

  • CLP

Central lines and ports

Coordinators: C. Althoff (Berlin/DE), J.A. Guirola (Zaragoza/ES)

HDT-CLP 1: Saturday, September 10, 09:45-11:15
HDT-CLP 2: Saturday, September 10, 12:45-14:15

Embolisation: materials and tools

Embolisation is an important part of an IR’s work; and as such, it is essential to thoroughly understand how to perform this technique in order to avoid complications. Having substantial knowledge of available materials is absolutely necessary when selecting the most suitable device for any scenario.

  • Liquid agents
  • Coils & plugs
  • Particulate agents

Liquid agents

Coordinators: L. Defreyne (Ghent/BE), R. Loffroy (Dijon/FR)

HDT-EMT 1: Sunday, September 11, 09:45-11:15
HDT-EMT 2: Sunday, September 11, 12:45-14:15
ST-EMT 1 (dedicated to students): Sunday, September 11, 16:15-17:15

Liquid embolic agents include cyanoacrylate glues and ethylene vinyl alcohol copolymers, as well as sclerosants. Liquid embolics are widely used for the management of haemorrhage, post-EVAR endoleaks, and vascular malformations due to their penetrating and inflammation inducing capacity.

This Hands-on Device Training will offer attendees the opportunity to explore and learn about the various types of liquid agents, as well as their specific advantages and disadvantages.

Coils & plugs

Coordinators: M.C. Burgmans (Leiden/NL), M. Citone (Florence/IT)

HDT-EMT 3: Monday, September 12, 09:45-11:15
HDT-EMT 4: Monday, September 12, 12:45-14:15
ST-EMT 2 (dedicated to students): Monday, September 12, 16:15-17:15

Metallic coils (pushable/injectable or detachable) and detachable plugs are established permanent mechanical embolic materials for the treatment of active bleeding, pseudoaneurysms and true aneurysms. Coils and plugs may also be used to prevent non-target embolization or establish flow redistribution in patients undergoing transarterial tumour treatment, such as radioembolisation.

This Hands-on Device Training will offer attendees the opportunity to explore and learn about the various types of coils and plugs.

Particulate agents

Coordinators: B. Gebauer (Berlin/DE), S. Spiliopoulos (Athens/GR)

HDT-EMT 5: Tuesday, September 13, 09:45-11:15
HDT-EMT 6: Tuesday, September 13, 12:45-14:15

Today, particulate embolic agents are used both in emergency IR and interventional oncology due to their specific properties which allow distal penetration within the microvasculature. Certain particulate agents are also capable of loading and releasing chemotherapeutic drugs enabling loco-regional endovascular chemotherapy.

This Hands-on Device Training will offer attendees the opportunity to become familiar with the various types of particulate agents and their indications.

Percutaneous arteriovenous fistulas: the way forward

Percutaneous, endovascular arteriovenous fistula is a new way of creating vascular access for haemodialysis patients. Choosing the right patient to perform these procedures is critical to a successful outcome, which is defined by the ability of the newly formed vascular access to be cannulated. The familiarity with the technical aspects, the advantages and the limitations of the available devices is also important. Understanding the specific features of these newly created fistulas, the follow up and finally, their cannulation is what is needed to provide the best services to the dialysis patient.

Percutaneous arteriovenous fistula creation is not just the device and the procedure; it is the entire journey from patient selection to fistula cannulation. All of these aspects and steps will be covered in this hands-on device training.

  • PAF

Percutaneous arteriovenous fistulas

Coordinators: R. Jones (Birmingham/GB), P. Kitrou (Patras/GR)

HDT-PAF 1: Saturday, September 10, 09:45-11:15
HDT-PAF 2: Saturday, September 10, 12:45-14:15

Peripheral mechanical thrombectomy

Endovascular treatment of patients with acute occlusions of the arterial or venous bed have become more popular in recent years. As technology has steadily developed, more systems with increasing efficacy have become available to help restore vessel patency in a quick, safe and efficient way.

This Hands-on Device Training aims to provide an overview of the different devices which are currently being used for the treatment of acute arterial and venous obstructions.

  • PMT

Peripheral mechanical thrombectomy

Coordinators: R. de Graaf (Friedrichshafen/DE), R. Bhat (Dundee/GB)

HDT-PMT 1: Sunday, September 11, 09:45-11:15
HDT-PMT 2: Sunday, September 11, 12:45-14:15

Stroke thrombectomy

Stroke thrombectomy represents a relatively new frontier for interventional radiologists. The number of patients diagnosed with this pathological condition is increasing, and, as a consequence, it is necessary for interventional radiologists to participate in these procedures. For this, it is essential to have abundant experience as well as excellent knowledge of anatomy and the techniques and materials to be used. Participants of this Hands-on Device Training will have the chance to familiarise themselves with the most common thrombectomy devices.

After a short kick-off presentation by the HDT coordinators, participants will have the opportunity to learn about the specifics as well as safe and effective use of the available technology in an interactive setting.

Each HDT will feature a round-table discussion with the coordinators at the end of each session, allowing participants to ask questions and provide feedback.

  • ST

Stroke thrombectomy

Coordinators: A. Krajina (Hradec Králové/CZ), W.H. van Zwam (Maastricht/NL)

HDT-ST 1: Saturday, September 10, 09:45-11:15
HDT-ST 2: Saturday, September 10, 12:45-14:15

Tumour ablation

Ablation plays a fundamental role in the minimally invasive treatment of cancer, and ablation technologies and equipment for live image guidance continue to develop quickly.

In order to stay up to date on these developments, this Hands-on Device Training will offer separate sessions to look at radiofrequency ablation, microwave ablation and alternative techniques, including cryoablation and other image-guided technologies.

  • RFA
  • MWA
  • Cryo and laser, IRE and electrochemotherapy
  • Image guided navigation and targeting

RFA

Coordinators: J.-Y. Gaubert (Marseille/FR), M. Tsitskari (Nicosia/CY)

HDT-TA 1: Sunday, September 11, 09:45-11:15
HDT-TA 2: Sunday, September 11, 12:45-14:15
ST-TA 1 (dedicated to students): Sunday, September 11, 17:30-18:30

This HDT will offer attendees the opportunity to look at radiofrequency ablation. In the last 10 to 15 years, technical developments in the available RFA systems have increased ablation volumes in a controllable, versatile and relatively inexpensive manner.

As the oldest and most widely used thermal ablation modality worldwide, RFA’s effectiveness and safety have been fully proven. Radiofrequency tumour ablation has shown to be a useful method for creating thermally induced coagulation necrosis in tissues being treated. The host of clinical applications for RFA has expanded and RF has accordingly gained widespread clinical use for the treatment of hepatic, renal, lung, soft tissue and bony malignancies. Also, in the past decade, RFA has been gaining popularity as a minimally invasive treatment for benign thyroid nodules.

MWA

Coordinators: D.K. Filippiadis (Athens/GR), A. Veltri (Orbassano/IT)

HDT-TA 3: Monday, September 12, 09:45-11:15
HDT-TA 4: Monday, September 12, 12:45-14:15
ST-TA 2 (dedicated to students): Monday, September 12, 17:30-18:30

Microwave ablation has been included in the armamentarium of thermal ablation for more than a decade. Although the mechanism of action, coagulative necrosis, is similar to that of radiofrequency ablation, MWA has some potential advantages, including faster action, higher temperature profile and less affection by the heat-sink effect.

This Hands-on Device Training will offer attendees the opportunity to explore and learn about the latest commercially available microwave products.

Cryo and laser, IRE and electrochemotherapy

Coordinators: A.H. Mahnken (Marburg/DE), M.R. Meijerink (Amsterdam/NL)

HDT 5: Tuesday, September 13, 09:45-11:15

Percutaneous ablation is a key approach used within the field of interventional oncology. There are a variety of different and ever-evolving ablation techniques beyond MWA and RFA.

This Hands-on Device Training will offer attendees the opportunity to explore and learn about modern ablation technologies, including cryoablation, laser ablation and non-thermal ablation techniques such as electroporation and electrochemotherapy.

Image guided navigation and targeting

Coordinators: C. Farrelly (Dublin/IE), R. Iezzi (Rome/IT)

HDT-TA 6: Tuesday, September 13, 12:45-14:15

This Hands-on Device Training will offer attendees the opportunity to explore and learn about the latest commercially available image-guided technologies for treatment planning and real-time navigation, as well as incorporating multi-modality image fusion, post ablation imaging confirmation and other image-guided techniques.

Varicose veins

Varicose veins are a manifestation of chronic venous disease, which causes a significant impairment in quality of life for both men and women, physically and aesthetically. Recent developments in the endovascular treatment of saphenous vein reflux, which is the most common cause of varicose veins, led to a change in the treatment of varicose veins: from surgery to minimally invasive treatments, and from the OR to the office. Considering the increasing demand for treatment and growing involvement of interventional radiologists, it is essential to understand the timing of such interventions and acquire basic skills in the methodology.

This Hands-on Device Training, coordinated by two experienced IRs in the field, aims to provide an overview of the selection of devices available and different techniques.

  • Varicose veins

Varicose veins

Coordinators: J.M. Regi (Sheffield/GB), F. Veloso Gomes (Lisbon/PT)

HDT-VV 1: Tuesday, September 13, 09:45-11:15
HDT-VV 2: Tuesday, September 13, 12:45-14:15

Venous access in small children

Whilst venous access is considered a mainstay of an interventional radiologist’s workload, the thought of undertaking venous access procedures in an infant can be met with some reticence by the unfamiliar hand.

This Hands-on Device Training will provide an overview of the devices available that can be used in small children and consideration given on how to correctly choose the size of a device depending on the child’s age and vein size.

  • VAC

Venous access in small children

Coordinators: J. Adu (London/GB), K. Minhas (London/GB)

HDT-VAC 1: Sunday, September 11, 09:45-11:15
HDT-VAC 2: Sunday, September 11, 12:45-14:15

Venous stenting

Venous diseases represent an ever-increasing component of the interventionalists’ workload. Venous intervention requires specific considerations, including adapting to the low flow, low pressure and low resistivity of the venous system. Along with traditional stent technology, several specific venous stents have become available to help restore and maintain vessel patency in a safe and efficient way. These are widely used in the management of venous obstruction for acute and chronic pathologies.

This hands-on device training will offer attendees the opportunity to explore and learn about the various options for venous stenting, as well as the specific advantages of individual stents.

  • VS

Venous stenting

Coordinators: H. Moriarty (Melbourne/AU), S. Power (Cork/IE)

HDT-VS 1: Monday, September 12, 09:45-11:15
HDT-VS 2: Monday, September 12, 12:45-14:15

Vertebral augmentation

Every day, interventional radiologists are approached by patients to resolve their vertebral pathologies. In recent years, considerable technological progress has been made as a consequence of the extraordinary outcomes of minimally invasive techniques, which have helped countless patients to achieve pain relief and avoid many of the complications associated with open surgery.

In this Hands-on Device Training, vertebroplasty, kyphoplasty and balloon kyphoplasty will be discussed, and devices for each of these procedures will be presented and available for participants to practice with.

  • VA

Vertebral augmentation

Coordinators: P.N.M. Lohle (Tilburg/NL), K.E. Wilhelm (Bonn/DE)

HDT-VA 1: Monday, September 12, 09:45-11:15
HDT-VA 2: Monday, September 12, 12:45-14:15