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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.
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For these reasons, IR stands as a
critical piece among patient treatment options that
is experiencing enormous growth alongside expanding
technologies in radiology. |
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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.
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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, click on a Topic for
more information > |
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Access
- Mediport
Placement: Placed for chemotherapy and long term IV access. No
pre-surgical testing required.
- Armports
- Peripherally Inserted Central
Catheters (PICC)
- Hickman Catheters: Tunneled
Central venous catheters
- Tunneled Paracentesis Catheters:
For recurrent ascites due to malignancy.
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Biliary
Interventions
- Percutaneous Transhepatic
Cholangiograms
- Internal / External Biliary
Drains
- Bile Duct Stone Extraction
- Treatment of Bile leaks
- Permanent Common Bile duct
stents: Malignant Strictures
- Cholangioplasty
- Cholecystostomy Tubes
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Dialysis
Interventions
- 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.
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General
Interventions
- 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
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Oncology
- Chemo - Embolization:
Hepatocellular Carcinoma, Liver
metastases
- Radiofrequency Ablation:
Liver, Lung and Renal tumors
- Cryoablation:
Liver and Renal tumors
- Pre-operative Tumor Embolization
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Pain Management
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Urologic
Interventions
- 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
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Vascular
Interventions
- 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
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