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Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
1 topic, 1 min.
3 topics, 21 min.
3 topics, 13 min.
2 topics, 9 min.
5 topics, 18 min.
2 topics, 15 min.
2 topics, 6 min.
3 topics, 8 min.
2 topics, 5 min.
2 topics, 5 min.
4 topics, 13 min.
2 topics, 6 min.
2 topics, 5 min.
1 topic, 6 min.
0:01
So let's talk about the pre-procedural factors
0:03
in evaluating a patient for vascular access.
0:06
So let's meet our patient, Ms. G.
0:07
5 00:00:08,620 --> 00:00:09,129 Cool name.
0:09
So, Ms. G is a 56-year-old woman.
0:11
8 00:00:12,610 --> 00:00:14,110 She has a past medical history of type 2
0:14
diabetes, high blood pressure, hyperlipidemia,
0:17
and she's had a little bit of failed medical
0:19
management for the treatment of stenosis.
0:25
So she was evaluated for a renal artery stent
0:27
placement and now sort of arrives at the
0:29
hospital today for her scheduled operation.
0:32
So here we see an MRA, sort of a little
0:35
rendering there, demonstrating the sort of
0:37
perio-stial, juxtaosteal stenosis in this
0:41
patient who has, uh, renal artery stenosis.
0:45
So what are some of the key pieces of
0:47
information in this vignette that we
0:48
want to sort of kind of call to mind?
0:51
So first and foremost, her
0:53
age, extremely important.
0:55
The presence of diabetes, high
0:57
blood pressure, hyperlipidemia.
0:58
These are sort of things that run with
1:01
the concept of atherosclerotic disease
1:03
that may clue us into an etiology.
1:06
The fact that she's failed medical
1:07
management, also very important.
1:09
And now she's being sort of worked up
1:11
for an alternative therapy, okay, after
1:15
the management, which in the setting
1:17
of sort of renal artery stenosis.
1:19
Next level could sort of kind of be
1:21
sort of a renal artery stent placement.
1:22
So very important sort of items to sort of
1:25
highlight in the clinical vignette as we proceed.
1:28
But for us, our purpose is really to
1:29
sort of kind of key us into the pre-
1:32
procedure realm as we move forward.
Interactive Transcript
0:01
So let's talk about the pre-procedural factors
0:03
in evaluating a patient for vascular access.
0:06
So let's meet our patient, Ms. G.
0:07
5 00:00:08,620 --> 00:00:09,129 Cool name.
0:09
So, Ms. G is a 56-year-old woman.
0:11
8 00:00:12,610 --> 00:00:14,110 She has a past medical history of type 2
0:14
diabetes, high blood pressure, hyperlipidemia,
0:17
and she's had a little bit of failed medical
0:19
management for the treatment of stenosis.
0:25
So she was evaluated for a renal artery stent
0:27
placement and now sort of arrives at the
0:29
hospital today for her scheduled operation.
0:32
So here we see an MRA, sort of a little
0:35
rendering there, demonstrating the sort of
0:37
perio-stial, juxtaosteal stenosis in this
0:41
patient who has, uh, renal artery stenosis.
0:45
So what are some of the key pieces of
0:47
information in this vignette that we
0:48
want to sort of kind of call to mind?
0:51
So first and foremost, her
0:53
age, extremely important.
0:55
The presence of diabetes, high
0:57
blood pressure, hyperlipidemia.
0:58
These are sort of things that run with
1:01
the concept of atherosclerotic disease
1:03
that may clue us into an etiology.
1:06
The fact that she's failed medical
1:07
management, also very important.
1:09
And now she's being sort of worked up
1:11
for an alternative therapy, okay, after
1:15
the management, which in the setting
1:17
of sort of renal artery stenosis.
1:19
Next level could sort of kind of be
1:21
sort of a renal artery stent placement.
1:22
So very important sort of items to sort of
1:25
highlight in the clinical vignette as we proceed.
1:28
But for us, our purpose is really to
1:29
sort of kind of key us into the pre-
1:32
procedure realm as we move forward.
Report
Faculty
Mikhail CSS Higgins, MD, MPH
Director, Radiology Medical Student Clerkships; Director, ESIR
Boston University Medical Center
Tags
Vascular Imaging
Vascular
Ultrasound
Interventional
Iatrogenic
Fluoroscopy
Angiography
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