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The Indian Society of Vascular & Interventional Radiology (ISVIR) has been floated to provide a platform for exchange of information regarding catheter-based radiological procedures.
ISVIR was formed in Trivandrum on November 9, 1997. The objectives of the society include a planned growth of CVIR in India, providing a forum for exchange of views and information, formulating guidelines for performing and documenting interventional radiological procedures, streamlining the availability of devices in different regions, creating opportunities for certified training programs in CVIR, evolving guidelines for medico-legal aspects of the practice, creating public awareness with respect to interventional radiology, and helping the fledgling subspeciality with turf battles. |
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By
Sanjiv Sharma
Professor & Head
Department of Cardiovascular Radiology
All India Institute of Medical Sciences
New Delhi
India |
The practice of Cardiovascular
and Interventional Radiology (CVIR) in India began in the early
1970s at a few isolated centers of excellence providing tertiary
care. Non-availability of hardware and trained personnel, lack
of familiarity with techniques and mismatched facilities were
major obstacles to its growth in these early years. Despite
individual initiatives, this practice did not gain any momentum
until the mid- eighties. Improvements in imaging techniques
and their wider availability played a major part in the growth
of CVIR in India at this time. The practice of CVIR was initially
largely restricted to the vascular radiologists, mainly because
of their easier access to the fluoroscopy labs and familiarity
with the hardware used in angiography. The next decade saw the
emergence, in some centers, of separate divisions within the
radiology departments devoted to various facets of CVIR. These
became the foci for eventual growth of this sub-specialty in
India.
Even though the first organized effort to establish the Indian
Society of vascular & Interventional Radiology (ISVIR) was
conceived in 1988, the society in its present shape was established
on November 7th, 1997 with 28 founder members. Since then, we
have come a long way. Today, this society has over 350 members
and performs many activities, including creation of a nation-wide
network of state branches & zonal chapters, and conducting
monthly local, quarterly zonal and annual national level scientific
meetings. The Indian society has so far held nine successful
annual national meetings. All of them had faculty drawn from
various parts of the world and included didactic lectures, symposia,
workshops and, in most meetings, live case transmissions, from
within and outside India, on topics of current interest and
cutting edge technology. It also organizes 2-3 regional CME
programs every year on topics of local interest. The society
publishes a quarterly newsletter since 1999. It is also engaged
in the organization of public awareness programs in different
regions on locally relevant subjects. The society conducts short-term
postgraduate training fellowships, and provides travel assistance
to its members for participating in meetings within the country.
It also maintains an interactive website.
We are the only national
society in the world to conduct a web-based comprehensive annual
national registry of vascular and interventional radiological
procedures since 1999. Eight successful annual meetings of the
national registry have been held so far. The annual number of
procedures performed country wide has grown from under 5,000
in 1999 to over 16,000 in the last year. The number of centers
performing these procedures has grown from 8 institutions at
the time of inception of the Indian society to over 50 today.
Beginning with this year, ISVIR plans to start disease and technique-specific
national registries in addition to its above effort.
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The society has also been actively working with the industry
to address the issues related to availability, pricing and Governmental
policies regarding the custom clearance of various devices.
Efforts are also directed towards widening the membership base
and affiliation with various international bodies.
CVIR is at cross-roads in India today. There are perpetual shortages
of equipment and hardware which is either not available or is
mismatched to requirement. Most products are still imported,
the prices are steep and not matched to the average per capita
income of the Indian households. Indigenization of the hardware
technology and their local production is essential to bridge
the above gap. We also face turf issues with various other sub-specialties,
including those from cardiology, neurology, neuro-surgery, gastro-enterology
and vascular surgery. There is also a lack of trained manpower.
Most medical colleges in India are still not geared to train
radiology post graduates in interventional radiology. The radiology
curriculum for post graduate degree needs inclusion of exposure
to IR for the latter's optimal development. This factor, along
with an increase in public and physician awareness, is the key
to handle turf issues that our specialty faces today.
Despite above issues, there is a tremendous scope for the practice
of interventional radiology in India. The members perform all
state-of-the-art techniques available any where in the world
and participate in the cutting edge experimental and clinical
research, alone and also in collaboration with other national
and international institutes. All forms of IR techniques in
various organ systems, including the cardiovascular, hepato-biliary,
genito-urinary, neurological, abdominal and musculoskeletal
systems and other non-vascular locations are performed at various
centers across the country. Some key areas of recent individual
and collaborative research include gene therapy in vascular
disease, stem cell therapy in various disease states, experimental
work on tagged stem cell homing by MRI, synthetic venous valves,
newer options in vascular recanalization and evolving concepts
in endovascular reconstruction among others. Six tertiary care
institutes in India have been identified by the society to provide
ISVIR-sponsored training to the residents. CVIR in India is
strategically poised for growth at this time. |
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