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Endovascular Overlap Between Ir/vascular Surgery/interventional Cardiology


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Recently I was at a vascular conference and spoke with a few attendings and fellows on the endovascular overlap between IR, vascular surgery and interventional cardiology. I learned that the cardiologist are now doing more and more peripheral interventions and the younger vascular surgeons are doing more endovascular interventions without a radiologist in the room. I imagine this depends on the center and the agreement between specialities (and training of the specialists). In my IR elective, in general, the VS opened, usually went for a coffee as we placed the aortic stent graft and then came back to close up when we were done.  As for cardiology, I never saw them doing anything that didn’t involve the heart.

 

I’m curious about how different procedures are managed at other centers and would like to discuss the future of IR, as it seems that other specialities are doing more and more intervention.  Will VS start doing procedures like embolisations in the future? 

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From an interventional cardiology perspective i've heard of interventional cardiologists doing PAD but i haven't seen it in Canada at least. They seem to do mainly angiograms, stents, biopsy, alcohol septal ablations and TAVIs. They do TAVIs with cardiovascular surgeons.  

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younger vascular surgeons are doing more endovascular interventions without a radiologist in the room. I imagine this depends on the center and the agreement between specialities (and training of the specialists).

At my center I don't think the vascular guys ever have IR in the room for Endovascular stuff. They do it themselves.

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