This course offers an in-depth exploration of portal hypertension, a common and serious condition in patients with liver cirrhosis and other liver diseases. It provides a comprehensive understanding of the disease's etiology, pathogenesis, and medical management, followed by a detailed examination of the role of Interventional Radiology (IR) in treating this condition. Attendees will gain insights into various IR techniques, including Transjugular Intrahepatic Portosystemic Shunt (TIPS) and Direct Intrahepatic Portocaval Shunt (DIPS), as well as the management of other portosystemic shunts and variceal embolization. The course will also cover the complications that can arise during these interventions, providing strategies for managing both successful outcomes and potential disasters.

For ongoing education and resources, please visit RSNA Course Catalog.

Content Areas (Codes):
The following Content Areas will be printed on the certificate for this course:

• Gastrointestinal Radiology
• Interventional
• Vascular
• Biomarkers/Quantitative Imaging
• Emergency Radiology
• Leadership & Management
• Professionalism (including Ethics)
• Safety and Quality

• Describe the underlying causes and mechanisms of portal hypertension.
• Identify the options and indications for IR in the management of portal hypertension.
• Explain the latest techniques for access and guidance in TIPS/DIPS.
• Review the techniques and indications for mesocaval shunts and variceal embolization.
• Identify potential complications during portal hypertension interventions.

This enduring material is estimated to take 45 minutes to complete.

Start Date: 5/1/2025
End Date for CME Eligibility/Online Expiration Date: 4/30/2025

This educational activity was originally presented at the RSNA 2024 Annual Meeting and Scientific Assembly.

Faculty:

• David Madoff, MD
• Abhishek Kumar, MD
• Claire Kaufman, MD
• Vijay Ramalingam, MD
• Rahul Patel, MD

Planners:

• Sergio A. Criales Vera, MD
• Soterios Gyftopoulos, MD, MBA
• Katharine Lampen-Sachar, MD
• Bertram J. Stemmler, MD
• Vernooij, MD, PhD
• Grace G. Zhu, MD

Disclosure Statements:
RSNA controls the planning, development, and delivery of this CME activity and will strictly adhere to the Standards for Integrity and Independence in Accredited Continuing Education established by the Accreditation Council for Continuing Medical Education (ACCME).

Listed below are all the financial relationships provided by individuals in a position to influence and/or control CME activity content. All relevant financial relationships listed for these individuals have been mitigated. Please note that any individuals not listed below have reported no financial relationships (currently or within the past 24 months) with any ineligible company producing, marketing, selling, re-selling, or distributing health care products used on or by patients.

Faculty:

• David Madoff, MD: Consultant, GE Healthcare, Microbot Medical, Arsenal Medical, Boston Scientific, Embolx, Sirtex, Siemens Healthineers.
• Abhishek Kumar, MD: Consultant, Boston Scientific, NAKI Therapeautics.
• Claire Kaufman, MD: Grant/Research Support, Boston Scientific; Speaker's Bureau, Medtronic.
• Vijay Ramalingam, MD: Speaker's Bureau, Inari Medical; Consultant, Boston Scientific.
• Rahul Patel, MD: Consultant, Medtronic Inc., Boston Scientific, Innova Vascular, Scientia Inc, Summa Therapeutics; Speaker's Bureau, Penumbra Inc.

Planners:

• None of the planners for this educational activity have relevant relationships with ineligible companies to disclose.

Accreditation and Designation Statements:
The Radiological Society of North America (RSNA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

To earn CME credit, participants must watch the full length of the recording and complete the course evaluation.

RSNA designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Price:
Non-Member/Basic Member Rate: $55.00
Standard Member/Full Access Member Rate: $0.00

Refund / Exchange Policy:
RSNA will not issue any refunds or exchanges for online only versions of educational products or activities purchased online. Please review the entire product or activity description prior to purchase.

RSNA Disclaimer:
The opinions or views expressed in this activity are those of the presenters and do not necessarily reflect the opinions, recommendations or endorsement of the RSNA. Participants should critically appraise the information presented and are encouraged to consult appropriate resources for information surrounding any product or device mentioned. Information presented, as well as publications, technologies, products and/or services discussed, are intended to inform the learner about the knowledge, techniques, and experiences of RSNA faculty who are willing to share such information with colleagues. The RSNA disclaims any and all liability for damages to any individual user for all claims which may result from the use of said information, publications, technologies, products and/or services, and events.