Surgery

Interventional Radiology Procedure

search

Interventional Radiology Procedure, Interventional Radiology, Intervention Radiology

  • Defintions
  1. Imaging-Guided minimally invasive procedures
  • Procedures
  • Venous
  1. Central Venous Access (venous catheters and subcutaneous ports)
    1. Fluoroscopy or Ultrasound guided
  2. Varicose Veins
    1. Endovenous laser or radiofrequency ablation are effective alternatives to surgical intervention
  3. Deep Vein Thrombosis
    1. Catheter-directed Thrombolysis may be considered in severe, extensive DVT
      1. Unclear if prevents significant Post-Thrombotic Syndrome
  4. Pulmonary Embolism
    1. Catheter-directed Thrombolysis in Massive Pulmonary Embolism
  5. Venous Thromboembolism with Anticoagulation contraindicated or refractory
    1. Endovascular IVC Filter placement (removed as soon as able)
  • Procedures
  • Arterial
  1. Claudication (Peripheral Arterial Disease)
    1. Surgical revascularization is preferred in medication-refractory Peripheral Arterial Disease
    2. Angioplasty may be indicated in medication-refractory disease with limited Life Expectancy
  2. Acute Limb Ischemia
    1. Percutaneous Thrombolysis is an effective alternative to surgical thrombectomy
  3. Abdominal Aortic Aneurysm
    1. Endovascular aortic repair (fluoroscopy guided fabric and wire stent graft placement)
  4. Acute Hemorrhage
    1. Transarterial embolization indications
      1. Severe Postpartum Hemorrhage
      2. Pelvic Fracture
      3. Lower Gastrointestinal Bleeding
      4. Hemoptysis
      5. Post-surgical Hemorrhage (e.g. orthopedic surgery, abdominal surgery)
      6. Splenic Rupture
      7. Liver Laceration
  • Procedures
  • Genitourinary
  1. Uterine Fibroids with Menorrhagia
    1. Uterine Fibroid embolization
  2. Scrotal Varicoceles with Orchialgia or Infertility
    1. Gonadal vein embolization
  • Procedures
  • Diagnostic
  1. Abnormal fluid collection (e.g. abscess >3 cm, Pleural Effusion, Ascites)
    1. Image-Guided Percutaneous Drainage
  2. Lymph-Node, Salivary Gland or Thyroid Masses
    1. Ultrasound-Guided biopsy
  3. Deep Head and Neck Masses
    1. CT-Guided biopsy
  4. Solid organ Masses (e.g. Liver, Spleen, Kidney)
    1. CT or Ultrasound guided biopsy
  • Procedures
  • Oncology
  1. Cancer treatment modalities
    1. Embolization (liver, renal cell, Bone Tumors)
    2. Percutaneous ablation (RCC, liver, lung tumors)
    3. Percutaneous drainage and stenting
  • References
  1. Arnold (2019) Am Fam Physician 99(9):547-56 [PubMed]