Interventional Endoscopic Ultrasound (EUS) (on demand)-Diehl_Building_an_iEUS

Pdf Summary

The presentation offers ten practical tips for launching and sustaining an interventional EUS (iEUS) program.

<strong>Prepare:</strong> Obtain appropriate training through advanced fellowship, hands-on courses, or observerships, and begin with less complex procedures before progressing. Clarify credentialing, case-volume documentation, proctoring, and institutional approval requirements before starting. Assess whether expected procedure volume will be sufficient to maintain expertise; if not, consider referring patients to a higher-volume center. Before the first case, train staff, secure reliable anesthesia and fluoroscopy access, stock devices and backups, and establish clear scheduling and referral access. Develop rescue plans for complications and ensure surgical and interventional radiology support is available.

<strong>Grow:</strong> Build referral relationships with surgeons, hepatologists, gastroenterologists, and multidisciplinary teams by demonstrating expertise, attending conferences, and staying accessible. Recognize that referral patterns may take time to change. Plan care beyond the procedure, including repeat interventions, clinic and inpatient follow-up, and scheduled stent removal. Track every indwelling stent to prevent delayed complications.

<strong>Sustain:</strong> Make a realistic business case that accounts for device costs and reimbursement while highlighting system-wide benefits such as avoided surgery and shorter hospital stays. Start a prospective outcomes database from day one, recording technical and clinical success, adverse events, and follow-up; these data support quality improvement, credentialing, negotiations, and research. Finally, keep current with advances, seek timely feedback, and cultivate mentors who can support case planning, real-time decisions, and continued skill development.

Meta Tag

Concept Interventional Endoscopic Ultrasound

Concept Training

Concept Credentialing

Concept Referral Network

Concept Longitudinal Patient Management

Keywords

interventional EUS

iEUS program

advanced fellowship

credentialing requirements

procedure volume

staff training

referral network

stent tracking

outcomes database

business case

credentialing

multidisciplinary referral

quality improvement