| Interventional Radiology |
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Interventional radiology is one of the many ways we are helping keep our friends and neighbors in good health. Our board-certified interventional radiologists are dedicated to providing our referring physicians and their patients with exceptional clinical care as well as the highest level of technical expertise. Comprehensive Interventional Radiology Capabilities.Vascular interventional procedures – We offer a complete range of peripheral arterial, neurovascular, and venous interventions. Prior to treating peripheral arterial conditions, we use clinical evaluation and state-of-the-art vascular imaging techniques (noninvasive Doppler ultrasound, CTA, and MRA) to diagnose the extent and location of the patient’s peripheral arterial disease. When necessary, we can then perform the full spectrum of peripheral arterial endovascular interventions, including diagnostic angiography, balloon angioplasty, endovascular stenting, and thrombolytic therapies
Venous interventions – Interventional radiology is leading the way in the diagnosis and treatment of venous insufficiency. Catheter-directed DVT thrombolysis and mechanical thrombectomy have an emerging role in the treatment of acute and early subacute ileofemoral deep vein thrombosis. We also place inferior vena cava filters on a permanent or temporary basis to decrease the risk of pulmonary embolism. We treat varicose veins and spider veins with radiofrequency ablation, injection sclerotherapy, and ambulatory phlebectomy. All of these procedures are performed on an outpatient basis, and most patients can return to their normal activities within a day.
Dialysis – Hemodialysis is the mainstay of therapy offered to patients with end-stage renal disease (ESRD). Maintaining patency of the arterial-to-venous graft or fistula is crucial for the survival of the patient. Utilizing techniques of thrombolysis, balloon angioplasty, and stenting, we can help improve long-term patency. Plus, we commonly insert dialysis catheters using imaging guidance to ensure optimal catheter placement.
Interventional oncology – Interventional radiology is playing an increasing role in treating some types of malignancy. We perform a variety of innovative interventional oncologic procedures. Our interventional oncologic capabilities include percutaneous biopsy and oncologic venous access services. Patients with nonresectable primary liver tumors and certain types of liver metastases can have improved survival rates and/or improved symptom control with transarterial chemoembolization (TACE) and Selective Internal Radiation Therapy (SIRT or Y-90 embolizatio)n. Radiofrequency ablation (RFA) and cryoablation are minimally invasive procedures that use thermal energy to treat inoperable tumors, most commonly in the liver, lung, bone, kidney, and adrenal glands.
Pain management/spine interventions – We perform a number of diagnostic and therapeutic treatments for chronic pain and spine-related conditions, including discography, facet joint injection, epidural steroid injection, nerve root injection, and sacroiliac joint injection.
Vertebral compression fractures – We offer vertebroplasty and kyphoplasty. Vertebroplasty is a minimally invasive technique that involves the injection of an acrylic “bone cement” into the fractured vertebral body. This is highly effective in alleviating the pain associated with acute/subacute vertebral compression fractures and also helps to prevent progression of the vertebral fracture. With kyphoplasty, an additional step is involved. A balloon is inserted and inflated inside the fractured vertebra. This creates space that is filled with bone cement in order to stabilize the fracture, restore vertebral height, alleviate pain, and potentially reduce long-term deformity.
Uterine fibroid embolization (UFE) – This is a minimally invasive procedure that treats symptomatic fibroids characterized by dysfunctional uterine bleeding, pelvic pain, or pelvic bulk symptoms. With UFE, angiographic techniques are used to place a catheter into the arteries supplying the fibroids. Small particles are injected that block the blood supply to the fibroids, causing them to decrease in size and thereby alleviating symptoms in most patients. Additional interventional procedures performed.
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