Interventional Radiology
Modern Treatments & Technology Reducing Surgery Risks...
Today, the job of a Radiologist is not just to scan and give reports. His role also includes conducting special surgeries to improve the diagnosis, treat the disease, or sometimes even save a life. This is done using the clear pictures received on ultrasound, CT, and DSA. This is interventional radiology.
Though ultrasound, CT, and MRI are available almost everywhere in Maharashtra, there are only a few centres where patients benefit from interventional radiology, and Ozone Superspeciality Hospital is one amongst them. This is a developing field, which holds great promise for the patients. Interventional radiology helps some patients avoid major surgery, reduces the risk of surgery, brings down the cost, and in some patients is the only option for treatment.
Interventional Radiology - A Most Modern Branch of Medicine
Biopsy
Interventional Radiology could be a simple procedure like taking a biopsy. This is done with the ultrasound or CT scanner so that the specialist can clearly see the needle. The needle is placed correctly in the tumour and the risk of biopsy is greatly reduced. The same technique can be used to drain pus or blood that has accumulated in the chest or abdomen. Under CT or US guidance a catheter can be placed into the collection. A simple procedure which saves the patient from major surgery.
Angioplasty
On the DSA, the catheter is introduced inside the blood vessel to do the angiogram and can be used to treat many diseases. A blocked vessel can be opened with a catheter with a balloon. This is Angioplasty.
Embolisation
There are several situations where a vessel must be blocked as part of the treatment. When there are severe bleeding and blood transfusion does not help, blocking the blood vessel from inside will save a life. This process is called Embolisation and is the preferred method of treating GI bleeds due to Psuedoanerysms.
Chemoembolisation
This is a technique where the cancer medicine is injected straight into the blood vessel going into the tumour. The usual side effects of taking cancer medicines can be avoided and specialist can ensure that the tumour receives a high dose. This treatment option is now being given to patients with liver cancer who cannot have surgery.
Radiofrequency Ablation
A promising new technique for treating small (<4cm) hepatocellular carcinomas and metastasis from colorectal cancer. Radiofrequency Ablation involves placing a 16G needle into the lesion under US or CT guidance and producing tumour ablation by heating.
Treatment Options for Interventional Radiology
VARICOSE VEINS & SPIDER VEINS
Varicose veins are caused by weakened valves and veins in your legs. Normally, one-way valves in your veins keep blood flowing from your legs up toward your heart. When these valves do not work as they should, blood collects in your legs, and pressure builds up. The veins become weak, large, and twisted.
Treatment in Interventional Radiology:
Laser Ablation Treatment (Non-surgical)
Radiofrequency Ablation
Sclerotherapy
MOCA
Ablation of veins by glue.
PERIPHERAL ARTERY DISEASE
Treatment in Interventional Radiology: Angioplasty and stenting, CDT (Catheter Directed Thrombolysis), Catheter assisted Thrombectomy.
DEEP VEIN THROMBOSIS
Treatment in Interventional Radiology:
CDT (Catheter Directed Thrombolysis), Catheter assisted Thrombectomy. IVC filter.
DIALYSIS ACCESS
Treatment in Interventional Radiology: Perm catheter placement, AV fistula salvage by angioplasty, central vein angioplasty/stenting, Peritoneal dialysis catheter placement,
PULMONARY EMBOLISM
Treatment in Interventional Radiology: Catheter-directed therapy or catheter-directed thrombolysis / thrombectomy.
Your Care Team !
Dr. Rajkiran Rathi
M. B. B. S., D. N. B.
Interventional Radiologist
Dr. Naman Bagdi
M. B. B. S., M. D., D. N. B.
Interventional Radiologist