Interventional
and Vascular Radiology is a subspecialty of Diagnostic Radiology
that has evolved over the past 25 years to become an integral
part of comprehensive patient care, providing alternatives
to surgery for a broad range of health problems.
State-of-the-art
imaging techniques including fluoroscopy, ultrasound, computed
tomography (CT scans), and magnetic resonance imaging (MRI)
are utilized to guide the placement of needles, catheters,
and devices directly to target sites deep within the body
through a small skin incision. These procedures are often
performed under local anesthesia with intravenous sedation
and typically do not require general anesthesia.
Vascular
General
Angiography
Angiography is a diagnostic test in which dye is injected
into an artery and X-rays are taken to determine blood flow
in a specific area of the body.
• In peripheral vascular disease, angiography outlines
abnormalities of the arterial supply to the legs (such as
in cramps)
• A cerebral angiogram outlines blood supply to the
brain (such as in stroke and cerebrovascular accidents)
• Angiography outlines arteries of the kidneys to
detect causes of hypertension
Vascular Intervention
• Percutaneous Transluminal Angioplasty for hypertension
or claudication causing difficulty in walking. Angioplasty
is a surgical procedure in which a balloon-tipped catheter
(thin tube) is inserted into a diseased, narrowed blood
vessel; inflation of the balloon stretches the vessel opening
thereby improving blood flow.
• Arterial embolization involves the insertion of
a substance through a catheter into a blood vessel to stop
hemorrhaging, or excessive bleeding. It is used in the treatment
of uncontrolled gastro-intestinal bleedings; fibroid uterus
as a cause of painful heavy menstrual bleeding; and tumors
of the liver (primary or colon metastasis)
• Transjugular Intrahepatic Portal Vein Shunt (TIPS)
is a procedure for bleeding varices (dilated veins) and
uncontrolled ascitis (fluid accumulation in the abdominal
cavity) due to cirrhosis.