Rofo 2022; 194(10): 1140-1146
DOI: 10.1055/a-1829-6055
Interventional Radiology

Complication Management and Prevention in Vascular and non-vascular Interventions

Article in several languages: English | deutsch
,
Lena Marie Wilms
,
Vivien Lorena Ivan
,
Marius Vach
,
Christina Loberg
,
Farid Ziayee
,
Julian Kirchner
,
,
Gerald Antoch
,
Peter Minko

Abstract

Purpose This overview summarizes key points of complication management in vascular and non-vascular interventions, particularly focusing on complication prevention and practiced safety culture. Flowcharts for intervention planning and implementation are outlined, and recording systems and conferences are explained in the context of failure analysis. In addition, troubleshooting by interventionalists on patient cases is presented.

Material and Methods The patient cases presented are derived from our institute. Literature was researched on PubMed.

Results Checklists, structured intervention planning, standard operating procedures, and opportunities for error and complication discussion are important elements of complication management and essential for a practiced safety culture.

Conclusion A systematic troubleshooting and a practiced safety culture contribute significantly to patient safety. Primarily, a rational and thorough error analysis is important for quality improvement.

Key Points:

  • Establishing a safety culture is essential for high-quality interventions with few complications.

  • A rational and careful troubleshooting is essential to increase quality of interventions.

  • Checklists and SOPs can structure and optimize the procedure of interventions.

Citation Format

  • Weiss D, Wilms LM, Ivan VL et al. Complication Management and Prevention in Vascular and non-vascular Interventions. Fortschr Röntgenstr 2022; 194: 1140 – 1146



Publication History

Received: 20 December 2021

Accepted: 09 April 2022

Article published online:
17 August 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • Literatur

  • 1 Arnold MJ, Keung JJ, McCarragher B. Interventional Radiology: Indications and Best Practices. Am Fam Physician 2019; 99 (09) 547-556
  • 2 Rousseau H. et al. [Future of interventional radiology]. Presse Med 2019; 48 (06) 648-654
  • 3 Cornelis FH. et al. Sedation and analgesia in interventional radiology: Where do we stand, where are we heading and why does it matter?. Diagn Interv Imaging 2019; 100 (12) 753-762
  • 4 White SB. Value in Interventional Radiology: Achieving High Quality Outcomes at a Lower Cost. Radiology 2020; 297 (02) 482-483
  • 5 Janeckova J. et al. Surgical revision vs. stent-graft to treat venous anastomosis stenosis following surgical thrombectomy of hemodialysis grafts. Int Angiol 2018; 37 (04) 315-321
  • 6 Taslakian B, Georges Sebaaly M, Al-Kutoubi A. Patient Evaluation and Preparation in Vascular and Interventional Radiology: What Every Interventional Radiologist Should Know (Part 1: Patient Assessment and Laboratory Tests). Cardiovasc Intervent Radiol 2016; 39 (03) 325-333
  • 7 Taslakian B, Sebaaly MG, Al-Kutoubi A. Patient Evaluation and Preparation in Vascular and Interventional Radiology: What Every Interventional Radiologist Should Know (Part 2: Patient Preparation and Medications). Cardiovasc Intervent Radiol 2016; 39 (04) 489-499
  • 8 Taslakian B, Sridhar D. Post-procedural Care in Interventional Radiology: What Every Interventional Radiologist Should Know-Part II: Catheter Care and Management of Common Systemic Post-procedural Complications. Cardiovasc Intervent Radiol 2017; 40 (09) 1304-1320
  • 9 Taslakian B, Sridhar D. Post-procedural Care in Interventional Radiology: What Every Interventional Radiologist Should Know-Part I: Standard Post-procedural Instructions and Follow-Up Care. Cardiovasc Intervent Radiol 2017; 40 (04) 481-495
  • 10 Hadi M. et al. CIRSE Standards of Practice on Peri-operative Anticoagulation Management During Interventional Radiology Procedures. Cardiovasc Intervent Radiol 2021; 44 (04) 523-536
  • 11 Alexander HC. et al. Checklists for image-guided interventions: a systematic review. Br J Radiol 2021; 94: 20200980
  • 12 Koetser IC. et al. A checklist to improve patient safety in interventional radiology. Cardiovasc Intervent Radiol 2013; 36 (02) 312-319
  • 13 Lee MJ. et al. Patient safety in interventional radiology: a CIRSE IR checklist. Cardiovasc Intervent Radiol 2012; 35 (02) 244-246
  • 14 Miller ZA. et al. Simulation-based Training for Interventional Radiology and Opportunities for Improving the Educational Paradigm. Tech Vasc Interv Radiol 2019; 22 (01) 35-40
  • 15 Berry M. et al. Endovascular training with animals versus virtual reality systems: an economic analysis. J Vasc Interv Radiol 2008; 19 (02) 233-238
  • 16 Neequaye SK. et al. Endovascular skills training and assessment. J Vasc Surg 2007; 46 (05) 1055-1064
  • 17 Mirza S, Athreya S. Review of Simulation Training in Interventional Radiology. Acad Radiol 2018; 25 (04) 529-539
  • 18 Patel R, Dennick R. Simulation based teaching in interventional radiology training: is it effective?. Clin Radiol 2017; 72 (03) 266.e7-266.e14
  • 19 Siskin GP. et al. The interventional radiology clinic: what you need to know. Seminars in interventional radiology 2005; 22 (01) 39-44
  • 20 Harolds JA. et al. Burnout of Radiologists: Frequency, Risk Factors, and Remedies: A Report of the ACR Commission on Human Resources. J Am Coll Radiol 2016; 13 (04) 411-416
  • 21 Kwee TC, Kwee RM. Workload of diagnostic radiologists in the foreseeable future based on recent scientific advances: growth expectations and role of artificial intelligence. Insights Imaging 2021; 12 (01) 88
  • 22 Patel IJ. et al. Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol 2012; 23 (06) 727-736
  • 23 Patel IJ. et al. Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions-Part II: Recommendations: Endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe. J Vasc Interv Radiol 2019; 30 (08) 1168-1184.e1
  • 24 Amare G. Reviewing the values of a standard operating procedure. Ethiop J Health Sci 2012; 22 (03) 205-208
  • 25 Romagnoli S. et al. CIRSE Standards of Practice on Analgesia and Sedation for Interventional Radiology in Adults. Cardiovasc Intervent Radiol 2020; 43 (09) 1251-1260
  • 26 Crocetti L. et al. CIRSE Standards of Practice on Thermal Ablation of Liver Tumours. Cardiovasc Intervent Radiol 2020; 43 (07) 951-962
  • 27 Müller-Hülsbeck S. et al. CIRSE Standards of Practice on Diagnosis and Treatment of Pulmonary Arteriovenous Malformations. Cardiovasc Intervent Radiol 2020; 43 (03) 353-361
  • 28 Benndorf M, Bamberg F. [Morbidity and mortality conference as an instrument for quality improvement in clinical radiology]. Radiologe 2021; 61 (09) 846-848
  • 29 Ferreira KS. et al. Lessons Learned From the Surgical Morbidity and Mortality Conference. J Surg Educ 2019; 76 (01) 174-181
  • 30 Kashiwazaki D. et al. Morbidity and Mortality Conference Can Reduce Avoidable Morbidity in Neurosurgery: Its Educational Effect on Residents and Surgical Safety Outcomes. World Neurosurgery 2020; 133: e348-e355
  • 31 Kerker-Specker C. et al. [Critical Incident Reporting on medication errors regarding units of measurement and calculations]. Z Evid Fortbild Qual Gesundhwes 2020; 158: 54-61
  • 32 Mahajan RP. Critical incident reporting and learning. Br J Anaesth 2010; 105 (01) 69-75
  • 33 Frenzel F. et al. DeGIR Quality Report 2019: Report on the treatment quality of minimally invasive methods – Interventional therapy (EVAR) of abdominal aortic aneurysms. Rofo, 2021.
  • 34 Berlis A, Morhard D, Weber W. [On the Basis of the DeGIR/DGNR Register Nationwide Care for Acute Ischemic Stroke Patients in 2016 and 2017 Using Mechanical Thrombectomy by Radiologists and Neuroradiologists]. Rofo 2019; 191 (07) 613-617