Interventional Radiology (sometimes known as vascular and interventional radiology), is a subspecialty of radiology in which minimally invasive procedures are performed with the guidance of imaging technology.
These procedures are usually done with needles or other tiny instruments such as catheters or wires; the imaging component allows the Interventional Radiologist to guide these instruments through the body to the appropriate area.
Commonly used imaging modalities in IR include fluoroscopy, computed tomography (CT), ultrasound (US), and magnetic resonance imaging (MRI). Interventional radiologic procedures can oftentimes serve as an alternative to surgical treatment for many conditions and can sometimes eliminate the need for hospitalization.
For these reasons, IR stands as a critical piece among patient treatment options that is experiencing enormous growth alongside expanding technologies in radiology.
While some procedures are done for purely diagnostic purposes, others are done for treatment purposes.
The list of procedures performed is quite vast and includes; angiography, intravascular ultrasound, biopsy, angioplasty, embolization, stent, shunt, catheter, filter and line placement, drain insertions, thrombolysis, feeding tube placement, cryoablation, radiofrequency ablation and cancer treatments among many others.
Our Interventional Radiologists are practicing at the forefront of medical advancements that are changing patient care significantly. Interventional procedures are being employed to replace major surgeries that are traditionally expensive and involved, resulting in shorter recovery times, increased patient satisfaction and lower costs.
With the advent of major technological advances that constantly change the standard of health care, it is essential that Radiologic Associates offers the most current treatment options for our patients. Below is a list of minimally invasive interventional diagnostic and therapeutic procedures
Mediport Placement: Placed for chemotherapy and long term IV access. No pre-surgical testing required.
Peripherally Inserted Central Catheters (PICC)
Hickman Catheters: Tunneled Central venous catheters
Tunneled Paracentesis Catheters: For recurrent ascites due to malignancy.
Chemo - Embolization: Hepatocellular Carcinoma, Liver
Radiofrequency Ablation: Liver, Lung and Renal tumors
Cryoablation: Liver and Renal tumors
Pre-operative Tumor Embolization
Percutaneous Transhepatic Cholangiograms
Internal / External Biliary Drains
Bile Duct Stone Extraction
Treatment of Bile leaks
Permanent Common Bile duct stents: Malignant Strictures
Steroid Injections: Hips, shoulders, etc.
Nerve Root Blocks
Radiofrequency Ablation of Painful Bone MetsCeliac
Dialysis Graft Interventions: Mechanical and pharmacologic thrombectomy, Central venous and peripheral angioplasty, stenting
Tunneled Permcath Placement: Access sites including jugular, subclavian, femoral, translumbar, and transhepatic
Temporary Dialysis Catheters
Arteriovenous Fistula Interventions: Assistance in Fistula Maturation, declot procedures, angioplasty, stenting, coiling of collateral veins.
Nephrostomy Tube Placement
Ureteral Stent Placement
Ureteroplasty for Ureteral Strictures
Percutaneous Access for Stone extractions
Diagnosis and Treatment of Varicoceles: Treated percutaneously with Coil embolization
Percutaneous Biopsies: CT and US guided liver, lung, renal, thyroid, muscle, lymph node, etc.
Breast Biopsies: Stereotactic, Ultrasound guided and MRI guided biopsies.
Transjugular Liver biopsies: patients with ascites and coagulation disorders. Also for portal vein pressure measurements
MR and CT Arthrography
Hysterosalpingography and Sonohysterography
Fallopian Tube Recanalization
Breast Localizations: Ultrasound and mammographic
Thoracentesis: Temporary and Permanent pleural catheters
Paracentesis: Temporary and Permanent peritoneal catheters, Peritoneal-Venous shunts
Bronchial Stent Placement
Chemical and Mechanical Thrombectomy: For treatment of Clotted bypass grafts, Chronic DVT, SVC syndrome and Acute arterial occlusions.
Angiography: Diagnostic Peripheral and Cerebral Angiography
Angioplasty and Stenting: Peripheral and Visceral arterial stenotic lesions, Renal artery stenosis, Anastamotic Stenoses
Carotid Arterial Stenting
Aneurysm Repair: Endovascular repair of AAA, Surveillance of treated and untreated AAA, treatment of visceral arterial aneurysms (coiling)
Trauma Embolizations: Arterial rupture, splenic lacerations, liver lacerations, renal lacerations, Management of pseudoaneurysms with thrombin injection
Uterine Artery Embolization: Diagnosis and Treatment of uterine Fibroids, Ballooning of Uterine arteries prior to complicated C-section, management of postsurgical uterine bleeding.
Embolization for Epistaxis and Facial Tumors
Treatment of Arteriovenous Malformations: Embolization and Glue
TIPS: Transjugular Intrahepatic Portosystemic Shunts for treatment of Refractory Ascites and Bleeding Varices.
IVC Filters: Both permanent and temporary retrievable filters.
Management of GI Bleed
Management of Uncontrolled Hemoptysis
Adrenal Vein Sampling