Interventional Radiology

Interventional Radiology

Interventional radiology (IR) performs various minimally-invasive procedures using medical imaging guidance, such as x-ray fluoroscopy, computed tomography, magnetic resonance imaging, or ultrasound. IR performs both diagnostic and therapeutic procedures through very small incisions or body orifices.

Diabetic Foot & Peripheral Vascular Disease

Non- healing ulcers occur in patients with long standing diabetes due to occlusion of blood vessels. Using small wires and catheters, the blocks in the blood vessels can be removed thereby increasing blood flow to the legs, promoting wound healing. Chronic Smokers can also develop occlusions in the blood vessels and can be treated with catheter directed thrombolysis/Angioplasty. These are called “Limb Salvage procedures”

Who Should Get Treatment
  • Diabetic patients with long standing wound which is not healing.
  • Smokers with claudication pain (Pain while walking) in the legs and thighs.
  • Sudden onset leg pain loss of sensation and or motor weakness.
  • These procedures are primarily to save the limb – Patients need to continue Diabetes treatment/Smoking cessation and wound care for better results.
Deep Venous Thrombosis (Dvt)

This is a condition characterized by sudden onset limb swelling and pain due to block or thrombosis of the deep veins of the leg.Can be minor (Mild leg pain and Swelling) or Major (Limb Loss or Pulmonary-thrombo -embolism). Occurs in pregnant women, dehydration, post major trauma, fractures, surgery, prolonged bed rest or travel, and certain hereditary conditions.

Treatment Options For Deep Venous Thrombosis
  • Catheter directed thrombolysis.
  • Mechanical Thrombectomy.
  • Iliac vein stenting.
  • IVC filter placement and retrieval.
Varicose Veins

Endo-Vascular ablation therapy (EVLT) is now considered the first choice treatment in primary varicose veins. Varicose Veins are dilated, tortuous veins in the legs, which occur due to venous reflux (Back flow) in the superficial leg veins (Veins underneath the skin).

When Treatment Is Required

Not all patients with Varicose Veins need treatment. Treatment for varicose veins is needed in the following conditions.

  • Skin discoloration.
  • Recurrent ulcers.
  • Pain.
  • Bleeding from varicose veins
Management Of Cancer

Interventional Radiology In Cancer : Recent advances in Interventional radiology offer a variety of treatment options to cure or to prolong life in patients with various tumors. In terminally ill cancer patients various palliative procedures like pain relief procedures are performed. Interventional Radiology also helps in cancer treatment by pre-operative embolization (Reducing the blood flow to tumor before surgery) and performing chronic indwelling catheter placements.

Non Surgical Treatment Options For Hepato-cellular Carcinoma
  • Trans Arterial Chemo embolization (TACE).
  • Trans Arterial Radio embolization (TARE).
  • Radio-frequency Ablation/Microwave ablation.
  • Portal Vein embolization.
Radio-frequency Ablation For Tumors

Tumors are directly destroyed by using heat energy through a small needle placed inside the tumor. No scar and No harmful radiation. Complete cure is possible. Done for Liver tumors (Hepato-cellular carcinoma), Renal tumors (Renal cell carcinoma), Lung tumors (Lung Carcinoma), Osteiod Osteoma of bone and Thyroid nodules

Chronic Pain Relief

Almost 20 percent of all population suffers from some form of chronic pain (Pain lasting more than 3-6 months). Most of these could be managed by Medical management. In patients not getting relief by medical management, Image guided pain relief procedures are performed. These procedures provide good pain relief on temporary (Nerve block) or permanent basis (Radio-frequency ablation or Chemical Neurolysis)

Various Procedure For Pain Relief
  • Trigeminal Ganglion block/Occipital block for chronic headache.
  • Brachial plexus block for arm pain.
  • Splanchnic/Celiac plexus block for abdominal pain.
  • Selective nerve root block
  • Femoral, Saphenous and Sciatic nerve block for Chronic leg pain
Miscellaneous

Biliary Drainage Procedures : PTBD – Internal/External Drainage (Percutaneous Trans hepatic Biliary drainage). Biliary balloon dilatation (Benign Strictures). Biliary Stenting (Malignant Strictures). Percutaneous Cholecystostomy. Percutaneous Cholangiogram (PTC).

Other Procedures & Treatment
  • Lymphangiography.
  • Fallopian tube recanalization for Infertility.
  • Chronic Tunneled dialysis catheter (Perm Cath) for dialysis.
  • Fistuloplasty for salvaging hemo-dialysis fistula.
  • Stroke Treatment
  • Endovascular Treatment

Specialist Doctors

Copyrights © 2024 PSG Hospitals. All Rights Reserved.