CIRSE Annual Congress

September 14-18 | Lisbon, Portugal

Patient centered - Science driven

September 14-18 | Lisbon, Portugal

Patient centered - Science driven

September 14-18 | Lisbon, Portugal

September 14-18 | Lisbon, Portugal

September 14-18 | Lisbon, Portugal

Patient centered - Science driven
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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 2024 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 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 troubleshoot when required.

This hands-on device training aims to provide an overview of the vascular closure devices currently available.

  • CD

A closer look at closure devices

Coordinators: M. Das (Duisburg/DE), S. Saltiel (Corseaux/CH)

HDT-CD 36.3: Monday, September 16, 16:15-17:45
HDT-CD 41.1: Tuesday, September 17, 08:30-10:00

Central lines and ports

Central lines and ports have become a cornerstone in patient care. Interventional radiology has made the insertion of these a core basic skill and been responsible for their dissemination throughout hospital networks. This hands-on session provides an overview of their use as well as how to deal with complications and difficult clinical scenarios.

  • CLP

Central lines and ports

Coordinators: A. Dabadie (Marseille/FR), D.J. Tuite (Cork/IE)

HDT-CLP 24.2: Sunday, September 15, 13:00-14:30
HDT-CLP 26.1: Sunday, September 15, 16:15-17:45

CBCT and image-guided fusion

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.

  • CBCT

CBCT and image-guided fusion

Coordinators: A. Alonso-Burgos (Madrid/ES), G. Carrafiello (Milan/IT)

HDT-CT 16.4: Saturday, September 14, 16:15-17:45
HDT-CT 21.4: Sunday, September 15, 08:30-10:00

Embolization: materials and tools

Embolization 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.

  • Coils & plugs
  • Particulate agents
  • Liquid agents

Coils & plugs

Coordinators: M. Krokidis (Athens/GR), G. Tsoumakidou (Lausanne/CH)

HDT-EMT 11.3: Saturday, September 14, 08:30-10:00
ST-EMT 13.1: Saturday, September 14, 11:15-12:15 (Dedicated to students)
HDT-EMT 14.3: Saturday, September 14, 13:00-14:30

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 radioembolization.

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: C. Lanza (Milan/IT), D.Torres (Odivelas/PT)

HDT-EMT 16.3: Saturday, September 14, 16:15-17:45
HDT-EMT 26.2: Sunday, September 15, 16:15-17:45

Particulate embolic agents are commonly used in different IR procedures including emergency/bleeding IR, interventional oncology, as well as joint, fibroid, and prostate embolization.

PVA particles exist in various sizes, allowing for customization based on the size of the vessels being treated, in particular allowing the penetration into distal microvasculature. Particulate agents are also used, loaded with chemotherapeutic drugs, in the setting of loco-regional trans-arterial chemoembolization (TACE), whereas others are bound to radionuclides allowing selective radioembolization.

This hands-on device training will offer attendees the opportunity to become familiar with the various types of particulate agents in terms of types and sizes and understand the various indications in different diseases’ setting.

Liquid agents

Coordinators: P. Marra (Bergamo/IT), W. Uller (Freiberg/DE)

HDT-EMT 21.3: Sunday, September 15, 08:30-10:00
ST-EMT 23.1: Sunday, September 15, 11:15-12:15 (Dedicated to students)
HDT-EMT 24.3: Sunday, September 15, 13:00-14:30

Liquid embolic agents are useful in specific situations that require rapid, complete, and durable occlusion of target vessel. They 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, hypervascular tumors, vascular malformations and lymphatic leakages 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.

 

Mechanical thrombectomy

Mechanical thrombectomy is a minimally invasive procedure to remove flow obstructing blood clots from the arterial or venous vasculature with minimal to zero need for lyrics. In recent years, different technologies have been developed. These devices come with specific indications, modes of operation as well as their inherent pros and cons.

Two different hands-on device trainings will allow physicians to familiarize themselves with these exciting new treatment modalities.

  • Atherectomy & arterial
  • Venous & pulmonary embolism

Atherectomy and arterial

Coordinators: P. Minko (Duesseldorf/DE), R. Lakshminarayan (Hull/GB)

HDT-MT 44.1: Tuesday, September 17, 13:00-14:30
HDT-MT 46.1: Tuesday, September 17, 16:15-17:45

Endovascular treatment of patients with high-grade stenosis and acute occlusions of the arterial bed has 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 high-grade stenosis as well as acute arterial obstructions. Our industry partners have got their main devices on display, giving delegates the opportunity to have hands-on experience as well as discussion with their experts.

Venous and pulmonary embolism

Coordinators: I. Brennan (Dublin/DE), S. Tuna (Wuppertal/DE)

HDT-MT 11.2: Saturday, September 14, 08:30-10:00
HDT-MT 14.2: Saturday, September 14, 13:00-14:30

Endovascular treatment of patients with acute occlusions of the venous bed has 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 currently being used for the treatment of acute venous obstructions.

Microcatheters and microwires

The evolution of technology has significantly influenced endovascular interventions. Recognizing the pivotal role that microcatheters and microguidewires play in these procedures, this workshop aims to provide a comprehensive understanding of the most used devices as well as the latest innovations.

During this session, participants will have the unique opportunity to explore a variety of materials designed for different procedures. The emphasis will be on the importance of selecting the right tools tailored to specific interventions. The event will facilitate discussions with experts in the field, offering a platform to exchange insights and practical knowledge.

  • MM

Microcatheters and microwires

Coordinators: P. Marinho Lopes (V. N. de Gaia/PT), P. Lucatelli (Rome/IT)

HDT-MM 31.2: Monday, September 16, 08:30-10:00
HDT-MM 34.3: Monday, September 16, 13:00-14:30

 

Percutaneous arteriovenous fistulas: the way forward

A 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. 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: G. Falcone (Firenze/IT), R.T. Hoffmann (Dresden/DE)

HDT-PAF 36.2: Monday, September 16, 16:15-17:45
HDT-PAF 41.3: Tuesday, September 17, 08:30-10:00

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 familiarize themselves with the most common thrombectomy devices.

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: L. Marques (Herrislee/DE), P. Zampakis (Patras/GR)

HDT-ST 24.4: Sunday, September 15, 13:00-14:30
HDT-ST 26.3: Sunday, September 15, 16:15-17:45

Tumour ablation

Ablation plays a fundamental role in the minimally invasive treatment of cancer. Ablation technologies and equipment for live image guidance, stereotactic or robotic navigation as well as verification software continue to quickly develop in order to promote ablation simulation and planning, intra-procedural monitoring and outcome evaluation.

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, IRE and other image-guided technologies.

  • Cold-based
  • Heat-based
  • Planning, robotics, monitoring, and assessment for ablation
  • Non-thermal

Cold-based

Coordinators: E. Petsatodis (Thessaloniki/GR), T.M. Wah (Leeds/GB)

HDT-TA 41.2: Tuesday, September 17, 08:30-10:00
ST-HDT-TA 43.1: Tuesday, September 17, 11:15-12:15 (Dedicated to students)
HDT-TA 44.2: Tuesday, September 17, 13:00-14:30

Cryoablation is a unique technology that breaks the boundaries of ablation and creates new indications for treatment. This hands-on device training will offer the attendees the opportunity to learn more about different cryoablation devices, the advantages of cryoablation, established indications, and future trends.

 

Heat-based (MWA, RFA, laser)

Coordinators: J.M. Abadal Villayandre (Leganés – Madrid/ES), B. Gonçalves (Porto/PT)

HDT-TA 31.3: Monday, September 16, 08:30-10:00
ST-HDT TA 33.1: Monday, September 16, 11:15-12:15 (Dedicated to students)
HDT-TA 34.4: Monday, September 16, 13:00-14:30

This hands-on training session is dedicated to exploring the latest in radiofrequency (RFA) and microwave ablation (MWA) technologies. Participants will learn the science, principles, and mechanisms of action behind RFA and MWA, which are the established and emerging thermal ablative modalities, from leading professionals in the field who will share valuable insights and best practices. Participants will also gain practical experience with the latest commercially available RFA and MWA products through these interactive workshops and discover the diverse clinical applications of RFA and MWA for treating hepatic, renal, lung, soft tissue, bony malignancies, and more. After attending this hands-on device training, attends will gain knowledge in selecting the appropriate ablation technology for different clinical scenarios, as well as the knowledge of emerging trends and future directions in ablation technology.

 

Planning, robotics, monitoring, and assessment for ablation

Coordinators: R. Bale (Innsbruck/AT), S. Mendez Alonso (Majadahonda/ES)

HDT-TA 36.4: Monday, September 16, 16:15-17:45

The ablative treatment of tumors is a fundamental tool in today’s therapeutic arsenal. The different stereotactic navigation systems, both manual and robotized, as well as intra-procedural and post-procedural planning systems, have proven to be very effective aids in achieving treatments that would not be possible or would be very difficult without them. Additionally, they increase the technical success and effectiveness of the treatments.

In this workshop, you can learn to manage the devices with imaging phantoms, and have the option of personnel and expert technicians to perform ablative treatments with security and efficiency.

 

Non-thermal (IRE, electrochemotherapy)

Coordinators: F. Deschamps (Villejuif/FR), H. Scheffer (Amstelveen/NL)

HDT-TA 46.2: Tuesday, September 17, 16:15-17:45

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 non-thermal ablation techniques such as electroporation.

Varicose veins

Varicose veins are a manifestation of chronic venous disease, which causes 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 the 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: A. Ganapathy (Manchester/GB), O. Cosin Sales (Barcelona/ES)

HDT-VV 16.2: Saturday, September 14, 16:15-17:45
HDT-VV 21.2: Sunday, September 15, 08:30-10:00

Venous stenting practice

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 new technology including IVUS, the various options for venous stenting, as well as the specific advantages of individual stents.

  • VS

Venous stenting practice

Coordinator: E. Galvez Gonzalez (Madrid/ES), S. Power (Cork/IE)

HDT-VS 31.1 Monday, September 16, 08:30-10:00
HDT-VS 34.2: Monday, September 16, 13:00-14:30

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: S. Marcia (Cagliari/IT), M. Cifrián Pérez (Valencia/ES)

HDT-VAT 11.4: Saturday, September 14, 08:30-10:00
HDT-VAT 14.4: Saturday, September 14, 13:00-14:30