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Diagonostic and Interventional Radiology

Interventional radiology is a fast growing subspecialty of radiology in which minimally invasive image guided vascular procedures are performed in each and every organ system of body from head to toe. These procedures are performed by interventional radiologist in cathlab through a pinhole in the groin using small puncture needle, wires and catheters under C-arm guidance. All the vascular emergencies can be dealt by interventional radiologist and also it is playing an important supporting role to other specialities. Apart from vascular problems, non-vascular procedures like percutaneous liver, renal and lung tumour ablation, biopsy, PTBD and stenting also performed.

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The advantage of Interventional Radiology is, minimizes the physical trauma to the patient by avoiding major surgical incision, lesser hospital stay, faster recovery time and lesser chances of infection.The procedures can be performed in critically ill patient who are not otherwise fit for major surgical procedures.

 

  • It is cheaper than traditional surgery.
  • No surgical scar on skin.
  • Procedure done under local / short anesthesia.
  • It is done as day care or short hospital stay.
  • Patients can resume normal activities within one to two day.
  • It is less risky as compared to surgery.
  • Its safety has been proven over many years in thousands of people.
 

 

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Treatment & Procedures

  • General Vascular  Interventional procedures.
  • Neuro Interventional Procedures.
  • Urological / Nephrological Interventional procedures.
  • Pulmonary and Thoracic interventional Procedures.
  • Gynecological Interventional Procedures.
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 General Vascular  Interventional procedures.

  • Laser Ablation Of Varicose Veins.
  • Peripheral Vascular Diseases Including Diabetic Foot (Aortoiliac, Femoropopliteal, Tibial And Pedal Angioplasty And Stenting)
  • Intra-Arterial Catheter Directed Thrombolysis In Acute Limb Ischemia Using Urokinase Or Rt-PA.
  • Intravenous Catheter Directed Thrombolysis In Acute Deep Venous Thrombosis And IVC Filters Placement.
  • Venous Angioplasty And Stenting In Venous Compression Syndromes,  Malignant Venous Obstruction ,Central Venous Obstruction.
  • Angioplasty In Vasculitis Like Takayasu Using Cutting Balloons.
  • Embolization For Arteriovenous Malformations.
  • Sclerotherapy For Isolated Perforator Incompetence In Lower Limb Varicosities And In Venolymphatic Malformations.

Neuro Interventional Procedures.

  • Cerebral angiography.
  • Mechanical thrombectomy for acute stroke.
  • Carotid artery stenting for stroke.
  • Angioplasty and stenting for intracranial arteries for stroke.
  • Endovascular embolization/coiling for intracranial (brain) Aneurysms, Arterio-venous malformations, Arteriovenous fistula of brain vessels.
  • Endovascular embolization for Carotico-Cavernous Fistulas.
  • Endovascular embolisation for various spinal vascular malformations.
  • Intra-arterial chemotherapy for Retinoblastoma.
  • Embolisation for Vein of Galen Malformation (VGAM).
  • Endovascular embolization/coiling for bleeding neck and brain vessels.
  • Endovascular embolization for recurrent subdural hematoma.
  • Mechanical thrombectomy for cerebral venous sinus thrombosis.
  • Stenting for dural sinus stenting.
  • Pre-operative embolization for head, neck and spinal tumors to reduce operative blood loss.
  • Inferior petrosal sinus sampling for pituitary adenoma diagnosis.
  • Kyphoplasty and vertebroplasty for chronic back pain due to vertebral collapse.
  • Ablation for painful spinal metastases and osteoid osteoma.

Urological / Nephrological Interventional procedures.

 

  • Embolization Of Post PCNL And Post Biopsy Hematuria.
  • Pre-Operative Embolization For Renal Cell Carcinoma.
  • Embolization Of Renal Tumors Like Angiomyolipoma.
  • Percutaneous Nephrostomy And Antegrade Ureteric Stenting In Malignant Ureteric Obstruction.
  • Prostatic artery embolization for BPH 
  • Varicocele embolization 
  • Transjugular renal biopsy
  • Embolisation of chylous post operative collections

Dialysis related interventions

  • Routine and difficult dialysis access insertion including dialysis catheters and perm cath
  • Central venoplasty including stenting for poor flow and SVC syndrome
  • AV fistuloplasty / thrombolysis

Pulmonary and Thoracic interventional Procedures .

  • Bronchial And Non-Bronchial Systemic Artery Embolization In Haemoptysis.
  • Biopsy / pleurodesis for recurrent pleural effusions/ Tracheal stenting
  • Pleural effusion aspiration / drainage
  • Embolisation for chylothorax 

Gastroenterology and hepatology Interventional Procedures.

  • Emergency bleed embolisation
  • Pre-Operative Embolization For Highly Vascular Tumors, Ruptured Liver Tumors, Chemoembolization of HCC
  • Portal vein embolization for hepatic resection, Transjugular liver biopsies
  • PTBD +/-  stenting for biliary obstruction. 
  • TIPS for variceal bleed , recurrent ascites (TIPS) 
  • Shunt occlusions (BRTO ,PARTO, CARTO) in bleed , recurrent encephalopathy 
  • Interventions in Budd chiari syndrome including hepatic vein recanalisation , IVC venoplasty or stenting , DIPS
  • Thrombolysis ,angioplasty or stenting of mesenteric ishaemia 
  • Pancreatic collection drainage

Gynecological Interventional Procedures.

  • Embolization For Primary And Delayed Post-Partum Hemorrhage.  
  • Embolization Of Symptomatic Uterine Fibroids Using PVA Particles.  
  • Prophylactic bilateral iliac balloon placement In High Risk PPH Cases Like Placental Abnormalities/ Fibroid Complicating Pregnancy. 
  • Fallopian Tube Recanalization For Tubal Blocks.
  • Embolisation for pelvic congestion syndrome

Onco- interventions

  • Biopsies / FNAC / imprint smear from tumours 
  • HCC treatment including RFA , MWA, TACE, PEI 
  • Ablation of other tumors
  • Palliative interventions like ablation of bony metastases / nerve blocks / Chemoport insertion
  • Embolisation of post operative / tumoral bleeds

Aortic interventions 

  • Endovascular thoracic and abdominal aortic aneurysm stenting 
  • Endoleak embolisation

Ortho interventions 

  • Ablations for Osteoid osteoma / vertebroplasty / bone biopsy

 

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Our Doctors

 Radiology services are housed in a 5000 square feet space at Rajagiri Hospital. The equipment and technology here are among the best by industry standards. Across the spectrum of imaging, the facility is digital with IT integration enabling transmission and archival of images and reports. The imaging equipment comprises of 3 Tesla MRI, 128 Slice CT Scanner, High-end Ultrasound scanners, Mammography, digital fluoroscopy and x –ray units housed in the Department. Point of care imaging is also done by portable Ultrasound, x-ray and C-arm Units. The Department undertakes all conventional, sonography and cross-sectional imaging requirements as well as tissue sampling for diagnosis.

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An Enterprise PACS Solution enables integration, dissemination and archival of all images in the Hospital.

 
 

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Our Doctors

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