1. |
Preoperative check |
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• Understanding symptoms due to lesions |
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• Other required diagnostic investigation and imaging |
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• Indications for endovascular treatment (w/o egoistic bias) |
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• Possible risk of complications |
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• Risk-benefit assessment |
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• Validity of treatments from economic and social points of view |
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• Informed consent |
2. |
Planning of strategy |
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• Anatomical understanding of radiological images |
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• Approaches to simulation and design |
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• Selection of devices and materials |
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• Setting treatment goals |
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• Prediction of difficulties |
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• Risk management |
3. |
Operative technique |
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• Gentle and meticulous catheterization |
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• Proper selection and handling of materials |
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• Adequate application of supplementary methods and images |
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• Alertness to changes in images |
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• Decision making as to the last point of procedure |
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• Troubleshooting |
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• Careful attention to the patient’s condition |
4. |
Postoperative care |
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• Neurological and vital checks |
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• Additional medical treatments (antiplatelet, BP control, etc. |
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• Postoperative imaging to check for complications |
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• Treatment for delayed complications |
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• Psychosomatic care |
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• Follow-up schedule |
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• Possibility of recurrence |
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• Decision making for retreatment |