- Interventional Radiology is a field of medicine that specializes in minimally invasive procedures involving many parts of the body using imaging guidance such as x-ray, CT an Ultrasound. It has been described as essentially ÒsurgeryÓ without a scalpel. The goal is to provide patients with the least invasive procedure with an emphasis on quality care and quick recovery.
Our emphasis is in Interventional Oncology which involves treatment of tumors with image directed therapy. We treat many forms of malignant tumors such as liver cancer and benign tumors such as uterine fibroids. In addition to Interventional Oncology, our experienced physicians perform a vast array of Interventional Radiology procedures including:
¥ Intravenous access: Ports, peripherally inserted central venous catheters, dialysis access
¥ Uterine Artery Embolization
¥ Hepatic Chemoembolization (TACE, DC bead embolization, chemotherapy microspheres)
¥ Hepatic Radioembolization (Y90)
¥ Radiofrequency ablation
¥ Portal vein embolization
¥ Inferior vena cava filters
¥ Venous sampling: ovarian, adrenal, renal
¥ Ovarian vein embolization for pelvic congestion syndrome
¥ Male varicocele embolization
¥ Percutaneous nephrostomy
¥ Percutaneous Biliary Catheter placement
¥ (TIPS) Transjugular Intrahepatic Portal-systemic Shunt
¥ Biopsies and drainages
¥ Abdominal paracentesis
¥ Pleural and Peritoneal drainage catheter placement for malignant pleural effusion or ascites
Who is the Interventional Radiologist?
An Interventional Radiologist is a medical doctor who has completed a 4 year residency in Radiology and at least one extra year of fellowship training. Our Interventional Radiologists are board certified in Radiology with a Certificate in Added Qualification in Interventional Radiology.
ANGIOGRAPHY AND INTERVENTIONAL RADIOLOGY
A full range of percutaneous vascular and non-vascular diagnostic and therapeutic procedures in the radiology department at Greenville Memorial Hospital. In the department we have a recovery area staffed by RNÕs for pre-op and recovery for outpatients, but some procedures require overnight observation or brief inpatient hospital stays. With proper planning, procedures may be performed for patients from other hospitals, with return of the patient to their hospital after a brief recovery period at Greenville Memorial Hospital.
A partial list of procedures includes the following:
– Uterine artery embolization for symptomatic (pain or bleeding) fibroids in women who are unresponsive to medical therapy and wish to avoid myomectomy or hysterectomy.
– Ovarian venography and ovarian vein embolization for pelvic congestion syndrome. Women with chronic pelvic pain of unknown origin may have pelvic congestion syndrome due to varicosities of the ovarian veins. These women may have increasing pain with standing late in the day, post coital pain or vulvar varicosities. This can only be reliably diagnosed with venography, and can be treated percutaneously similar to male varicocele occlusion. Frequently these patients and their physicians are quite frustrated in the unsuccessful pursuit of the cause for chronic pelvic pain.
– Male varicocele occlusion for male infertility. Varicoceles may be diagnosed with scrotal ultrasound, and are often asymptomatic.
– Inferior vena cava filtration. Primary indications are DVT or pulmonary embolus with contraindication to anticoagulation, or recurrent PE or DVT despite adequate
anticoagulation. Filtration may also be indicated with a large free floating ilial caval clot, or a patient with PE or DVT with severe cardiopulmonary disease in which a
future PE may be fatal.
– Long-term venous access (tunneled catheter, subcutaneous port, or picc).
– TIPS (transjugular intrahepatic portosystemic shunt). Patients with chronic liver disease who have intractable variceal bleeding or ascites despite conservative therapy may be candidates for percutaneous portosystemic shunting.
– Radio frequency ablation or chemoembolization for unresectable, primary or metastatic liver malignancy.
– Biopsy or aspiration of masses or fluid collections. This includes transjugular liver biopsies in patients with nonfocal liver disease and contraindication to percutaneous biopsy such as ascites or uncorrectable coagulopathy.
For more information on Interventional Radiology procedures:
All radiology procedures
Pleural and peritoneal drainage catheter
(TIPS) Transjugular Intrahepatic Portal Systemic shunt
Patient education and resources