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Certification

Diagnostic Cerebral Angiography considered “major” procedure

By April 16, 2018 September 19th, 2019 No Comments

As of Spring 2018 the ABNS Directors, after soliciting advice from several stakeholders, decided to include diagnostic cerebral angiography as a “major” procedure.  As a result, these will be included as part of the required major case total for primary certification.

  If you enter diagnostic cerebral angiogram data into POST, please note the following:

  •  Patient demographic data and medical history data are entered, as with any case
  • In the diagnostic section, if the cerebral angiogram yielded a positive result, choose the appropriate pathology(ies) identified  from the pull down menu. If the diagnostic angiogram yielded a negative or equivocal result, choose the most appropriate “other” category and write your suspected diagnosis in the text box provided.

For example:

CT scan with hemorrhage suggested possible aneurysmal SAH.

One could choose in the procedure category: Cranial-Vascular-Hemorrhage (Y)- SAH- Other Hemorrhagic vascular pathology (text-Suspected Aneurysmal SAH)

  • In the procedure section, diagnostic angiogram  is available in the cranial and spine major categories. Please choose the appropriate option 
  • Under imaging and testing,  please list any studies that were performed prior to the diagnostic cerebral angiogram and were relevant to your decision to perform that procedure (e.g., head CT with findings suspicious for vascular pathology)
  • In the image upload section, please provide select images from the diagnostic angiogram along with any select images from studies that may have influenced your decision to perform the procedure (e.g., CT with SAH and suggestion of PCOM aneurysm)
  • Non-surgical management and Surgical outcomes data are entered as with any other case, with the exception that we do not expect the inclusion of “late” outcomes in all diagnostic angiograms
    1. If late outcomes are unavailable, choose No to follow up available, other for why, and enter: not required  for diagnostic angiogram
    2. If the patient did have late follow up and the results of that follow up were relevant to the findings and/or performance of the diagnostic procedure, you are encouraged to provide that data 

 Please note:

  • The ABNS will reevalute this decision in the Fall, the way to track this procedure at time of submission may change.
  • The ABNS may require additional information from individuals for whom diagnostic angiograms comprise a large percentage of their overall practice.

Feel free to contact the ABNS with any questions