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Croatia and Interventional Radiology

Croatia and Interventional Radiology. Asst . Prof. Vinko Vidjak MD, PhD Clinical Hospital Merkur Zagreb, Croatia. IR in Croatia, Turkey, Antalya 19-22 March 2014. Inhabitants : 4.3 mill. CRO = HR Croatia = Hrvatska. IR in Croatia, Turkey, Antalya 19-22 March 2014. Nikola Tesla.

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Croatia and Interventional Radiology

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  1. Croatia and Interventional Radiology Asst. Prof. VinkoVidjak MD, PhD ClinicalHospital Merkur Zagreb, Croatia

  2. IR in Croatia, Turkey, Antalya 19-22 March 2014 Inhabitants: 4.3 mill CRO = HR Croatia = Hrvatska

  3. IR in Croatia, Turkey, Antalya 19-22 March 2014 • Nikola Tesla • Tesla = Weber/m²

  4. IR in Croatia, Turkey, Antalya 19-22 March 2014 • Nikola Tesla • Tesla = Weber/m²

  5. IR in Croatia, Turkey, Antalya 19-22 March 2014 Science and Education in Croatia?

  6. IR in Croatia, Turkey, Antalya 19-22 March 2014

  7. IR in Croatia, Turkey, Antalya 19-22 March 2014

  8. IR in Croatia, Turkey, Antalya 19-22 March 2014 Radiology education and mentorship?

  9. IR in Croatia, Turkey, Antalya 19-22 March 2014 Radiology education and mentorship? • 4 University Centers

  10. IR in Croatia, Turkey, Antalya 19-22 March 2014 Radiology education and mentorship? • 4 University Centers • Residency programme harmonised with UEMS/ESR training curriculum

  11. IR in Croatia, Turkey, Antalya 19-22 March 2014 Radiology education and mentorship? • 4 University Centers • Residency programme harmonised with UEMS/ESR training curriculum • Oral and practical board exams

  12. IR in Croatia, Turkey, Antalya 19-22 March 2014 Radiology education and mentorship? • 4 University Centers • Residency programme harmonised with UEMS/ESR training curriculum • Oral and practical board exams • Committee consisting of three examiners

  13. IR in Croatia, Turkey, Antalya 19-22 March 2014 Croatian Society of Radiology 316 radiologists + 64 radiology residents 4.4 mill inhabitants: 1 radiologist per 14.000 inhabitants incl residents 1: 11.600 inhabitants 1200 radiographers

  14. IR in Croatia, Turkey, Antalya 19-22 March 2014

  15. IR in Croatia, Turkey, Antalya 19-22 March 2014 Section of Interventional Radiology- Croatia – sIRcro • Officially since 2000.g. • Unofficially since 1990.g.

  16. IR in Croatia, Turkey, Antalya 19-22 March 2014 Section of Interventional Radiology- Croatia – sIRcro • Officially since 2000.g. • Unofficially since 1990.g. • Regular Meetings with International Parcitipation every 2 years since 1986. • Cooperation with Slovenia, Austria, Hungary

  17. IR in Croatia, Turkey, Antalya 19-22 March 2014 Section of Interventional Radiology- Croatia – sIRcro • Officially since 2000.g. • Unofficially since 1990.g. • Regular Meetings with International Parcitipation every 2 years since 1986. • Cooperation with Slovenia, Austria, Hungary • CIRSE Group Member since 2010

  18. IR in Croatia, Turkey, Antalya 19-22 March 2014 Section of Interventional Radiology – today • 41 radiologists + 7 radiology residents • Most radiologists or smaller procedures (punction, drainage) under US control, diagnostic angiography,..

  19. IR in Croatia, Turkey, Antalya 19-22 March 2014 Section of Interventional Radiology – today • 41 radiologists + 7 radiology residents • Most radiologists for smaller procedures (punction, drainage) under US control, diagnostic angiography,.. • Significantangiotherapeuticprocedures • Neuroradiologicinterventions • EVAR, TIPS, CAS, BTK, tmembolisation, ..

  20. IR in Croatia, Turkey, Antalya 19-22 March 2014 Section of Interventional Radiology – today • 41 radiologists + 7 radiology residents • Most (41 radiologists) for smaller procedures (punction, drainage) under US control, diagnostic angiography,.. • Significantangiotherapeuticprocedures • Neuroradiologicinterventions • EVAR, TIPS, CAS, BTK, tmembolisation, .. • - 8 cath labs

  21. IR in Croatia, Turkey, Antalya 19-22 March 2014 Section of Interventional Radiology – today • 41 radiologists + 7 radiology residents • Most (41 radiologists) for smaller procedures (punction, drainage) under US control, diagnostic angiography,.. • Significantangiotherapeuticprocedures • Neuroradiologicinterventions • EVAR, TIPS, CAS, BTK, tmembolisation, .. • - 8 cath labs - 2 cath labs

  22. IR in Croatia, Turkey, Antalya 19-22 March 2014 Section of Interventional Radiology – today • 41 radiologists + 7 radiology residents • Most (41 radiologists) for smaller procedures (punction, drainage) under US control, diagnostic angiography,.. • Significantangiotherapeuticprocedures • Neuroradiologicinterventions • EVAR, TIPS, CAS, BTK, tmembolisation, .. • - 8 cath labs - 2 cath labs • - 4 cath labs

  23. IR in Croatia, Turkey, Antalya 19-22 March 2014

  24. IR in Croatia, Turkey, Antalya 19-22 March 2014 Interventional Radiology – training

  25. IR in Croatia, Turkey, Antalya 19-22 March 2014 Interventional Radiology – training • Subspecialisation of radiology (general radiology+2 years)

  26. IR in Croatia, Turkey, Antalya 19-22 March 2014 Interventional Radiology – training • Subspecialisation of radiology (general radiology+2 years) • Subspecialty exam since 2000 (IR, NR, UZV)

  27. IR in Croatia, Turkey, Antalya 19-22 March 2014 Interventional Radiology – training • Subspecialisation of radiology (general radiology+2 years) • Subspecialty exam since 2000 (IR, NR, UZV) PROGRAM • 5 months on nonradiologyclinicaldepartments (vasc.,abd.,thorac.,urorad./surgeryandoncol) • 9 months on vascular IR procedures • 8 monthsnonvascularIR procedures

  28. IR in Croatia, Turkey, Antalya 19-22 March 2014 Interventional Radiology – training • Subspecialisation of radiology (general radiology+2 years) • Subspecialty exam since 2000 (IR, NR, UZV) PROGRAM • 5 months on nonradiologyclinicaldepartments (vasc.,abd.,thorac.,urorad./surgeryandoncol) • 9 months on vascular IR procedures • 8 monthsnonvascularIR procedures • Oral and practical board exams

  29. IR in Croatia, Turkey, Antalya 19-22 March 2014 Interventional Radiology -training

  30. IR in Croatia, Turkey, Antalya 19-22 March 2014 Interventional Radiology -training • PROGRAM • Nr of procedure and….. • vascular IR… • PTA (30), stents (20), EVAR (ass),…. • TIPSS (10 ass, 2 alone),…… • non vascular IR • US guided drenaige (40), US guided biopsy (30)…

  31. IR in Croatia, Turkey, Antalya 19-22 March 2014 IR experience …………….

  32. IR in Croatia, Turkey, Antalya 19-22 March 2014 IR experience ……………. (… two institutions) 2009.g : • 1550 hospital beds • Annualy more than 1.100 angio therapeutic procedures • Type of procedures: • PAD (pta/stenting), PTA/stenting on other arteries, CAS, EVAR, embolisations, reocclusive technics (mechanical, aspiration thrombectomy, thrombolysis),interventional oncology (TACE, RFA...) billiary, urogenital, digestive interventions, CT controlled interventions,....

  33. IR in Croatia, Turkey, Antalya 19-22 March 2014 IR experience Procedures graph (… two institutions) 2009.g.: vascular interventionspts • EVAR / TEVAR 32 • CAS 43 • PTA / stenting SFA 206 • PTA / iliac artery stenting 140 • BTK 84 • Mechanical thrombectomy 15 • Embolisation 90

  34. IR in Croatia, Turkey, Antalya 19-22 March 2014 IR experience Procedures graph (… two institutions) 2009.g.: nonvascularinterventionspts • Billiary 80 • Urogenital 30 • Esophageal 20 • CT / US drainage 150

  35. IR in Croatia, Turkey, Antalya 19-22 March 2014 Clinical Hospital Merkur – Zagreb Associate Professor Vinko Vidjak, MD, PhD • IR experience • More than 800 (angio therapeutic + diagnostic) procedures anually • Treatment types: PAD (pta/stent), PTA/stent on other arteries, subintim rec., CAS, EVAR, BTK, embolisation, reocclusive techniques (mechanical, aspiration thrombectomy, TIPSS, (thrombolysis), billiary, urogenital, digestive interventions, CTguided drainage,....

  36. IR in Croatia, Turkey, Antalya 19-22 March 2014 Clinical Hospital Merkur – Zagreb Associate Professor Vinko Vidjak, MD, PhD - IR subspecialization mentorship - Ambulatory IR consultations • IR experience • More than 800 (angio therapeutic + diagnostic) procedures anually • Treatment types: PAD (pta/stent), PTA/stent on other arteries, subintim rec., CAS, EVAR, BTK, embolisation, reocclusive techniques (mechanical, aspiration thrombectomy, TIPSS, (thrombolysis), billiary, urogenital, digestive interventions, CTguided drainage,....

  37. IR in Croatia, Turkey, Antalya 19-22 March 2014 Clinical Hospital Merkur – Zagreb Associate Professor Vinko Vidjak, MD, PhD - IR subspecialization mentorship - Ambulatory IR consultations • IR experience • More than 800 angio therapeutic + diagnostic procedures anually • Treatment types: PAD (pta/stent), PTA/stent on other arteries, subintim rec., CAS, EVAR, BTK, embolisation, reocclusive techniques (mechanical, aspiration thrombectomy, TIPSS, (thrombolysis), billiary, urogenital, digestive interventions, CTguided drainage,....

  38. IR in Croatia, Turkey, Antalya 19-22 March 2014 Experience in organization of IR meetings?

  39. IR in Croatia, Turkey, Antalya 19-22 March 2014 VII. Meeting of Croatian Interventional Radiologists with International Participation • sIRcro 2009 Lectures: 80 Lecturers: 57 Participants: 240 Clinical Faculty Okan Akhan Firas Al-Ali Massimiliano Fusaro Antonin Krajina Robert Morgan Zoran Milošević Andrej Schmidt Luc Stockx István Szikora Renan Uflacker Christof Zollickoffer .........

  40. IR in Croatia, Turkey, Antalya 19-22 March 2014 VII. Meeting of Croatian Interventional Radiologists with International Participation • sIRcro 2009 Moto: bringing IR closer to clinitians Lectures: 80 Lecturers: 57 Participants: 240 Clinical Faculty Okan Akhan Firas Al-Ali Massimiliano Fusaro Antonin Krajina Robert Morgan Zoran Milošević Andrej Schmidt Luc Stockx István Szikora Renan Uflacker Christof Zollickoffer .........

  41. IR in Croatia, Turkey, Antalya 19-22 March 2014 VIII. Meeting of Croatian Interventional Radiologists with International Participation sIRcro 2011 International Clinical Faculty Jan Raupach Istvan Battyany Pavel Berden Tomaž Ključevšek Karl-Ludwig Schulte Markus Graf Maria Schoder Dimitrij Kuhelj Andrej Schmidt Zoran Milošević …………… Lectures: 85 Lecturers: 60 Participants: 230

  42. IR in Croatia, Turkey, Antalya 19-22 March 2014 VIII. Meeting of Croatian Interventional Radiologists with International Participation sIRcro 2011 Moto: bringing IR closer to young radiologists International Clinical Faculty Jan Raupach Istvan Battyany Pavel Berden Tomaž Ključevšek Karl-Ludwig Schulte Markus Graf Maria Schoder Dimitrij Kuhelj Andrej Schmidt Zoran Milošević …………… Lectures: 85 Lecturers: 60 Participants: 230

  43. IR in Croatia, Turkey, Antalya 19-22 March 2014 IX. Meeting of Interventional Radiologists of Croatiawith international participation sIRcro 2013 International Clinical Faculty Andrej Schmidt , Leipzig Hart Zentrum, Germany Jan Raupach, Hradec Králové, The Czech Republic Okan Akhan, Ankara, Turkey Marco Manzi , Abano Terme, Padua, Italy Firas Al Ali , Kalamazoo, USA Zoran Milošević , KBC Ljubljana, Slovenia Antonin Krajina , Hredec Kralove, Czech Republic Raman Uberoi , Oxford, Great Britain Istvan Battany , KB Pesch, Hungary Lectures: 90 Lecturers: 70 Participants: 270

  44. IR in Croatia, Turkey, Antalya 19-22 March 2014 IX. Meeting of Interventional Radiologists of Croatiawith international participation sIRcro 2013 Moto: hot topics in IR International Clinical Faculty Andrej Schmidt , Leipzig Hart Zentrum, Germany Jan Raupach, Hradec Králové, The Czech Republic Okan Akhan, Ankara, Turkey Marco Manzi , Abano Terme, Padua, Italy Firas Al Ali , Kalamazoo, USA Zoran Milošević , KBC Ljubljana, Slovenia Antonin Krajina , Hredec Kralove, Czech Republic Raman Uberoi , Oxford, Great Britain Istvan Battany , KB Pesch, Hungary Lectures: 90 Lecturers: 70 Participants: 270

  45. AVS 2010

  46. IR in Croatia, Turkey, Antalya 19-22 March 2014

  47. IR in Croatia, Turkey, Antalya 19-22 March 2014 Modul education: I Carotid artery, II Femoral and SFA III BTK from 2010 part of Crossroads "Centers of exellence"

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