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Interventional radiology

Interventional radiology is a subspecialty of radiology in which minimally invasive procedures are performed using image guidance. Some of these procedures are done for purely diagnostic purposes (e.g., angiogram), while others are done for treatment purposes (e.g., angioplasty). Pictures (images) are used to direct these procedures, which are usually done with needles or other tiny instruments, like small tubes called catheters. The images provide road maps that allow the interventional radiologist to guide these instruments through the body to the areas of interest. For many years, surgery was the only treatment available for many conditions. Today, interventional radiology treatments are first-line care for a wide variety of conditions. It is important to know all of your treatment options before consenting to any procedure or surgery.

Our services

At Lake Region Healthcare (LRH), interventional radiology procedures are performed on an outpatient basis and on an inpatient basis for hospitalized patients. Interventional radiology also is available for emergency and trauma patients. Procedures we perform include but are not limited to:

Minimally invasive treatment for chronic tendinitis

Arterial therapy

  • Treatment for thoracic, abdominal and other aneurysms.
  • Treatment for carotid artery disease.
  • Treatment for arm claudication or vertebral insufficiency.
  • Treatment for peripheral arterial vascular disease and ulcers/wounds.
  • Treatment of renal artery hypertension.
  • Treatment for active bleeding related to trauma, gastrointestinal ulcers, tumors, diverticulosis and hemoptysis.
  • Treatment of arteriovenous malformations.
  • Thrombolytic therapy for acute ischemia to the arm, leg or gut (mesentery).
  • Thrombolytic therapy and thrombectomy for treatment of acute stroke.

Venous therapy

  • Treatment of venous thromboembolic disease: deep vein thrombosis (DVT) and pulmonary embolism (PE), including thrombolytic therapy, thrombectomy and vena cava filter placement.
  • Varicose and spider vein ablation.
  • Chronic venous insufficiency of the legs.
  • Treatment of venous occlusions causing arm or leg swelling, Budd-Chiari syndrome, thoracic outlet syndrome or SVC syndrome.

Oncologic therapy

  • Core biopsies of suspected tumor lesions.
  • Endovascular therapy of primary and metastatic tumors to the liver, kidney, adrenal gland, spleen and bone with embolization, chemoembolization, chemodrug infused microbeads and/or radioactive spheres.
  • Percutaneous ablative therapy for primary and metastatic disease to liver, lung, kidney, soft-tissue, adrenal gland and bone.
  • Pleurex catheter placement for malignant pleural effusions and ascites.
  • CT power-injectable chest ports and PICC lines.

Pain management

  • Vertebroplasty and kyphoplasty for thoracic and lumbar vertebral body fractures.
  • Steroid injections, such as epidural, facet and joint injections.

Percutaneous and endoluminal nonvascular therapy

  • Draining of abscesses, painful cysts and abnormal fluid collections.
  • Thoracentesis, paracentesis and pleurodesis.
  • Biopsies of thyroid, solid organ, soft tissue and bone mass/lesions.
  • Treatment of bile duct and gallbladder disease through the placement of drainage tubes, cholangioplasty, metallic stents and stone extraction.
  • Urinary interventions such as percutaneous nephrostomy, nephroureteral or internal ureteral stent placement.
  • Gastrostomy or gastrojejunostomy feeding tubes.

Dialysis access

  • Central venous access, including hemodialysis catheter.
  • Declotting of AV fistula hemodialysis patients.
  • Catheter placement for peritoneal dialysis.

The team

The interventional radiology team is composed of individuals with extensive experience in interventional radiology procedures. The team includes:

  • Board-certified radiologists (MDs).
  • Licensed radiological technologists with sub-specialization in interventional radiology.
  • Registered nurses.
  • Highly qualified and experienced support staff consisting of secretaries, transcriptionists and transporters.

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