Veidlapa Nr. M-3 (8)
Study Course Description
Transjugular Portosystemic Shunts
Course Code
RIR_036
Branch of Science
Clinical medicine; Roentgenology and Radiology
ECTS
4.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Kārlis Kupčs
Residency Speciality
Speciality
Interventional radiologist
Supervisor of Medical Speciality
Kārlis Kupčs
Contacts
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About Study Course
Objective
Provide the theoretical knowledge and practical skills in the placement of transjugular portosystemic shunts for patients with portal hypertension using interventional radiology techniques for the sub-speciality of interventional radiology.
Learning Outcomes
Knowledge
1.By the end of this course, residents will be familiar with the pathogenesis of chronic liver disease, its clinical manifestations, and minimally invasive treatment options. Radiological diagnosis of liver disease pathology (CT, MR, DSA, MRA, CTA, US). Integration of patient clinical outcomes into the generally accepted classification (Child-Pugh, Meld scales). Residents are familiar with the indications and contraindications of transjugular porto systemic shunts. Importance of direct and indirect portocaval pressure gradient and technical possibilities of measurement. Technologies used in endovascular treatment (stents, stent prostheses). Theoretical foundations of TIPS creation. Indications for drug therapy and the most important drugs used. Knows the complications of the procedure and how to prevent them.
Skills
1.Acquired skills in the placement of transjugular portosystemic shunts for patients with portal hypertension using interventional radiology techniques.
Competences
1.At the end of the course, the resident will be able to apply the acquired theoretical knowledge and practical skills in the diagnosis and treatment of chronic liver diseases, will be aware of possible complications, will be able to diagnose and treat them early.
Assessment
Individual work
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Title
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% from total grade
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Grade
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1.
Individual work |
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Preparation of presentation on TIPS placement and indications, using the recommended literature sources, with their evaluation and analysis in workshops. With the aim of mastering and understanding the problem in depth.
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Examination
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Examination |
-
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-
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2.
Examination |
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-
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Assessment of residents' knowledge includes testing of current knowledge – seminars and practical training (30%), patient analysis (20%), multi-choice tests and clinical situation analysis (50%). Examination of the acquired knowledge with differentiated assessment in a 10-point system.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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On site
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Placement location
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Topics
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TIPS indications and contraindications
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Placement location
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Topics
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TIPS technical aspects and complications
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Total ECTS (Creditpoints):
4.00
Number of Residency Seminars:
2
Length (weeks):
3
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
Additional Reading
1.
Interventional Procedures in Hepatobiliary Diseases An Issue of Clinics in Liver Disease. By Andres Cardenas, MD, MMSc. Elevier, 2015