Interventional Services

Interventional Radiology

WHAT IS AN INTERVENTIONAL RADIOLOGIST?

Interventional radiologists are specially trained doctors who use x-rays and other imaging techniques to see inside the body. They guide narrow tubes (catheters) and other small instruments through blood vessels and other pathways of the body. This can be used to treat a variety of medical disorders without the need of a large opening for surgery. In general, the procedures performed by interventional radiologists are often less costly and less traumatic to the patient.  They involve smaller incisions, less pain, and shorter hospital stays than conventional surgery. Also within this section are some of the common procedures done by interventional radiologists at Cascade Radiology.

Cascade provides a full array of interventional services, including arteriograms for diabetic patients, dialysis access and maintenance for renal patients, and UFE (Uterine Fibroid Embolization) for women with fibroids.

Our experienced team can offer thorough biopsies of breast, lung, liver, in addition  to other biopsies including mediastinal, abdominal, and pelvic solid organ tumors for better diagnosis.

Venous Access
  • Arm Ports
  • Chest Ports
  • PICCs
  • Tunneled catheters for Hemodialysis or Hickman’s

Diagnostic Venography

  • Preoperative planning for dialysis access
  • Evaluation for DVT
  • Adrenal vein sampling

Venous Interventions

  • IVC filter replacement
  • TIPS- variceral bleeding
  • Thrombolysis for DVT
  • Transjugular liver biopsies
  • Venous balloon dilatation and Endovascular stent placement
  • Foreign body retrieval
  • Portal vein sampling for endocrine tumors

Pulmonary Arteriography

  • Thrombolysis or mechanical thromboembolectomy for severe PE
  • Embolization of AVM’s and pseudoaneurysms

Genitourinary Interventions

  • Nephrostomy tube placement
    • Obstruction
    • Stone Access
    • Ureteral leak/fistual or injury
  • Ureteral stent placement

Diagnostic and Therapeutic Arteriography

  • Pre-operative planning
  • Management of acute limb ischemia
  • Baloon dilatation/PTA
  • Stent Placement
  • Thrombolytic therapy for native vessels or occluded bypass grafts
  • Embolization of the followings
    • Uterine Fibroids
    • Tumors-chemoembolization
    • GI Hemorrhage
    • Traumatic Injuries
    • Iatrogenic injuries
    • Bronchial arteries for hemoptysis
  • Stentgraft repair of AAA
Gastrointestinal Interventions
  • De novo lacement of gastrostomy tubes
    • Retrograde
    • Antegrade
  • Tube Maintenance
  • Conversion of G to G-J tube
  • G and GJ tube replacements
    • Routine maintenance
    • Accidental dislodgement
    • Occlusions
  • Cecostomy tubes

Biliary Interventions

  • Percutaneous Transhepatic Cholangriography
    • PTC
  • Biliary drainage procedures
  • Biliary stent placement

Biopsy and Drainage Procedures

  • Tumors
  • Medical renal/hepatic disease
  • Abscess drainage
  • Paracentesis
  • Thoracentesis
  • Chest tube placement
    • Empyema
    • Pneumothorax
    • Loculated effusion
  • Thyroid FNA

Image Guided Therapies

  • Radiofrequency Ablations (RFA)
    • Liver
    • Kidney
    • Lung
    • Bone
  • Kyphoplasty for painful fractures
  • Vertebral insufficiency fractures
  • Metastatic disease


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