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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 Aortic aneurysms Targeted cancer treatment Blocked bile ducts Internal Bleeding Fibroids Blocked kidneys We Here treat aremany just aconditions....... few Dialysis Bone and spine Varicose veins Leg arteries Blood clots Blocked arteries Blood vessel malformations Interventional Radiology Blood Vessels Cancer Treats blood vessels from 2 mm to 30 mm Narrowed blood vessels are stretched (Angioplasty) to improve blood flow Blocked Bleeding blood vessels can be internally reopened in many cases Control Many other treatments Treatment of aneurysms (abnormal bulges in vessels). Unblocking arteries Blocked arm artery (Arrow) causing pain and arm weakness Treated by internally unblocking the artery and placing a stent Major surgery avoided. Total treatment 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 Scope of Interventional Radiology TreatmentBlood Vessel SymptomCancer relief • Thermal destruction of small cancers using image guided needles • Stent insertion into the bowel for relief of obstruction Bleeding control • Targeted chemotherapy into blood vessels supplying the tumour Many other treatments • Insertion of lines for delivery of chemotherapy and nutrition Cancer Treatment Small cancer lesion in the liver (arrow) in a patient with previously treated cancer Image guided thermal destruction Surgery and chemotherapy avoided. Treatment time of 60 minutes. Scope of Interventional Radiology Cancer Key emergency role for Interventional Radiology Blood vessels Treatment of bleeding from Trauma, bowel, child birth or following surgery Blood vessels as small as 2-3mm can be treated Bleeding Control Many other treatments Blood vessels can be blocked (embolisation) or relined with a stent depending on the location and need Bleeding into Bowel Severe bleeding into the large bowel (arrow) Treated with selective Blockage of the bleeding Artery Emergency surgery avoided Bone Scope of Interventional Radiology DialysisBlood vessel control LiverBleeding and Bile ducts Cancer Fibroids Many other treatments Kidneys 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 Ananthakrishnan and Dr I Robertson
