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ACR–SIR–SPR PRACTICE PARAMETER FOR THE CREATION OF A TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT (TIPS)

PREAMBLE

I.

INTRODUCTION

II.

INDICATIONS AND CONTRAINDICATIONS

A.

Indications

II.

INDICATIONS AND CONTRAINDICATIONS

B.

Contraindications

II.

INDICATIONS AND CONTRAINDICATIONS

C.

Other Patient Selection Considerations

III.

SUCCESS AND COMPLICATIONS

A.

Measures of Success

III.

SUCCESS AND COMPLICATIONS

B.

Success Rates

III.

SUCCESS AND COMPLICATIONS

C.

Complications

III.

SUCCESS AND COMPLICATIONS

D.

Post-TIPS Surveillance

IV.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

A.

Physician

IV.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

B.

Qualified Medical Physicist

IV.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

C.

Non-Physician Radiology Provider (NPRP)

IV.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

D.

Anesthesiologist

IV.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

E.

Nursing Services

V.

SPECIFICATIONS OF THE EXAMINATION

V.

SPECIFICATIONS OF THE EXAMINATION

A.

Angiographic Equipment and Facilities

V.

SPECIFICATIONS OF THE EXAMINATION

B.

Physiologic Monitoring and Resuscitation Equipment

V.

SPECIFICATIONS OF THE EXAMINATION

C.

Support Personnel

V.

SPECIFICATIONS OF THE EXAMINATION

D.

Surgical Support

V.

SPECIFICATIONS OF THE EXAMINATION

E.

Patient Care

V.

SPECIFICATIONS OF THE EXAMINATION

E.

Patient Care

1.

Preprocedure care

V.

SPECIFICATIONS OF THE EXAMINATION

E.

Patient Care

2.

Procedural Care

V.

SPECIFICATIONS OF THE EXAMINATION

E.

Patient Care

3.

Postprocedure care

VI.

DOCUMENTATION

VII.

RADIATION SAFETY IN IMAGING

VIII.

QUALITY CONTROL AND IMPROVEMENT, SAFETY, INFECTION CONTROL, AND PATIENT EDUCATION

ACKNOWLEDGEMENTS

REFERENCES

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Appendix B