McLucas Bruce
Department of Obstetrics and Gynecology, University of California-Los Angeles, Los Angeles, California, USA.
J Minim Invasive Gynecol. 2006 Mar-Apr;13(2):155-60. doi: 10.1016/j.jmig.2005.12.008.
To identify skills not part of the training of obstetrician-gynecologists that are needed to perform endovascular procedures, especially uterine artery embolization.
Literature review of known skills necessary to perform endovascular procedures.
Important areas of endovascular skills are as follows. Understanding of the modern C-arm image intensifier is basic to performing endovascular procedures safely for the patient, physician, and others in the procedure room. Many states require physicians to obtain a Fluoroscopy Supervisors Permit when doing such interventions. Arteriotomy begins every endovascular procedure. Physicians must understand catheter manipulation and selection, and the use of microcatheters. An understanding of the pelvic arterial anatomy will help the surgeon identify the uterine arteries. Once in the uterine artery, the surgeon must understand how to successfully embolize the artery. As in any surgery, prevention of complications is important as well as management of complications once they arise.
Obstetrician-gynecologists should plan on devoting a year for the acquisition of skills needed to perform endovascular procedures. Methods of acquiring such skills include simulator training, animal laboratory procedures, and observation of live procedures. Didactic courses will give physicians an overview of endovascular procedures.
确定产科医生-妇科医生培训内容之外的、进行血管内操作（尤其是子宫动脉栓塞术）所需的技能。
对进行血管内操作所需的已知技能进行文献综述。
血管内技能的重要领域如下。了解现代C型臂影像增强器是为患者、医生及手术室内其他人员安全进行血管内操作的基础。许多州要求医生在进行此类干预时获得荧光透视监督许可。每次血管内操作都始于动脉切开术。医生必须了解导管操作与选择以及微导管的使用。了解盆腔动脉解剖结构将有助于外科医生识别子宫动脉。一旦进入子宫动脉，外科医生必须了解如何成功栓塞该动脉。与任何手术一样，预防并发症以及并发症出现后的处理都很重要。
产科医生-妇科医生应计划投入一年时间来掌握进行血管内操作所需的技能。获取此类技能的方法包括模拟器培训、动物实验室操作以及观摩实际操作。理论课程将使医生对血管内操作有一个总体了解。
