Vascular and Interventional Radiology
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VIR Study Guide
The examination consists of five categories. Below is an outline of areas that may be covered. This is a general outline and is not all-inclusive.
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Vascular Diagnosis
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A) CT and CTA
B) MRI and MRA
C) Noninvasive vascular lab
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1. Vascular ultrasonography
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a. Venous color flow imaging
b. Arterial color flow imaging
c. Doppler
d. Ankle:brachial indices
e. Segmental limb pressures
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2. Pulse volume recordings (PVRs)
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D) Arteriography (all)
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1. Thoracic aorta, brachiocephalic arteries, including carotids
2. Upper extremity arteries
3. Lower etremity arteries
4. Abdominal and pelvic arteries
5. Collateral pathways
6. Hemodynamics
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E) Venography (all) and venous sampling
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1. Head and neck
2. Upper extremity veins
3. Lower extremity veins
4. Pelvic veins
5. Portal and mesenteric veins
6. Superior vena cava
7. Inferior vena cava
8. Collateral pathways
9. Hemodynamics
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F) Pulmonary angiography
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1. Pulmonary arteries
2. Pulmonary veins
3. Hemodynamics
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G) Dialysis access evaluations
H) Lymphangiography (all lymphatics)
I) Other
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Vascular Intervention
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A) Venous access (all: tunneled, non-tunneled, ports)
B) IVC filter placement, retrieval
C) Foreign body retrieval
D) Venous ablation (varicose veins)
E) Dialysis access intervention
F) TIPS and TIPS evaluation/revision
G) Angioplasty/stents/covered stents, venous (all)
H) Miscellaneous venous interventions
I) Angioplasty/stents/covered stents, arterial (peripheral, renal, mesenteric)
J) Carotid stenting
K) Thrombolytic therapy (all), thrombectomy
L) Atherectomy
M) Aortic endografting (thoracic and/or abdominal)
N) Embolization, emergency (trauma, GI bleed, bronchial bleed, pseudoaneurysm, other)
O) Transcatheter infusion therapy (eg. vasopressin)
P) Embolization, elective (uterine fibroids, PAVMs, peripheral AVMs, varicoceles, etc.)
Q) Direct injection therapy, venous malformations (eg. ethanol, ethanolamine oleate)
R) Chemoembolization (TACE)
S) Radioembolization (selective internal radiotherapy)
T) Miscellaneous arterial interventions
U) Other
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Non-vascular Intervention
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A) Biopsy (lung, bone, liver, kidney, adrenal pancreas, mediastinum, retroperitoneum, other; all modalities)
B) Abscess drainage tube checks, catheter management
C) Paracentesis, thoracentesis
D) Thoracostomy
E) Pleurodesis
F) Tunneled catheter drainage of refractory pleural effusion or ascites
G) PTC, biliary drainage, biliary stents, biliary biopsy, tube checks and exchanges
H) Percutaneous management of retained common bile duct stones
I) Nephrostomy, nephroureterostomy; tube checks and exchanges
J) Nephrostolithotomy tract establishment and dilatation
K) Gastrostomy, gastrojejunostomy; tube checks and exchanges
L) Cholecystostomy; tube checks and exchanges
M) Aspiration, drainage, sclerosis (cyst, lymphocele); tube checks
N) Stents, miscellaneous nonvascular (esophageal, tracheobronchial, duodenal, colonic)
O) Transplant interventions, miscellaneous
P) Tumor ablation (RFA, laser, microwave, cryo-, ethanol, other, combination therapy)
Q) Pain management
R) Vertebroplasty
S) Fallopian tube recanalization
T) Other
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Categories of Diseases and Conditions
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A) Congenital / Genetic
B) Normal variant
C) Inflammatory
D) Infectious
E) Neoplastic
F) Atherosclerotic
G) Degenerative
H) Thromboembolic
I) Hypertensive
J) Dysplastic
K) Iatrogenic
L) Traumatic
M) Idiopathic
O) Other
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Clinical and Related Non-procedural Activities
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A) Hospital inpatient care (admission, H&P, orders, management, discharge)
B) Inpatient consults
C) Outpatient practice, new patient referrals
D) Outpatient practice, follow-up post-intervention
E) Quality & safety activities (QA committee service, practice performance improvement)
F) Professionalism
G) Life support principles
H) Principles of image quality
I) Contrast material
J) Conscious sedation
K) Regulatory matters, HIPAA, other
L) Risk management
M) Other
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