Interventional Radiology Minimum Access – Maximum Result.
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Transcript of Interventional Radiology Minimum Access – Maximum Result.
Interventional Radiology
Minimum Access – Maximum Result
Interventional Radiology is pin hole surgery
performed with the aid of
X rays, CT and ultrasound by specially trained
doctors called Interventional Radiologists
8 out of 10 procedures use skin incisions smaller than 5 millimetres
9 out of 10 procedures use only local anaesthetic, sometimes with sedation
Up to 8 out of 10 patients go home the same day
And it’s often a less invasive option than traditional surgical procedures
Leg arteries
Blocked arteries
Internal BleedingTargeted cancer treatment
Dialysis
Blocked bile ducts
Aortic aneurysms
Blood vessel malformations
Varicose veins
Blocked kidneys
We treat many conditions.......Here are just a few
Scope of Interventional Radiology
Blood Vessel
Bleeding control Many other treatments
Cancer
Blood Vessels
Treats blood vessels from 2 mm to 30 mm
Narrowed blood vessels are stretched (Angioplasty) to improve blood flow
Blocked blood vessels can be internally reopened in many cases
Treatment of aneurysms (abnormal bulges in vessels).
Unblocking arteriesBlocked arm artery (Arrow)causing pain and arm weakness
Treated by internallyunblocking the artery andplacing a stent
Major surgery avoided. Totaltreatment time of one hour
Aortic Aneurysm
Abnormal bulge (aneurysm) of the
main artery in the abdomen
Risk of rupture and major bleeding
Treated by internally relining the artery (Endovascular aneurysm repair-EVAR)
Major surgery avoided. Total treatment time of 90 minutes
Cancer
Treatment
• Thermal destruction of small cancers using image guided needles
• Targeted chemotherapy into blood vessels supplying the tumour
Symptom relief
• Stent insertion into the bowel for relief of obstruction
• Insertion of lines for delivery of chemotherapy and nutrition
Cancer TreatmentSmall cancer lesion in theliver (arrow) in a patient withpreviously treated cancer
Image guided thermaldestruction
Surgery and chemotherapyavoided. Treatment time of60 minutes.
Bleeding Control
Key emergency role for Interventional Radiology
Treatment of bleeding from Trauma, bowel, child birth or following surgery
Blood vessels as small as 2-3mm can be treated
Blood vessels can be blocked (embolisation) or relined with a stent depending on the location and need
Bleeding into BowelSevere bleeding into the large bowel (arrow)
Treated with selectiveBlockage of the bleedingArtery
Emergency surgeryavoided
Other Treatments
Kidneys Liver and Bile ducts
Dialysis Fibroids
Bone
Too many procedures...too little space
For more detailed patient information and further information about Interventional
Radiology please visit
www.bsir.org & www.bsir-qi.org
Interventional Radiology
Minimal access
Local anaesthesia/sedation
Quicker recovery
Less invasive alternative
Prepared on behalf of British Society of Interventional Radiology
by
Dr G Ananthakrishnanand
Dr I Robertson