B5404 - Tecniche di imaging angiografiche ed emodinamica (RN)

Learning outcomes

The course aims to provide students theoretical knowledge as well as technical skills. These are necessary to obtain the following goals:

• Learn and comprehend how angiography, hemodynamic and electrophysiology procedures work.

• Understand the main cardiac and angiographic imaging techniques.

• Identify procedures’ indications, contraindications and risks.

• Acquire practical notions regarding materials, catheters and vascular access techniques.

• Understand obstruction esteem techniques (IVUS, Pressure Wire) and advanced unblocking tools.

• Effectively cooperate with the multidisciplinary team during procedures.

• Apply correctly radioprotection and safety norms in the angiography room.

Course contents

Module 1 – Organization of the Angiographic room

Structure and components of the angiographic and hemodynamic room: main equipment, procedure workflow, radiographer’s role and interaction with the multidisciplinary team.

Module 2 – Safety, Radiation Protection and Patient Management

Radiation safety for patients and operators, dose management and ALARA principles, prevention and management of complications, patient care.

Module 3 – Angiographic Imaging Techniques

Principles of Digital Subtraction Angiography (DSA), vascular access, ostial cannulation techniques and closure systems, use of iodinated contrast media.

Module 4 – Diagnostic and Interventional Angiographic Procedures

Peripheral vascular anatomy overview. Diagnostic procedures and interventional techniques. 

Module 5 – Basic Cardiovascular Anatomy and Physiology

Cardiac and coronary anatomy. Cardiac physiology and pathophysiology.

Module 6 – Coronary Angiography and Stenosis Assessment

Types of coronary stenosis. Contraindications to coronary angiography.

Module 7 – Cardiac Chamber Studies and Catheterization

Aortography, left ventriculography, right heart catheterization, patent Foramen Ovale.

Module 8 – Coronary Interventions: PTCA and Valvuloplasty

Percutaneous Transluminal Coronary Angioplasty, stents’ types and indications and procedure for Valvuloplasty.

Module 9 – Advanced Techniques for Lesion Assessment and Revascularization

IVUS, Pressure Wire / FFR, cutting balloon, overlapping technique, kissing balloon, Rotablator, intravascular shockwave and intra-aortic balloon pump.

Module 10 – Imaging Projections and Role of the Radiographer

Standard angiographic projections in cardiac imaging and radiographers' responsibilities.

Module 11 – Essentials of Cardiac Electrophysiology and Implantable Devices

Basics of cardiac conduction system and electrophysiology. Main arhythmias treated in the cath lab.
Ablation procedures and implantable devices.

Module 12 – Clinical Case Discussions

Presentation of emblematic clinical cases by interactive discussion and image interpretation. Evaluation of procedural outcomes

Teaching methods

• Frontal multimedia lessons

• Real cases images and video viewing

• Interactive discussions

• Workflow analysis.

Assessment methods

Individual oral interview.

The student has to show knowledge of the contents described above and to own skills regarding organizing, technical and procedural aspects in both an angiographic and hemodynamic room. The evaluation of the oral test will be out of 30 and it will determined according to the student knowledge, clarity of exposition and ability to link practical and theoretical aspects. The exam is considered passed with an evaluation equal to o greater than 18/30.

Teaching tools

Teaching materials will include lecture notes and slides provided by the instructor.

Students with learning disorders and/or temporary or permanent disabilities: please, contact the office responsible (https://site.unibo.it/studenti-con-disabilita-e-dsa/en/for-students) as soon as possible so that they can propose acceptable adjustments. The request for adaptation must be submitted in advance (15 days before the exam date) to the lecturer, who will assess the appropriateness of the adjustments, taking into account the teaching objectives.

Office hours

See the website of Elena Michieletti