Interventional Radiology

Interventional Radiology

Interventional radiology is an advanced minimal invasive management of diseases alternative to traditional surgery. Through a pin hole incision in the skin, interventional radiologists are able to deliver precise treatment for common and life-threatening conditions. Because interventional radiology is less invasive than surgery, patients often experience quicker recovery and, in many cases, more effective results.

With minimized risk and pain compared to surgery, interventional radiology leverages advanced imaging techniques, such as ultrasounds, X-rays, and MRI scans, to see inside your body and treat a variety of conditions, including:

  • Brain stroke and aneurysm
  • Cancer
  • Peripheral vascular disease.
  • Male Infertility
  • Liver disease
  • Uterine fibroids
  • Varicose veins
Why manipal ?

Our superlative interventional radiologists handle the most delicate of interventional radiology cases across all ages. Their range of treatment expertise includes the entire spectrum of vascular and non vascular procedures including hepatobiliary interventions ,angiography ,embolisation, stroke and brain aneurysm endovascular management . With state of art modalities including well equipped DSA lab ,USG ,CT and MRI machines, our doctors work as a team with other specialicity clinicans and intensivists for best patient care .

Treatment & Procedures Varicose Veins

Varicose veins are enlarged and swollen veins that usually occur on the thighs, legs and feet. They may be blue /dark purple and are often bulging or twisted in appearance.

TREATMENT OFFERED ENDOVENOUS THERMAL ABLATION

This treatment involves destroying varicose veins using endovenous laser ablation (EVLA) or radiofrequency ablation (RFA).It involves inserting a catheter (a very thin, hollow tube) into the varicose veins, under ultrasound guidance to make sure it is in the right place.

Radiofrequency or laser energy is then applied via the tip of the catheter along the inside of the vein, heating it up and causing the walls to collapse and close together. The vein is replaced by scar tissue and eventually removed by the body

Sclerotherapy is a form of treatment that involves injecting varicose veins with a chemical solution that irritates and scars the vessel walls, making them stick together. This blocks off the veins, which are replaced by scar tissue and then removed by the body’s immune system. Sclerotherapy is usually effective when used to treat spider veins and small tortuous varicose veins where laser or RFA fibres cannot reach

Varicocele

Varicocele is an abnormal enlargement of veins in the scrotum. Disruption in blood flow can result from problems with or missing valves in the veins or blockage of the veins. Blockage of the veins can be caused by blood clots, tumors, enlarged lymph nodes, or compression between other blood vessels. Varicoceles are similar to varicose veins, which occur in the legs. It is the most common cause of male infertility.

Treatment:

Endovascular coiling and sclerotherapy of gonadal veins

Uterine Fibroid

Uterine Fibroid it is one of the most common benign tumour and condition seen in many females.

Signs And Symptoms Of Uterine Fibroid:
  • Abdominal pain
  • Heavy menstrual bleeding
  • Prolonged menstrual periods
  • Frequent urination
  • Backache
  • Constipation
  • Infertility
  • Distended lower abdomen

Treatment :

UTERINE ARTERY EMBOLIZATION (UAE)- done through a small pinhole with very less or no complications.

Peripheral Arterial Disease

Peripheral arterial disease (PAD) or peripheral vascular disease (PVD) occurs when there is a blockage in the blood vessels that significantly decreases blood flow to the limbs, usually the legs. The blockage can be caused by inflammation or a clot, but it is most commonly caused by atherosclerosis, which is a condition of hardened and narrowed arteries caused by fatty deposits called plaques. Atherosclerosis is typically a condition that affects blood vessels throughout the body, and places the patient at increased risk for heart attack and stroke.

Decreased blood flow decreases the amount of oxygen available to the tissues, which can lead to pain, non-healing ulcers and infections in the limbs and ultimately tissue death called gangrene. If untreated, the affected limb may need to be amputated.

Treatment:

  • Angiography
  • Balloon angioplasty, Stents and stent-grafts.
Deep Venous Thrombosis

Deep vein thrombosis is a blood clot or thrombus in a deep vein. They are most common in the leg. But they may develop any part of the body. Part of the clot, called an embolus, can break off and travel to the lungs (PE). This can cut off the flow of blood to all or part of the lung. PE is an emergency and may cause death.

There are several risk factors such as obesity, surgery, immobility, birth control pills, a family history of blood clots, varicose veins and cancer

Treatement offered

  • Mechanical Clot suction.
  • Catheter Directed Thrombolysis (CDT).
  • Inferior vena cava filter placement
Cancer

INTERVENTIONS IN CANCER

  • From diagnosis of cancer to its treatment INTERVENTIONAL RADIOLOGY offers better options, which are minimally invasive and equally effective as surgery/ chemo/ radiation.
  • FNAC / BIOPSY - to determine its cancer we have to take a sample from the tumor for examination.
  • Treatment of these cancers can be done through Interventional Radiology( liver, lung, kidney, breast , thyroid and bone )
  • Percutaneous Radio Frequency Ablation/ Micro Wave Ablation
  • Selective Chemo Embolization Of Liver Cancer - :
  • Trans arterial bland embolization/ Trans arterial chemo embolization - cutting the blood supply of cancer cells along with depositing of chemo drug directly into the tumor - kills them. Rest of normal liver and entire body will not be effected by toxic effects of chemo drug.
  • Portacath and Peripherally inserted central catheter (PICC line insertion insertion and removal
  • Backache
  • Constipation
  • Infertility
  • Distended lower abdomen

Liver and biliary interventional procedures

There is a wide range of liver and biliary interventional procedures, both diagnostic and therapeutic, most commonly using CT-guidance or ultrasound-guidance.

Vascular Interventions:

Percutaneous interventions: