Download Interventional Radiology

INTERVENTIONAL RADIOLOGY
•Image
•IR
Guided Therapy
WHAT IS INTERVENTIONAL RADIOLOGY?
Minimally invasive procedures for both
diagnostic and therapeutic treatment purposes
 Performed by specially trained radiologists and
staff
 Performed by using state-of-the-art imaging
guidance
 Typically access structures through a tiny nick in
the skin to perform a variety of procedures

THE BENEFIT OF INTERVENTIONAL
RADIOLOGY

Our procedures can help reduce or replace
certain surgeries
Faster recuperation than with surgery
 Usually no hospital admission required(done as
outpatient)
 Less invasive-reduced to small punctures vs. large
incisions
 Safe and effective

WHAT KIND OF PROCEDURES DO WE DO?
In Interventional we will see a variety of
procedures
 Biopsies
 Diagnostic and treatment of vascular problems
 Diagnosis and treatment of bone tumors
 Drainage of fluid collections


Abscesses, chest and peritoneal collections, bile
ducts/gallbladder, kidneys
Insertion of feeding tubes
 Joint injections and aspirations
 Line placements:dialysis caths, ports, piccs, CVLs
 Lumbar punctures
 Treatment of Lymphatic and Vascular
Malformations

PROCEDURES AT A GLANCE

Angiograms: Catheters in Groin

Feeding Tubes

Central Lines

Lumbar punctures

Joint Injections
DO WE ONLY USE X-RAY TO IMAGE?
NO!
 In Interventional Radiology we can use a
multitude of means to achieve our goal.



The C-Arm(Fluoroscopy=live-time)

CAT Scan capabilities

3-D capabilities

Ultrasound Guidance
In most cases we will use 2 or more modalities
together for most efficient use.
WHO DOES IT TAKE TO SUCCESSFULLY
AND SAFELY PERFORM AN IR PROCEDURE?

It takes a multitude of modalities to work
together to perform the best for our patients.
Interventional
Radiologist
Scheduling
Staff
Anesthesiologist
Technologists
Nurses
IS THE PATIENT COMFORTABLE?
We do what we can to make the patient pain free
 It all depends on what type of procedure we are
performing
 The patient may need minimal sedation, general
anesthesia, or nothing but reassurance or to
watch a movie

WHAT WE NEED OF THE PATIENT TO
SCHEDULE.




Order from physician: Verbal, written or faxed
Reason for exam
Allery verification
Parental consent


Written or phone(with 2 witnesses)
NPO
Follow NPO guidelines of the hospital for specific needs
 Is patient being sedated or General Anesthesia
 Is this for GI procedure
 Patient is still instructed to take necessary medications on
the day of procedure with exception of anticoagulants


Check with Radiologist to determine post-procedure
planning
WHERE DOES THE PATIENT START AND FINISH?


Some things to think about when scheduling is where
does the patient check in?
There are 3 points of entry.
OP check in: No sedation necessary
 DS check in: Sedation or General Anesthesia
 Inpatient: Can be either no sedation, sedation or GA


Always check with Radiologist for post-procedure
plans
Pt may be discharged immediately if no sedation needed
 Pt may go back to Day Surgery for recovery and discharge
 Pt may go back to Day Surgery then to admit
 Pt may go direct admit from recovery room

DISCHARGE

The Radiologist will present a discharge plan to
include

Post procedure instructions
Activity instructions-school/gym excuse
 Aides ie: crutches, compression


Pain Control



Prescriptions vs otc
Time frame for Follow up appointment
Phone numbers to be supplied for any questions
RESOURCES

http://www.sirweb.org/patients/minimally-invasivetreatments/


http://www.chw.org/display/PPF/DocID/21522/router.asp

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http://eradiology.bidmc.harvard.edu/LearningLab/cardio/Qudsi.pd
f
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http://www.radiologyinfo.org/en/sitemap/category.cfm?category=ir