Quality Improvement Documents

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. Guidelines for Establishing a Quality Improvement Program in Interventional Radiology
Joseph R. Steele, Michael J. Wallace, David M. Hovsepian, Brent C. James, Sanjoy Kundu, Donald L. Miller, Steven C. Rose, David Sacks, Samir S. Shah, John F. Cardella
J Vasc Interv Radiol 2010  21: 617-625

2. Guidelines for Percutaneous Transluminal Angioplasty
J Vasc Interv Radiol 2003 14: S209-S217.

3. Angioplasty Standard of Practice
James B. Spies, Curtis W. Bakal, Dana R. Burke, John F. Cardella, Alain Drooz, Michael E. Edwards, James W. Husted, Aubrey M. Palestrant, Michael J. Pentecost, Anne C. Roberts, William F. Rogers, Millard C. Spencer, and Phillip J. Weyman
J Vasc Interv Radiol 2003 14: S219-S221.

4. Quality Improvement Guidelines for Percutaneous Drainage/Aspiration of Abscess and Fluid Collections
Michael J. Wallace, Kenneth W. Chin, Thomas B. Fletcher, Curtis W. Bakal, John F. Cardella, Clement J. Grassi, John D. Grizzard, Alan D. Kaye, David C. Kushner, Paul A. Larson, Lawrence A. Liebscher, Patrick R. Luers, Matthew A. Mauro, Sanjoy Kundu
J Vasc Interv Radiol 2010  21: 431-435

5. Quality Improvement Guidelines for Percutaneous Needle Biopsy
Sanjay Gupta, Michael J. Wallace, John F. Cardella, Sanjoy Kundu, Donald L. Miller, Steven C. Rose
J Vasc Interv Radiol 2010 21: 969-975 

6. Quality Improvement Guidelines for Central Venous Access
Sean R. Dariushnia, Michael J. Wallace, Nasir H. Siddiqi, Richard B. Towbin, Joan C. Wojak, Sanjoy Kundu, John F. Cardella
J Vasc Interv Radiol 2010 21:976-981

7. Quality Improvement Guidelines for Percutaneous Transcatheter Embolization: Society of Interventional Radiology Standards of Practice Committee
John F. Angle, Nasir H. Siddiqi, Michael J. Wallace, Sanjoy Kundu, LeAnn Stokes, Joan C. Wojak, John F. Cardella
Volume 21, Issue 10, Pages 1479-1486

8. Quality Improvement Guidelines for Percutaneous Transhepatic Cholangiography, Biliary Drainage, and Percutaneous Cholecystostomy , 22 March 2010
Wael E.A. Saad, Michael J. Wallace, Joan C. Wojak, Sanjoy Kundu, John F. Cardella
J Vasc Interv Radiol 2010 21:789-795

9. Quality Improvement Guidelines for Percutaneous Management of the Thrombosed or Dysfunctional Dialysis Access
John E. Aruny, Curtis A. Lewis, John F. Cardella, Patricia E. Cole, Andrew Davis, Alain T. Drooz, Clement J. Grassi, Richard J. Gray, James W. Husted, Michael Todd Jones, Timothy C. McCowan, Steven G. Meranze, A. Van Moore, Calvin D. Neithamer, Steven B. Oglevie, Reed A. Omary, Nilesh H. Patel, Kenneth S. Rholl, Anne C. Roberts, David Sacks, Orestes Sanchez, Mark I. Silverstein, Harjit Singh, Timothy L. Swan, Richard B. Towbin, Scott O. Trerotola, and Curtis W. Bakal
J Vasc Interv Radiol 2003 14: S247-S253.

10. Quality Improvement for Diagnostic Neuroangiography and Other Procedures
Curtis W. Bakal
J Vasc Interv Radiol 2003 14: S255-S256.

11. Quality Improvement Guidelines for Adult Diagnostic Neuroangiography: Cooperative Study between ASITN, ASNR, and SIR
Steven J. Citron, Robert C. Wallace, Curtis A. Lewis, Robert C. Dawson, Jacques E. Dion, Allan J. Fox, James V. Manzione, Cynthia S. Payne, Frank J. Rivera, Eric J. Russell, David Sacks, Wayne F. Yakes, and Curtis W. Bakal
J Vasc Interv Radiol 2003 14: S257-S261.

12. Clinical Practice Guidelines for Endovascular Abdominal Aortic Aneurysm Repair: Written by the Standards of Practice Committee for the Society of Interventional Radiology and Endorsed by the Cardiovascular and Interventional Radiological Society of Europe and the Canadian Interventional Radiology Association, 29 September 2010
T. Gregory Walker, Sanjeeva P. Kalva, Kalpana Yeddula, Stephan Wicky, Sanjoy Kundu, Peter Drescher, B. Janne d'Othee, Steven C. Rose, John F. Cardella
Volume 21, Issue 11, Pages 1632-1655

13. Quality Improvement Guidelines for Transjugular Intrahepatic Portosystemic Shunts
Ziv J. Haskal, Louis Martin, John F. Cardella, Patricia E. Cole, Alain Drooz, Clement J. Grassi, Timothy C. McCowan, Steven G. Meranze, Calvin D. Neithamer, Steven B. Oglevie, Anne C. Roberts, David Sacks, Mark I. Silverstein, Timothy L. Swan, Richard B. Towbin, and Curtis A. Lewis
J Vasc Interv Radiol 2003 14: S265-S270.

14. Quality Improvement Guidelines for the Performance of Inferior Vena Cava Filter Placement for the Prevention of Pulmonary Embolism
Drew M. Caplin, MD, Boris Nikolic, MD, MBA, Sanjeeva P. Kalva, MD, Suvranu Ganguli, MD, Wael E.A. Saad, MD, and Darryl A. Zuckerman, MD, for the Society of Interventional Radiology Standards of Practice Committee
J Vasc Interv Radiol 2011; 22:1499-1506

15. Quality Improvement Guidelines for Percutaneous Nephrostomy
Parvati Ramchandani, John F. Cardella, Clement J. Grassi, Anne C. Roberts, David Sacks, Marc S. Schwartzberg, and Curtis A. Lewis
J Vasc Interv Radiol 2003 14: S277-S281.

16. Quality Improvement Guidelines for Diagnostic Arteriography
Harjit Singh, John F. Cardella, Patricia E. Cole, Clement J. Grassi, Timothy C. McCowan, Timothy L. Swan, David Sacks, and Curtis A. Lewis
J Vasc Interv Radiol 2003 14: S283-S288.

17. Quality Improvement Guidelines for Diagnostic Infusion Venography
Daniel B. Brown, Harjit Singh, John F. Cardella, John E. Aruny, Patricia E. Cole, Steven B. Oglevie, Reed A. Omary, Nilesh H. Patel, Kenneth S. Rholl, David Sacks, Timothy L. Swan, and Curtis A. Lewis
J Vasc Interv Radiol 2003 14: S289-S292.

18. Quality Improvement Guidelines for the Reporting and Archiving of Interventional Radiology Procedures
Reed A. Omary, Michael A. Bettmann, John F. Cardella, Curtis W. Bakal, Mark S. Schwartzberg, David Sacks, Kenneth S. Rholl, Steven G. Meranze, and Curtis A. Lewis
J Vasc Interv Radiol 2003 14: S293-S295.

19. Quality Improvement Guidelines for Angiography, Angioplasty, and Stent Placement for the Diagnosis and Treatment of Renal Artery Stenosis in Adults
Louis G. Martin, John H. Rundback, Michael J. Wallace, John F. Cardella, John F. Angle, Sanjoy Kundu, Donald L. Miller, Joan C. Wojak
J Vasc Interv Radiol 2010 21:421-430

20. Quality Improvement Guidelines for Percutaneous Vertebroplasty
Mark O. Baerlocher, MD, Wael E Saad, MD, Sean Dariushnia, MD, John D. Barr, MD, J Kevin McGraw, MD, Boris Nikolic, MD, MBA, for the Society of Interventional Radiology Standards of Practice Committee
J Vasc Interv Radiol 2014: 25: 165-170.

21. Carotid Artery Angioplasty and Stent Placement: Quality Improvement Guidelines to Ensure Stroke Risk Reduction
John J. Connors, III, David Sacks, Gary J. Becker, and John D. Barr
J Vasc Interv Radiol 2003 14: S317-S319.

22. Quality Improvement Guidelines for the Performance of Cervical Carotid Angioplasty and Stent Placement: Developed by a Collaborative Panel of the American Society of Interventional and Therapeutic Neuroradiology, the American Society of Neuroradiology, and the Society of Interventional Radiology
John D. Barr, John J. Connors, III, David Sacks, Joan C. Wojak, Gary J. Becker, John F. Cardella, Bohdan Chopko, Jacques E. Dion, Allan J. Fox, Randall T. Higashida, Robert W. Hurst, Curtis A. Lewis, Terence A.S. Matalon, Gary M. Nesbit, J. Arliss Pollock, Eric J. Russell, David J. Seidenwurm, and Robert C. Wallace
J Vasc Interv Radiol 2003 14: S321-S335.

23. Quality Improvement Guidelines for Uterine Artery Embolization for Symptomatic Leiomyomas
LeAnn S. Stokes, Michael J. Wallace, Robbie B. Godwin, Sanjoy Kundu, John F. Cardella
J Vasc Interv Radiol 2010 21:1153-1163 

24. Quality Improvement Guidelines for Percutaneous Management of Acute Lower Extremity Ischemia
Nilesh H. Patel, MD, Venkataramu N. Krishnamurthy, Stanley Kim, MD, Boris Nikolic, MD, MBA, Wael E. Saad, MD, Suvranu Ganguli, MD, T. Gregory Walker, MD for the CIRSE and SIR Standards of Practice Committees
J Vasc Interv Radiol 2013: 24: 3-15.

25. Quality Improvement Guidelines for Transhepatic Arterial Chemoembolization, Embolization, and Chemotherapeutic Infusion for Hepatic Malignancy
Daniel B. Brown, MD, Boris Nikolic, MD, MBA, Anne M. Covey MD, Charles W. Nutting, DO, Wael A. Saad, MD, Riad Salem, MD, MBA, Constantinos T. Sofocleous, MD, PhD, Daniel Y. Sze, MD, PhD.
J Vasc Interv Radiol 2012; 23:287-294

26. Quality Improvement Guidelines for the Treatment of Lower Extremity Deep Vein Thrombosis with Use of Endovascular Thrombus Removal
Suresh Vedantham, MD, Patricia E. Thorpe, MD, John F. Cardella, MD, Chair, Clement J. Grassi, MD, Nilesh H. Patel, MD, Hector Ferral, MD, Lawrence V. Hofmann, MD, Bertrand M. Janne d'Othee, MD, Vittorio P. Antonaci, MD, Elias N. Brountzos, MD, Daniel B. Brown, MD, Louis G. Martin, MD, Alan H. Matsumoto, MD, Steven G. Meranze, MD, Donald L. Miller, MD, Steven F. Millward, MD, Robert J. Min, MD, Calvin D. Neithamer Jr., MD, Dheeraj K. Rajan, MD, Kenneth S. Rholl, MD, Marc S. Schwartzberg, MD, Timothy L. Swan, MD, Richard B. Towbin, MD, Bret N. Wiechmann, MD, and David Sacks, MD, for the CIRSE and SIR Standards of Practice Committees
J Vasc Interv Radiol 2006; 17:435-448

27. Consensus Guidelines for Periprocedural Management of Coagulation Status and Hemostasis Risk in Percutaneous Image-guided Interventions
Indravadan J. Patel, MD, Jon C. Davidson, MD, Boris Nikolic, MD, MBA, Gloria M. Salazar, MD, Marc S. Schwartzberg, MD, T. Gregory Walker, MD, and Wael A. Saad, MD, for the Standards of Practice Committee, with Cardiovascular and Interventional Radiological Society of Europe (CIRSE) Endorsement
J Vasc Interv Radiol 2012; 23:727-736

3.B Addendum of Newer Anticoagulants to the SIR Consensus Guideline
Indravadan J. Patel, MD, Jon C. Davidson, MD, Boris Nikolic, MD, MBA, Gloria M. Salazar, MD, Marc S. Schwartzberg, MD, T. Gregory Walker, MD, Wael E. Saad, MD, for the Standards of Practice Committee, with Cardiovascular and Interventional Radiological Society of Europe (CIRSE) Endorsement
J Vasc Interv Radiol 2013; 24:641–645

28. Multidisciplinary Quality Improvement Guidelines for the Treatment of Lower Extremity Superficial Venous Insufficiency with Ambulatory Phlebectomy From the Society of Interventional Radiology, Cardiovascular Interventional Radiological Society of Europe, American College of Phlebology and Canadian Interventional Radiology Association
Kundu et al
J Vasc Interv Radiol 2010; 21

29. Multisociety Consensus Quality Improvement Guidelines for the Treatment of Lower Extremity Superficial Venous Insufficiency With Endovenous Thermal Ablation From the Society of Interventional Radiology, Cardiovascular Interventional Radiological Society of Europe, American College of Phlebology and Canadian Interventional Radiology Association
Khilnani et al
J Vasc Interv Radiol 2010; 21

30. Joint Quality Improvement Guidelines for Pediatric Arterial Access and Arteriography: From the Societies of Interventional Radiology and Pediatric Radiology
Heran et al
J Vasc Interv Radiol 2010; 21

31. Guidelines for Peripheral and Visceral Vascular Embolization Training: Joint Writing Groups of the Standards of Practice Committees for the Society of Interventional Radiology (SIR), Cardiovascular and Interventional Radiological Society of Europe (CIRSE), and Canadian Interventional Radiology Association (CIRA)
Jafar Golzarian, Marc R. Sapoval, Sanjoy Kundu, David W. Hunter, Elias N. Brountzos, Jean-Francois H. Geschwind, Timothy P. Murphy, James B. Spies, Michael J. Wallace, Thierry de Baere, John F. Cardella
J Vasc Interv Radiol 2010; 21

32. Practice Guideline for Adult Antibiotic Prophylaxis during Vascular and Interventional Radiology Procedures
Aradhana M. Venkatesan, Sanjoy Kundu, David Sacks, Michael J. Wallace, Joan C. Wojak, Steven C. Rose, Timothy W.I. Clark, B. Janne d'Othee, Maxim Itkin, Robert S. Jones, Donald L. Miller, Charles A. Owens, Dheeraj K. Rajan, LeAnn S. Stokes, Timothy L. Swan, Richard B. Towbin, John F. Cardella
Volume 21, Issue 11, Pages 1611-1630

33. Multidisciplinary Practical Guidelines for Gastrointestinal Access for Enteral Nutrition and Decompression From the Society of Interventional Radiology and American Gastroenterological Association (AGA) Institute, With Endorsement by Canadian Interventional Radiological Association (CIRA) and Cardiovascular and Interventional Radiological Society of Europe (CIRSE)
Maxim Itkin, MD, Mark H. DeLegge, MD, John C. Fang, MD, Stephen A. McClave, MD, Sanjoy Kundu, MD, Bertrand Janne d'Othee, MD, MPH, Gloria M. Martinez-Salazar, MD, David Sacks, MD, Timothy L. Swan, MD, Richard B. Towbin, MD, T. Gregory Walker, MD, Joan C. Wojak, MD, Darryl A. Zuckerman, MD, and John F. Cardella, MD
J Vasc Interv Radiol 2011; 22:1089-1106

34. Developing a Clinical Pediatric Interventional Practice: A Joint Clinical Practice Guideline from the Society of Interventional Radiology and the Society for Pediatric Radiology
Kevin M. Baskin, MD, Mark J. Hogan, MD, Manrita K. Sidhu, MD, Bairbre L. Connolly, MB, Richard B. Towbin, MD, Wael E.A. Saad, MD, Josee Dubois, MD, MSc, Manraj K.S. Heran, MD, FRCPC, Francis E. Marshalleck, MD, Donald L. Miller, MD, Derek Roebuck, MBBS, Michael J. Temple, MD, FRCP, T. Gregory Walker, MD, John F. Cardella, MD, and members from the Society of Interventional Radiology Standards of Practice Committee and Society for Pediatric Radiology Interventional Radiology Committee
J Vasc Interv Radiol 2011; 22:1647-1655

35. Quality Improvement Guidelines for Pediatric Abscess and Fluid Drainage
Mark J. Hogan, MD, Francis E. Marshalleck, MD, Manrita K. Sidhu, MD, Bairbre L. Connolly, MD, Richard B. Towbin, MD, Wael A. Saad, MD, Ann Marie Cahill, MD, John Crowley, MD, Manraj K. S. Heran, MD, FRCPC, Eric J. Hohenwalter, MD, Derek J. Roebuck, MB, BS, Michael J. Temple, MD, FRCP, T. Gregory Walker, MD, John F. Cardella, MD, and Members from the Society of Interventional Radiology Standards of Practice Committee and Society for Pediatric Radiology Interventional Radiology Committee
J Vasc Interv Radiol 2012; 23:1397-1402

36. Joint Practice Guideline for Sterile Technique during Vascular and Interventional Radiology Procedures: From the Society of Interventional Radiology, Association of periOperative Registered Nurses, and Association for Radiologic and Imaging Nursing, for the Society of Interventional Radiology (Wael Saad, MD, Chair), Standards of Practice Committee, and Endorsed by the Cardiovascular Interventional Radiological Society of Europe and the Canadian Interventional Radiology Association
Danny Chan, MD, MBA, Denise Downing, RN, MS, CNOR, Christine E. Keough, RN, BSN, CRN, Wael A. Saad, MD, Ganesh Annamalai, MD, B. Janne d'Othee, MD, MPH, Suvranu Ganguli, MD, Maxim Itkin, MD, Sanjeeva P. Kalva, MD, Arshad Ahmed Khan, MD, Venkataramu Krishnamurthy, MD, Boris Nikolic, MD, MBA, Charles A. Owens, MD, Darren Postoak, MD, Anne C. Roberts, MD, Steven C. Rose, MD, David Sacks, MD, Nasir H. Siddiqi, MD, Timothy L. Swan, MD, Raymond H. Thornton, MD, Richard Towbin, MD, Michael J. Wallace, MD, T. Gregory Walker, MD, Joan C. Wojak, MD, Ronald R. Wardrope, RN, NCII-E, CRN, and John F. Cardella, MD
J Vasc Interv Radiol 2012; 23:1603-1612

37. Multisociety Consensus Quality Improvement Guidelines for Intraarterial Catheter Directed Treatment of Acute Ischemic Stroke From the American Society of Neuroradiology, Canadian Interventional Radiology Association, Cardiovascular and Interventional Radiology Society of Europe, Society of Cardiac Angiography and Interventions, Society of Interventional Radiology, Society of NeuroInterventional Surgery, European Society of Minimally Invasive Neurological Therapy, Society of Vascular and Interventional Neurology
David Sacks, MD, Carl M. Black, MD, Christophe Cognard, MD, J. J. Connors, MD, Donald Frei, MD, Rishi Gupta, MD, Tudor G. Jovin, MD, Bryan W. Kluck, MD, Philip M. Meyers, MD; Kieran J. Murphy, MD; Steven Ramee, MD; Daniel A. Rufenacht, MD; M.J. Bernadette Stallmeyer, MD, PhD, Dierk Vorwerk, MD
J Vasc Interv Radiol 2012;24 Pages 151-163