Introduction
In this episode, Kush Desai, MD examines clinical and technical considerations in the management of two issues in complex deep venous disease: inferior vena cava filter retrieval and the use of intravascular ultrasound in complex venous occlusions. Beginning with IVC filters, Dr. Desai reviews common barriers to timely filter retrieval, the concerns regarding leaving a filter in place beyond its indicated usage, and the techniques available to successfully perform complex retrieval procedures. Dr. Desai concludes with a discussion on intravascular ultrasound, specifically its critical role in the endovascular treatment of complex deep venous occlusions.
Learning Objectives
After completing this activity, the participant should be better able to:
- Describe the concerns associated with retrievable IVC filters that are left in place beyond their indicated usage
- Identify the practices and techniques available to retrieve embedded IVC filters
- Describe the role of intravascular ultrasound in the endovascular management of complex post-thrombotic venous occlusions
Target Audience
The educational design of this activity addresses the needs of Interventional Radiologists, Vascular Surgeons, Vascular Specialists, Nurse Practitioners, Radiologic Technologists, and Vascular Allied Health Professionals involved in the treatment of patients with peripheral vascular disease.
Kush R. Desai, MD, FSIR
Interventional Radiologist
Associate Professor of Radiology, Surgery, and Medicine
Northwestern University Feinberg School of Medicine
Chicago, IL, USA
Dr. Kush Desai is an Interventional Radiologist and Associate Professor of Radiology, Surgery, and Medicine at the Northwestern University Feinberg School of Medicine. His primary research and clinical interests are in venous thromboembolic disease, deep venous thrombectomy/thrombolysis, reconstruction of chronic venous occlusions, IVC filter management/complex IVC filter retrieval, and interventional pulmonary embolism management.
Dr. Desai serves as the chair of the Society of Interventional Radiology’s venous clinical specialty council, and is a fellow of the society. He serves as the national and global principal investigator for numerous clinical trials that are developing strategies and devices to treat deep venous disease. In addition, he serves as a reviewer for several journals, including Circulation, and the Journal of the American College of Cardiology, as a distinguished reviewer for Journal of Vascular Surgery: Venous and Lymphatic Disorders, and as a top reviewer for Journal of Vascular and Interventional Radiology.
Physician Accreditation Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Global Education Group (Global) and Educational Awareness Solutions. Global is accredited by the ACCME to provide continuing medical education for physicians.
Physician Credit Designation
Global Education Group designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
ABIM MOC Recognition Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 medical knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Nurse Practitioner Continuing Education
This activity has been planned and implemented in accordance with the Accreditation Standards of the American Association of Nurse Practitioners (AANP) through the joint providership of Global Education Group and Educational Awareness Solutions. Global Education Group is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 110121. This activity is approved for 0.75 contact hour(s) (which includes 0.0 hour(s) of pharmacology).
American Society of Radiologic Technologists
This activity has been reviewed and approved for 0.75 Category A CE credits by the ASRT.
Global Contact Information
For information about the accreditation of this program, please contact Global at 303-395-1782 or cme@globaleducationgroup.com.
Instructions to Receive Credit
In order to receive credit for this activity, the participant must complete the pre-activity questions, view the program in its entirety, and complete the post-activity questions with a score of 75% or better, as well as complete an evaluation form and credit request.
Fee Information and Refund/Cancellation Policy
There is no fee for this educational activity.
Disclosure of Relevant Financial Relationships
Global Education Group (Global) adheres to the policies and guidelines, including the Standards for Integrity and Independence in Accredited CE, set forth to providers by the Accreditation Council for Continuing Medical Education (ACCME) and all other professional organizations, as applicable, stating those activities where continuing education credits are awarded must be balanced, independent, objective, and scientifically rigorous. All persons in a position to control the content of an accredited continuing education program provided by Global are required to disclose all financial relationships with any ineligible company within the past 24 months to Global. All financial relationships reported are identified as relevant and mitigated by Global in accordance with the Standards for Integrity and Independence in Accredited CE in advance of delivery of the activity to learners. The content of this activity was vetted by Global to assure objectivity and that the activity is free of commercial bias.
All relevant financial relationships have been mitigated.
The faculty have the following relevant financial relationships with ineligible companies:
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Name of Faculty or Presenter
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Reported Financial Relationship
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Kush R. Desai, MD, FSIR
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Consulting Fees: W.L. Gore, Shockwave Medical, Asahi Intecc, Veryan, Cordis, Surmodics, CSI, EnVVeno
Speaker’s Bureau: Cook Medical, Boston Scientific, Becton Dickinson/CR Bard, Medtronic, Penumbra, Tactile Medical, Philips |
The planners and managers have the following relevant financial relationships with ineligible companies:
Contracted Research: Medtronic, Mercator, Reva Medical, MedAlliance, Boston Scientific, Philips, Intervene, Vesper Medical, Gore
Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Global Education Group (Global) and Educational Awareness Solutions do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of any organization associated with this activity. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Disclaimer
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
System Requirements
An Internet-connected web browser is required.
This activity is jointly provided by Global Education Group and Educational Awareness Solutions.
This activity is supported by an educational grant from Philips Image Guided Therapy.
