{"title":"The Money Side: Billing, Coding, Reimbursement, Costs, and Marketing","authors":"Timothy Yates , Paul Rotolo , Yolanda Bryce","doi":"10.1016/j.tvir.2022.100859","DOIUrl":"10.1016/j.tvir.2022.100859","url":null,"abstract":"<div><p>Billing, coding, reimbursement, costs, and marketing for a vascular lab (VL) may seem daunting. This article simplifies monetary aspects of setting up and running a successful VL so that they are less complex. In setting up the vascular lab (VL), there is a lot to consider regarding money. Many are not savvy in this respect; however key knowledge is needed to start up a successful VL. This article aims to simply describe some factors and ideas regarding money and the promotion to increase financial return.</p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"25 4","pages":"Article 100859"},"PeriodicalIF":1.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40696271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bringing the Vascular Lab Inside the Procedure Room","authors":"Jill Sommerset , Abigail Mize , Paige Mebus , Mary Costantino","doi":"10.1016/j.tvir.2022.100861","DOIUrl":"10.1016/j.tvir.2022.100861","url":null,"abstract":"<div><p>The advantages of the vascular lab (VL) are a specialized knowledgeable team and a dedicated equipment which is transferrable to the procedure room to facilitate the procedure and gather information about the procedure endpoints. In this article, Registered Vascular Technologists (RVT) from various institutions discuss the basic and the complex ways the VL can be used inside a procedure room. The advantages of the vascular lab (VL) are a specialized knowledgeable team and dedicated equipment which is transferrable to the procedure room to facilitate the procedure and gather information about procedure endpoints. Such expertise may improve imaging guided access, enable complicated lesion crossing, and provide information about the success of the procedure. Below are the reports from practicing registered vascular technologists at the forefront of patient vascular care within institutions that have adopted the mobile intraprocedural VL idea in basic and complex real-world ways.</p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"25 4","pages":"Article 100861"},"PeriodicalIF":1.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40697183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Corrigendum to Review of the Korean Society of Interventional Radiology and European Thyroid Association Guidelines Regarding the Role of Radiofrequency Ablation for Benign and Malignant Thyroid Tumors. [Techniques in Vascular and Interventional Radiology 25/2 (2022) 100817]","authors":"Timothy C. Huber MD","doi":"10.1016/j.tvir.2022.100852","DOIUrl":"10.1016/j.tvir.2022.100852","url":null,"abstract":"","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"25 4","pages":"Article 100852"},"PeriodicalIF":1.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1089251622000580/pdfft?md5=739072df20c867139325e343b46a5b34&pid=1-s2.0-S1089251622000580-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40696267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Report Automation","authors":"Krishna Juluru , Pierre Elnajjar","doi":"10.1016/j.tvir.2022.100860","DOIUrl":"10.1016/j.tvir.2022.100860","url":null,"abstract":"<div><p>A vascular lab procedure culminates in a diagnostic report that is a combination of the data generated on the vascular lab equipment, physician interpretations, and recommendations. The transcription process can be error prone and inefficient. Computerized capture of data from the equipment and transmission into a reporting system is the definition of “automation” in this article. In this article, we describe an organized approach to collecting data generated on vascular lab equipment and delivering to reporting systems to decrease error and improve efficiency.</p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"25 4","pages":"Article 100860"},"PeriodicalIF":1.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40696272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Akshaar Brahmbhatt MD, RPVI , Yolanda Bryce MD, RPVI , Muhammad Hasan , Costantino Pena MD
{"title":"Arterial Evaluation","authors":"Akshaar Brahmbhatt MD, RPVI , Yolanda Bryce MD, RPVI , Muhammad Hasan , Costantino Pena MD","doi":"10.1016/j.tvir.2022.100866","DOIUrl":"10.1016/j.tvir.2022.100866","url":null,"abstract":"<div><p><span><span>The vascular lab (VL) is a powerful tool in diagnosing arterial disease<span>, including peripheral and aortic disease, which is cornerstone of many VLs. This article discusses the indications, protocol, and diagnostic criteria of noninvasive testing for </span></span>peripheral arterial disease<span> and contrast enhanced ultrasound after endovascular repair of </span></span>aortic aneurysm.</p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"25 4","pages":"Article 100866"},"PeriodicalIF":1.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40696269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Venous Evaluation","authors":"Akshaar Brahmbhatt MD, RPVI, Benjamin Stacey RVT, Jessica Boxer RVT, Yolanda Bryce MD, RPVI","doi":"10.1016/j.tvir.2022.100865","DOIUrl":"10.1016/j.tvir.2022.100865","url":null,"abstract":"<div><p>The vascular lab (VL) provides unequalled information regarding venous disease<span> especially in the depiction and characterization of venous waveforms. This article provides the indications, protocol, and diagnostic criteria for peripheral and central venous disease and venous mapping. Venous evaluation is one of the most common studies performed at vascular labs (VL). Patient may present with swelling for evaluation of thrombosis, central obstruction, or venous insufficiency, or may need preoperative planning prior to a bypass or dialysis access creation. It is my hope that the added value a VL brings to the sonographic evaluation of veins, beyond the compressibility of the veins, is the utmost respect and attention to the depiction and characterization of the venous waveform.</span></p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"25 4","pages":"Article 100865"},"PeriodicalIF":1.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9650774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brian Schiro MD, RPVI , Muhammad Hasan MBBS, RVT , Yolanda Bryce MD, RPVI , Costantino Peña MD
{"title":"Intracranial and Extracranial Evaluation","authors":"Brian Schiro MD, RPVI , Muhammad Hasan MBBS, RVT , Yolanda Bryce MD, RPVI , Costantino Peña MD","doi":"10.1016/j.tvir.2022.100862","DOIUrl":"10.1016/j.tvir.2022.100862","url":null,"abstract":"<div><p><span>The vascular lab is an essential tool in diagnosing intracranial and extracranial disease including vasospasm<span> from subarachnoid hemorrhage and </span></span>carotid artery<span><span> stenosis in the setting of stroke or transient ischemic attack. This article discusses the indications, protocol, and diagnostic criteria for </span>transcranial doppler (TCD) and carotid artery duplex ultrasound. Intracranial and extracranial arterial testing by way of TCD and carotid imaging carries enormous implications and can provide life or death information. The learning curve for these techniques is steep but can be mastered with repetition and precise technique.</span></p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"25 4","pages":"Article 100862"},"PeriodicalIF":1.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9732244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dialysis Access Evaluation","authors":"Akshaar Brahmbhatt MD, RPVI, Yolanda Bryce MD, RPVI","doi":"10.1016/j.tvir.2022.100864","DOIUrl":"10.1016/j.tvir.2022.100864","url":null,"abstract":"<div><p><span>The vascular lab (VL) provides vital information for dialysis access to guide management. This article discusses the indication, protocol, and diagnostic criteria for the evaluation of arteriovenous fistulas and grafts. An arteriovenous (AV) dialysis access is made by creating a connection between an artery and vein (AV fistula [AVF]) or by interposing a conduit between an artery and a vein (AV graft [AVG]) to provide high flow circuit for </span>hemodialysis. A normal mature AV dialysis access has a thrill or vibration from turbulent flow in the graft or vein. The nomenclatures at our institution for an AVF and AVG are in the Figure 1 A and B diagrams.</p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"25 4","pages":"Article 100864"},"PeriodicalIF":1.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9732242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Getting started: Space, Equipment, Policy and Procedure, Structured Reporting, and Personnel","authors":"Benjamin Stacey , Jessica Boxer , Yolanda Bryce","doi":"10.1016/j.tvir.2022.100857","DOIUrl":"10.1016/j.tvir.2022.100857","url":null,"abstract":"<div><p>Setting up a vascular lab (VL) requires initial substantial capital, personnel, real-estate, and time commitment and requires support from leadership and champions. There are certain tangible building blocks for a successful VL. The more time and effort that are leant to these foundational components, the better the VL will operate. This article will discuss the preliminary measures that need to be in place for a successful VL. This article describes space, equipment, policy and procedure, structured reporting, and personnel – the tangible building blocks for a successful VL that needs advanced planning and implementation.</p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"25 4","pages":"Article 100857"},"PeriodicalIF":1.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40697182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Denzel A. Cole MD , Bradley R. Fox MD , Constantino S. Peña MD
{"title":"The Role of Imaging in Peripheral Interventions","authors":"Denzel A. Cole MD , Bradley R. Fox MD , Constantino S. Peña MD","doi":"10.1016/j.tvir.2022.100836","DOIUrl":"10.1016/j.tvir.2022.100836","url":null,"abstract":"<div><p><span>Patient evaluation is critical to identify and quantitate patient's disease. Aside from the patient's history and physical examination, imaging can help confirm and determine the extent of disease. Imaging can aid in treatment planning once the decision to proceed to intervention has been made. This chapter will discuss the role of imaging before and after peripheral arterial interventions and how it may improve intervention outcomes. It will discuss the value of the arterial noninvasive examinations (ankle-brachial index, toe-brachial index, pulse volume recordings, and arterial duplex ultrasound), computed tomographic angiograms, magnetic resonance angiogram, and </span>intravascular ultrasound.</p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"25 3","pages":"Article 100836"},"PeriodicalIF":1.7,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40608616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}