Common Interventional Radiology Procedures
Interventional Radiology is a specialty of minimally invasive, targeted treatments that offer less risk, less pain and less recovery time compared to traditional surgery.
Dr. Chopra and his MIMIT staff includes General and Vascular Surgeons and Interventional Radiologists (IR’s). Typically IR and Surgery compete with each other. The dilemma has been doing what is best for the patient, not for the practice. In order to achieve this, Dr. Chopra incorporated both specialties into one practice. This eliminates competition and encourages collaboration. A true benefit to patients seeking quality healthcare. General and Vascular Surgeons perform a wide array of services. Many of these surgeries utilize the most state of the art techniques, thus they also are minimally invasive.
Common treatments include:
- Gynecologic & Infertility
- Pain Management
Lung cancer is the leading cause of cancer death in the United States. Lung cancer accounts for more deaths than breast, prostate and colon cancers combined. Identifying the type of cancer in the lung is an important step in determining the treatment. Utilizing image guidance, IR’s perform biopsy in a manner less painful and risky than a open surgical biopsy.
MIMIT doctors also specialize in a therapy where radio frequency is introduced into a tumor via a special catheter. The energy created by RF heats the tumor, causing it to shrink. Of note, 85 percent of lung cancer patients are incurable, often due to serious coexisting health conditions or poor respiratory function. The RF ablation is not a curative treatment. It provides relief and sometimes can extend the quality of life for the patient.
- Image guided biopsies of lung nodules
- Radio Frequency Ablation of lung tumors
- Chemo Embolization
- Image guided drainage of pleural effusions, pneumothorax
- Insertion of Pleurex drainage catheter.
- abscesses drainage
Hemodialysis is the life line of patients in renal failure. If a patient misses even one treatment, serious complications can occur. MIMIT takes Dialysis Access Management very seriously. Every effort will be made by our specialized team to ensure patients are treated in a quick manner.
- Management of Hemodialysis Access
- A-V Graft and Fistual Monitoring
- Salvage and Management of the Failing Graft or Fistula
- Placement of temporary and permanent Central Venous Access for Dialysis
Liver disease is a broad term describing any number of diseases in the liver. Hepatitis A, B, and C combined effect about 8% of the total US population. Other issues such as cirrhosis and cancer can also affect the way the liver performs. Mimit physicians perform a wide array of procedures that help in diagnosis and treatment of liver disease.
Procedures include: TIPS (Transjugular Intrahepatic Portosystemic Shunt), Liver biopsy, RF Ablation of tumors, and Drainage tube placement.
Transjugular Intrahepatic Portosystemic Shunt
The IR doctor threads a catheter through a small incision in the skin near the neck and guides it to the blocked blood vessels in the liver. Under X-ray guidance, the doctor creates a tunnel in the liver through which the blocked blood can flow. The tunnel is held open by the insertion of a small metal cylinder, called a stent. This procedure is performed when the pressure is elevated inside the liver and needs to be brought under control. Many times this procedure is done emergently, as the elevated pressure can cause blood to fill into the stomach, which is called variceal bleeders.
Peripheral Arterial Occlusive Disease
Peripheral Arterial Occlusive Disease — also known as PAOD, PAD, or PVD occurs when plaque builds up in the arteries that carry blood to your head, organs, and limbs. Aneurysms are a result of plaque or weakened walls of an artery. They are sac like protrusions that usually have no symptoms. Early diagnosis and medical treatment can help prevent many cases of rupture and dissection. When a aneurysm ruptures, it is often fatal. Thus, people who are at high risk for aneurysms can benefit from early, routine screening. MIMIT physicians can treat aneurysms either minimally invasively or surgically.
Abdominal Aortic aneurysms and Thoracic Aortic Aneurysms.
Abdominal Aortic Aneurysms (AAA) and Thoracic Aortic Aneurysms are a result of plaque or weakened walls of an artery. They are sac like protrusions that usually have no symptoms. Early diagnosis and medical treatment can help prevent many cases of rupture and dissection. When a aneurysm ruptures, it is often fatal. Thus, people who are at high risk for aneurysms can benefit from early, routine screening. MIMIT physicians can treat aneurysms either minimally invasively or surgically.
Many patients take medication to control high blood pressure. Many times multiple drugs are used. Some patients can benefit from having the arteries that lead to the kidneys angioplastied/stented if there is a significant blockage. By increasing arterial flow into the kidneys, the blood pressure may decrease, as one of the functions of the kidney is to control blood pressure needed for filtration.
A serious condition called Deep Vein Thrombosis (DVT) is a condition that MIMIT physicians treat and have many effective ways to treat it. DVT is similar to stroke. The difference is that in stroke, arterial plaques or clot is sent up into the brain. In DVD the clot goes into the lungs or heart. Some DVT’s are as fatal, if not more so than stroke.
Diagnose and Management
Treatment options can include use of blood thinners, which prevent further growth of clot. The issue is that the clot is still present in the body, as the thinners only prevent, not dissolve all the clot. MIMIT physicians utilize special tools to help break up the clots. These tools are mechanical devices that use ultrasound or a jet of water to break up the clot safely. This leads to faster recovery and lowers the likely hood of long term complications.
Inferior Vena Cava Filter Placement
Sometimes it is necessary to place a filter into the large venous blood stream, the inferior vena cava, to prevent clots from migrating toward the heart and lungs. The filter is similar to the appearance of a badminton birdie. It traps clots in its web and they remain there until the blood stream around it absorbs the clot. Some of these filters can be removed after the need for them is over. For example, after a hip fracture, a patient is at risk for DVT. Placing the filter in high risk patients is common, but is not needed after the patient recovers.
Phlebology is a specialty devoted to the study and treatment of varicose and spider veins. MIMIT specializes in Varicose veins within our sister practice Centers for Minimally Invasive Therapies. What sets our program apart from the vein clinics located inside shopping malls is the scope of practice Interventional Radiologists practice.
Diagnose and Management
Our team is fully dedicated to treating the patient and the underling condition. That means not all venous problems are solely venous. Commonly, arterial problems are the underlining cause of symptoms. As specialists, MIMIT physicians study both the veins and arteries. Many vein clinics will only treat what they can see. A household example is water stains on a wall. Some “plumbers” may patch the wall and hide the problem. The best solution is to hire a “specialists” who will insert special devices into the wall, look for the source of the problem, fix the leak, then patch the wall.
Everyone needs to eat to survive. Sometimes patients have complications that do not allow for feeding via the mouth or stomach. As specialists in image guided techniques, IR’s can safely place a tube directly into the stomach or small intestine with little to no risk.
- Percutaneous Gastrojejunostomy
- Esophageal Stents
- Percutaneous Gastrostomy
GYNECOLOGIC AND INFERTILITY
We treat both female and male gynecoloigcal problems. Uterine Fibroids eefect more that 25% of women ages 25-50. Find out more about non-surgical management of Uterine Fibroids. Men can suffer from a Varicocele — an abnormal twisted and enlarged vein in the scrotum. Many times they are painful and can lead to backflow of blood into the testes, causing pain and possibly infertility
Diagnose and Management
Treatment option for a Varicoele are open repair of the scrotum to tie off the varicocele, or an embolization performed by our specialists. The embolization is performed by inserting a small catheter at the area of the hip. The doctor advances a small wire into a vein near the groin and closes the vein that is causing the issue. The body naturally diverts blood flow to other veins, and the symptoms reside.
MIMIT physicians can offer relief for those with urinary issues. Working closely with the urologist, we can utilize our special training to place temporary tubes that can assist in drainage. We also provide therapies that assist in the treatment of certain tumors of the kidney.
- Placement of percutaneous nephrostomy, ureteral catheterizations and stents,
- Kidney stone lithotripsy (in conjunction with urologists)
- Radio Frequency ablation and Cryoablation of kidney tumors
- Embolization of renal arteries
As the population ages, many suffer with back pain. In some instances, the pain is due to injury or osteoporosis. The MIMIT Interventional Radiology team offers services that can alleviate or eliminate back pain. We manage and treat the pain this with many procdueures, including, Vertebroplasty, Kyphoplasty, Facet injections, and Nerve Blocks.
Vertebroplasty and Kyphoplasty
Vertebroplasty is a pain treatment for vertebral compression fractures that fail to respond to conventional medical therapy, such as minimal or no pain relief with analgesics or narcotic doses that are intolerable. Vertebroplasty, a nonsurgical treatment performed by interventional radiologists using imaging guidance, stabilizes the collapsed vertebra with the injection of medical-grade bone cement into the spine. Learn more about Kyphoplasty.