EBIR cheat sheet
EBIR · Keep the key ideas within reach.
Interventional Radiology (EBIR Curriculum, 3rd edition)
Domain scope: patient selection and periprocedural care, vascular access and closure, arterial and venous interventions, oncologic IR, GI/GU/biliary interventions, neurointerventional basics, and radiation safety/governance.
Informed consent and periprocedural management are core competencies: document indication, alternatives, material risks, coagulation status, renal function, and allergy history before any invasive step.
Radiation protection is governed by ALARA and ICRP principles (justification, optimisation, dose limitation); record dose-area product and fluoroscopy time, and use pulsed fluoroscopy, collimation, and last-image hold.
Vascular access: ultrasound-guided puncture reduces complications; common femoral artery puncture targets the common femoral artery over the femoral head, typically 1-2 cm below the inguinal ligament.
Closure decision rule: manual compression for small sheaths and normal coagulation; closure devices when early ambulation is needed and anatomy is suitable; reverse anticoagulation if INR is supratherapeutic per local protocol.
Contrast safety: check eGFR, use iso-/low-osmolar agents, minimise volume, and hydrate at-risk patients; contrast-induced nephropathy risk rises with CKD, diabetes, and dehydration.
Embolisation agents: coils for focal arterial occlusion, particles for tumour/devascularisation, liquid embolics (glue, Onyx) for AVM and haemorrhage; choose by vessel size, permanence, and desired occlusion level.
Post-procedure monitoring: access-site checks, distal pulses, neurovascular status, hydration, and documentation of complications form the standard periprocedural record.