Department of Radiology

Interventional Radiology

We care! Our priority is the needs of our patients. We are involved in the management of various illnesses, both congenital (since birth) and acquired (such as infections, accidents, trauma, and tumours). Consultation, evaluation of the clinical problem, counselling, work-up, follow-up and prevention are considered as essential as the treatment itself. Procedures are performed when needed.

  • For elective indications, a referral letter is appreciated.
  • For emergencies, please report to the Emergency Medicine Department which will notify our on-call team.

The following comprehensive list includes some of the clinical problems we manage and procedures performed.

OPD consultations

  • Image-guided (ultrasound, CT) biopsy, drainage
Neuro / central nervous system interventions
  • Diagnostic cerebral angiography
  • Stroke - (mechanical thrombectomy – aspiration and stent retriever)
  • Intracranial atherosclerotic disease – angioplasty and stenting
  • Cerebral venous thrombosis - Mechanical thrombectomy/thrombolysis
  • Intracranial aneurysm (Coiling – simple and stent or balloon-assisted/ flow diverter/ intra-saccular devices)
  • Vasospasm management
  • Cerebral Dural Arteriovenous Fistula (DAVF)
  • Cerebral Arteriovenous Malformation (AVM)
  • Stereotactic radio-surgery localization for cerebral AVMs
  • Carotid-cavernous fistula – direct and indirect
  • Dural venous sinus stenting
  • Inferior Petrous Sinus sampling
  • Pre-op embolisation for intracranial tumours
  • Intra-arterial chemotherapy for Retinoblastoma
  • Chronic Subdural haemorrhage – middle meningeal artery embolisation.
  • Vein of Galen malformation management
  • CSF leak management
Head and neck interventions
  • Carotid artery stenosis - angioplasty and stenting
  • Arteriovenous malformation(AVM) of the head and neck region
  • Carotid blow-out syndrome
  • Juvenile nasopharyngeal angiofibroma (JNA) embolisation.
  • Carotid body tumour embolisation
  • Epistaxis (nasal bleed) treatment- Internal maxillary artery embolisation
  • Venous and lymphatic malformations (alternative terminology -cystic hygroma) - sclerotherapy
  • Botox injection into salivary gland injection to control excessive salivary secretion
Spinal interventions
  • Spinal angiography
  • Spinal AVM/AVF embolisation
  • Vertebral haemangioma embolisation
  • Pre-operative embolisation of spinal tumours
  • Osteoid osteoma microwave ablation
  • Facet joint injection/ Nerve blocks
  • Myelogram / Diskography
  • Ablation for disc herniation
  • Vertebroplasty and kyphoplasty
  • Guided Lumbar puncture
Chest interventions
  • Bronchial artery embolisation for haemoptysis
  • Pulmonary artery pseudoaneurysm/AVM
  • Pulmonary thromboembolism – thrombectomy/thrombolysis
  • Lung tumour microwave ablation
  • Superior vena cava stenting in SVC syndrome
  • Chylothorax management – thoracic duct embolisation
  • Guided pigtail insertion for pleural effusion/pneumothorax/ lung abscess
  • CT/USG guided biopsies
  • Pleurodesis
Hepato-pancreatico-biliary interventions
  • Trans-arterial embolisation (TAE)/chemoembolisation (TACE) / radio-embolisation (TARE) for liver tumours (HCC, cholangiocarcinoma, metastasis & other tumours)
  • Microwave ablation for liver tumours (HCC, metastasis, cholangiocarcinoma)
  • Liver haemangioma embolisation
  • Portal vein embolisation – prior to hepatic resection
  • Post-liver transplant complication management
  • Hepatic venous pressure gradient measurement
  • Portal vein stenting
  • Portal vein thrombectomy
  • Portogram and portal vein pressure measurement
  • Trans Jugular Intra Hepatic Porto Systemic Shunt- stent (TIPSS)
  • Direct intrahepatic Porto systemic stent (DIPS)
  • Inferior vena cava angioplasty + stenting
  • Hepatic vein angioplasty + stenting- Budd Chiari syndrome
  • Liver biopsy – percutaneous and trans jugular approach
  • Percutaneous cholangiogram
  • Percutaneous trans biliary drainage
  • Biliary balloon plasty + stenting
  • Biliary stone retrieval
  • Percutaneous cholecystostomy
  • PAIR ( Puncture-aspiration-injection-re-aspiration) / sclerotherapy for hydatid cyst
  • Pigtail insertion for abscess/ collections
  • Pancreatitis complications management
Gastro-intestinal interventions
  • Upper and lower GI bleed/haemorrhage embolisation
  • Pseudoaneurysm management
  • Variceal bleeding – Trans hepatic porto systemic shunt-stent (TIPSS)
  • Balloon-occluded retrograde transvenous obliteration (BRTO)/Plug-assisted
  • retrograde transvenous obliteration (PARTO) / Coil-assisted retrograde transvenous
  • obliteration (CARTO)
  • Tumour bleed embolisation
  • Splenic artery embolisation
  • Acute and chronic mesenteric ischemia management: Superior mesenteric artery
  • stenting, superior mesenteric vein thrombolysis
  • Pre-operative embolisation for gastrointestinal tumours
  • Percutaneous gastrostomy/jejunostomy
Kidney and dialysis access management
  • Renal bleed embolisation
  • Renal tumour ablation
  • Pre-op embolisation of angiomyolipoma (AML)
  • Renal artery stenting for hypertension
  • Adrenal vein sampling
  • Percutaneous nephrostomy (PCN)
  • Percutaneous antegrade DJ stenting
  • Suprapubic cystostomy
  • Percutaneous renal biopsy
  • USG guided pigtail insertion for urinoma/lymphocele - post kidney transplant
  • Tunnelled dialysis catheters- permcath (Jugular/femoral)
  • Fibrin sheath stripping
  • Temporary catheter insertion
  • Dialysis access management - fistulogram and fistuloplasty
  • Central vein angioplasty and stenting
  • Central line insertion
  • PICC line insertion
Obstetrics and Gynaecology interventions
  • Uterine arterio-venous malformation embolisation
  • Management of post-partum haemorrhage
  • Uterine fibroid embolisation
  • Pelvic congestion syndrome management
  • Fallopian tube recanalization
  • Hysterosalpingogram
Breast interventions
  • Breast biopsies - USG/Stereotactic/Vacuum-assisted breast biopsy (VABB)
  • Vacuum-assisted fibroadenoma excision
  • Breast tumour ablation
  • Wire localization
  • Breast abscess drainage
Male reproductive system interventions
  • Prostatomegaly/ Benign prostatic hypertrophy - Prostate artery embolisation
  • Varicocele embolisation
  • Penile AVM/ AVF embolisation
  • Priapism, Erectile dysfunction
  • Urethroplasty
Musculoskeletal interventions
  • Preoperative embolisation of bone tumours, haemophilic pseudotumors
  • Chronic knee osteoarthritis – genicular/geniculate artery embolisation, genicular nerve ablation
  • Osteoid osteoma ablation
  • Frozen shoulder embolisation
  • Intra-articular injections for pain
  • Bone biopsy
  • Botox injection
  • PRP injections
Image-guided pain management
  • Celiac plexus block
  • Lumbar plexus block/sympathectomy
  • Superior and inferior hypogastric and other plexus block
  • Intercoastal nerve block
  • Stellate ganglion block
  • Peripheral nerve interventions
Lymphatic interventions
  • Lymphangiography
  • Lymphatic leak embolisation
  • Thoracic duct embolisation
Oncological interventions
  • Chemoport insertion/removal
  • Hickman’s line insertion
  • Pre-op embolisation of tumours
  • Tumour bleed embolisation
  • Ablation (liver, lung, kidney, bone, breast)
  • Trans arterial embolisation (TAE) /chemoembolisation (TACE) / radioembolisation
  • (TARE) for liver tumours (HCC, Cholangiocarcinoma, Metastasis, other tumours)
  • Superior vena cava stenting for superior vena cava syndrome
Peripheral vascular interventions
  • Angioplasty ( Arterial + Venous) – peripheral arterial disease, Takayasu disease and other vasculitis
  • Deep venous thrombosis interventions- thrombectomy/ thrombolysis
  • Chronic thrombotic occlusion revascularisation
  • IVC filter placement and retrieval
  • Varicose vein treatment
  • Intravascular foreign body retrieval
  • Venograms and arteriograms
  • Vascular access complications – stenting, embolisation and thrombin injection
Aortic interventions
  • TEVAR Thoracic endovascular aneurysm repair
  • Abdominal aortic aneurysm repair
  • Endoleak management
  • Angioplasty
  • Stenting
Vascular anomalies/malformations
  • Arteriovenous malformation
  • Venous malformation
  • Lymphatic malformation/ Combined malformations
  • Multi-disciplinary management of Klippel Trenaunay syndrome, Parkes Weber syndrome and others
Trauma-related interventions
  • Embolisation for vascular injury
  • Stenting for vascular injury
  • Traumatic CSF leak management

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