Policy and Position Statements

SIR DISCLAIMER

A primary goal of the Society of Interventional Radiology is ensuring high-quality outcomes and patient safety in vascular and interventional radiology. The clinical practice guidelines of the Society of Interventional Radiology attempt to define practice principles that generally should assist in producing high quality medical care. These guidelines are voluntary and are not rules. A physician may deviate from these guidelines, as necessitated by the individual patient and available resources. These practice guidelines should not be deemed inclusive of all proper methods of care or exclusive of other methods of care that are reasonably directed towards the same result. Other sources of information may be used in conjunction with these principles to produce a process leading to high quality medical care. The ultimate judgment regarding the conduct of any specific procedure or course of management must be made by the physician, who should consider all circumstances relevant to the individual clinical situation. Adherence to the SIR Quality Improvement Program will not assure a successful outcome in every situation. It is prudent to document the rationale for any deviation from the suggested practice guidelines in the department policies and procedure manual or in the patient’s medical record.

1. Endovenous Ablation Position Statement (2004)

2. Guidelines Regarding HIV and Other Bloodborne Pathogens in Vascular/Interventional Radiology
Margaret E. Hansen, Curtis W. Bakal, G. David Dixon, David J. Eschelman, Keith M. Horton, Michael Katz, Eric W. Olcott, and David Sacks
J Vasc Interv Radiol 2003 14: S375-S384.

3. Emergency Interventional Stroke Therapy: A Statement from the American Society of Interventional and Therapeutic Neuroradiology and the Society of Interventional Radiology
J Vasc Interv Radiol 2003 14: S385.

4. Society of Interventional Radiology Position Statement on Radiation Safety
John F. Cardella, Donald L. Miller, Patricia E. Cole, and Curtis A. Lewis
J Vasc Interv Radiol 2003 14: S387.

5. Position Statement on the Use of the Ankle Brachial Index in the Evaluation of Patients with Peripheral Vascular Disease: A Consensus Statement Developed by the Standards Division of the Society of Interventional Radiology
David Sacks, Curtis W. Bakal, Peter T. Beatty, Gary J. Becker, John F. Cardella, Rodney D. Raabe, Harvey M. Wiener, and Curtis A. Lewis
J Vasc Interv Radiol 2003 14: S389.

6. Patient Care and Uterine Artery Embolization for Leiomyomata
R. Torrance Andrews, MD, James B. Spies, MD, David Sacks, MD, Robert L. Worthington-Kirsch, MD, Gerald A. Niedzwiecki, MD, M. Victoria Marx, MD, David M. Hovsepian, MD, Donald L. Miller, MD, Gary P. Siskin, MD, Rodney D. Raabe, MD, Scott C. Goodwin, MD, Robert J. Min, MD, Joseph Bonn, MD, John F. Cardella, MD, and Nilesh H. Patel, MD, for the Task Force on Uterine Artery Embolization and the Standards Division of the Society of Interventional Radiology
J Vasc Interv Radiol 2004; 15:115–120.

7. Simulation Devices in Interventional Radiology: Validation Pending
Derek A. Gould, MD, Jim A. Reekers, MD, David O. Kessel, MD, Nick C. Chalmers, MD, Marc Sapoval, MD, PhD, Aalpen A. Patel, MD, Gary J. Becker, MD, Mick J. Lee, MD, and Luc Stockx, MD
J Vasc Interv Radiol 2006; 17:215-216

8. Society of Interventional Radiology Position Statement on Chemoembolization of Hepatic Malignancies
Daniel B. Brown, MD, Jean-Francois H. Geschwind, MD, Michael C. Soulen, MD, Steven F. Millward, MD, and David Sacks, MD
J Vasc Interv Radiol 2006; 17:217-223

9. SIR Policy on Gainsharing (2006)

10. Intracranial Angioplasty & Stenting For Cerebral Atherosclerosis: A Position Statement of the American Society of Interventional and Therapeutic Neuroradiology, Society of Interventional Radiology, and the American Society of Neuroradiology
Randall T. Higashida, MD, P.M. Meyers, MD, J.J. Connors, MD, David Sacks, MD, C.M. Strother, MD, John D. Barr, MD, Joan C. Wojak, MD, and Gary R. Duckwiler, MD
J Vasc Interv Radiol 2005; 16:1281-1285

11. Society of Interventional Radiology Position Statement: Treatment of Acute Iliofemoral Deep Vein Thrombosis with Use of Adjunctive Catheter-directed Intrathrombus Thrombolysis
Suresh Vedantham, MD, Steven F. Millward, MD, John F. Cardella, MD, Lawrence V. Hofmann, MD, Mahmood K. Razavi, MD, Clement J. Grassi, MD, David Sacks, MD, and Thomas B. Kinney, MD
J Vasc Interv Radiol 2006; 17:613–616

12. Position Statement on Percutaneous Vertebral Augmentation: A consensus statement developed by The American Association of Neurological Surgeons (AANS) and the Congress of Neurological Surgeons (CNS), American College of Radiology (ACR), American Society of Neuroradiology (ASNR), American Society of Spine Radiology (ASSR), Canadian Interventional Radiology Association (CIRA), Society of Interventional Radiology (SIR), and Society of NeuroInterventional Surgery (SNIS).
John D. Barr, MD, Mary E. Jensen, MD, Joshua A. Hirsch, MD, J. Kevin McGraw, MD, Robert M. Barr MD, Allan L. Brook, MD, Philip M. Meyers, MD, Peter L. Munk, MD, Kieran J. Murphy, MD, John E. O’Toole, MD, Peter A. Rasmussen, MD, Timothy C. Ryken, MD, MS, Pina C. Sanelli, MD, Marc S. Schwartzberg, MD, David Seidenwurm MD, Sean M. Tutton, MD, Gregg H. Zoarski, MD, Michael D Kuo, MD, Steven C. Rose, MD, John F. Cardella, MD.
J Vasc Interv Radiol 2014; 25:171-181

13. SIR Policy on Exclusive Contracts and Carve-outs for Interventional Radiology Services
SIR recognizes the practice of exclusive contracting between hospitals and radiology groups for radiology services is long-standing and that such contracts can be mutually beneficial to both parties. However, if the exclusive contract provides a carve-out or excludes interventional radiology services (e.g., peripheral interventions, musculoskeletal interventions, non-invasive testing) so that non-radiologists may perform them, independent practice interventional radiologists with appropriate privileges at the facility should be afforded the same opportunity to provide these services.

14. SIR Policy on Off-Label Use

15. The Role of Clinical Associate Members in the Society of Interventional Radiology
Charles E. Ray, Jr, MD, John A. Kaufman, MD, Brian F. Stainken, MD, and James F. Benenati, MD
J Vasc Interv Radiol 2008; 19:1683

15. Position Statement: The Role of Physician Assistants in Interventional Radiology
Stefanie M. Rosenberg, MS, PA-C, David A. Rosenthal, MHP, PA-C, Dheeraj K. Rajan, MD, Steven F. Millward, MD, Richard A. Baum, MD, James E. Silberzweig, MD, Catherine M. Tuite, MD, and John F. Cardella, MD; with the American Academy of Physician Assistants
J Vasc Interv Radiol 2008; 19:1685-1689

16. Society of Interventional Radiology Position Statement on Percutaneous Radiofrequency Ablation for the Treatment of Liver Tumors
Debra A. Gervais, MD, S. Nahum Goldberg, MD, Daniel B. Brown, MD, Michael C. Soulen, MD, Steven F. Millward, MD, and Dheeraj K. Rajan, MD
J Vasc Interv Radiol 2009; 20:S342-S347

17. Interventional Endovascular Management of Chronic Cerebrospinal Venous Insufficiency in Patients with Multiple Sclerosis: A Position Statement by the Society of Interventional Radiology, Endorsed by the Canadian Interventional Radiology Association
Suresh Vedantham, MD, FSIR, James F. Benenati, MD, FSIR, Sanjoy Kundu, MD, FSIR, Carl M. Black, MD, Kieran J. Murphy, MD, FSIR, and John F. Cardella, MD, FSIR
J Vasc Interv Radiol 2010 14: 1335-1337

18. Global Statement Defining Interventional Radiology
J Vasc Interv Radiol 2010; 21:1147–1149

19. Commentary: We Are IR
John A. Kaufman, MD, MS, and Jim A. Reekers, MD, PhD
J Vasc Interv Radiol 2010; 21:1150–1151

20. Society of Interventional Radiology Position Statement on the Maintenance of Credentials for Image-Guided Interventions
Timothy P. Murphy, MD, Michael D. Kuo, MD, James F. Benenati, MD, Robert G. Dixon, MD, Scott C. Goodwin, MD, Marshall Hicks, MD, Donald L. Miller, MD, Manrita K. Sidhu, MD, James E. Silberzweig, MD, Suresh Vedantham, MD, and John F. Cardella, MD
To be published in JVIR October, 2011

21. Society of Interventional Radiology Position Statement: Prevention of Unintentionally Retained Foreign Bodies during Interventional Radiology Procedures
John D. Statler, MD, Donald L. Miller, MD, Robert G. Dixon, MD, Michael D. Kuo, MD, Alan M. Cohen, MD, James R. Duncan, MD, PhD, Roy L. Gordon, MD, Kathleen Gross, MSN, RN-BC, CRN, Wael E.A. Saad, MD, James E. Silberzweig, MD, Michael S. Stecker, MD, Rajeev Suri, MD, Raymond H. Thornton, MD, and Gabriel Bartal, MD, for the Society of Interventional Radiology Safety and Health Committee
J Vasc Interv Radiol 2011; 22:1561-1562

22. Society of Interventional Radiology Position Statement: Mini Training Courses in Interventional Radiology Techniques
Dheeraj K. Rajan, MD, Mark O. Baerlocher, MD, Steven C. Rose, MD, Stefanie M. Rosenberg, PA, David Sacks, MD, and John F. Cardella, MD
J Vasc Interv Radiol 2012; 23:165-166

23. Society of Interventional Radiology Position Statement on Injection Safety: Improper Use of Single-dose/Single-use Vials
James E. Silberzweig, MD, Azita S. Khorsandi, MD, Robert G. Dixon, MD, Kathleen Gross, MSN, RN-BC, CRN, and Boris Nikolic, MD, MBA
J Vasc Interv Radiol 2013; 24:111-112

24. Society of Interventional Radiology Position Statement on Recent Change to the ASA’s Moderate Sedation Standards: Capnography
Mark Otto Baerlocher, MD, Boris Nikolic, MD, MBA, James Silberzweig, MD, Thomas Kinney, MD, Michael D. Kuo, MD and Steven C. Rose, MD. J Vasc Interv Radiol 2013; 24:939-940

25. Society of Interventional Radiology Position Statement: Prostate Artery Embolization for Treatment of Benign Disease of the Prostate
Justin P. McWilliams, Michael D. Kuo, Steven C. Rose, Sandeep Bagla, Drew M. Caplin, Emil I. Cohen, Salomao Faintuch, James B. Spies, Wael E. Saad, Boris Nikolic
J Vasc Interv Radiol 2014; 25:1349–1351 (JVIR)