Interventional Radiology (IR)

Interventional Radiology (IR) (Kailash Hospital, Sector 27, Noida)




Interventional Radiology is a sub-specialty of Radiology at Kailash Hospital Sector 27 Noida, which performs plethora of minimally invasive image guided therapeutic Endovascular, Hepato-biliary, Oncology, Urology, Nephrology and Gynaecology Interventions. 

IR today is one of the fastest growing & safest medical sub-specialties with an ever expanding list of minimally invasive treatments. 

Novel technological development and techniques such as stents and stent grafts led to Endovascular treatment for peripheral vascular disease. Novel minimally invasive treatments such as catheter directed thrombolysis for acute arterial & venous thrombosis, Embolization techniques for uncontrolled life threatening hemorrhage, splenic / liver trauma, arterio-venous malformation (AVMs) and hyper vascular tumors, Chemo-Embolization and RFA / microwave ablation for hepato-cellular Carcinoma are standard of care. Almost all procedures are performed under local anesthesia without any incision. 

Varicose Vein

Varicose veins are swollen, twisted veins that appear just beneath the skin— most commonly on the legs, ankles, and feet. While they’re often not dangerous, ignoring them can sometimes lead to serious problems. Healthy habits and timely treatment can make a difference.

Deep Vein Thrombosis

Deep vein thrombosis (DVT) happens when a blood clot develops in a deep vein, most commonly in the legs. It can become dangerous if the clot breaks free, travels through the bloodstream, and blocks blood flow in the lungs, leading to a pulmonary embolism.

Pulmonary Thromboembolism

Pulmonary thromboembolism is a serious condition that occurs when a blood clot—most often formed in the deep veins of the legs—travels to the lungs and blocks blood flow in a pulmonary artery. It can be life-threatening, but early treatment can greatly reduce the risk of death.

AV fistula

Arteriovenous fistula (AV fistula) is an abnormal connection between an artery and a vein that allows blood to flow directly between them. It most commonly occurs in the legs but can develop anywhere in the body. An AV fistula may be present at birth or can develop due to injury or trauma. A large, untreated AV fistula can lead to serious health complications. Early detection can make the condition easier to manage and treat.

Diabetic Foot

Diabetic foot refers to foot problems caused by diabetes, usually due to nerve damage and poor circulation. This can lead to numbness, sores, infections, and in severe cases, amputation if left untreated. Early detection and proper care are crucial to prevent serious complications and protect your feet.

Gangrene

Gangrene is a serious medical condition in which tissues die due to a lack of blood flow. It often starts at the edges of limbs, such as toes or fingers, but can affect any part of the body, including organs. It may be caused by injury, infection, or medical conditions that affect circulation. Without prompt treatment, gangrene can lead to severe complications or even death.

Vascular Malformation

Vascular malformation is a condition where blood vessels enlarge, tangle, or form abnormal pockets or channels, leading to irregular blood flow. It can affect veins, arteries, or lymphatic vessels. These malformations are usually present at birth. Depending on their size and location, vascular malformations may cause swelling, pain, bleeding, or functional problems.

Uterine Fibroid

Uterine fibroids are non-cancerous growths of muscle and tissue in the uterus. While many fibroids may not cause any symptoms, some can lead to heavy menstrual bleeding, pelvic pain, or other complications. Small fibroids often don’t require treatment, but larger fibroids can be managed with medications or surgery.

Portal Hypertension

Portal hypertension is a condition in which the blood pressure in the portal vein—the vein that carries blood from the digestive organs to the liver—is abnormally high. It is often caused by liver diseases, such as cirrhosis, which block normal blood flow through the liver. This increased pressure can lead to swelling in the abdomen (ascites), enlarged veins and other complications.

Thyroid nodule

Thyroid nodules are lumps or growths in the thyroid gland, located in the neck. Most thyroid nodules are benign and do not cause symptoms, but some can lead to swelling, difficulty swallowing, or changes in voice. Timely detection and monitoring help ensure proper treatment.

 

Liver cirrhosis

Liver cirrhosis is a permanent scarring that damages the liver and interferes with normal liver function. It often develops due to long-term liver damage caused by conditions such as chronic hepatitis, fatty liver disease, or prolonged alcohol use. Early diagnosis and proper medical care can help slow its progression and prevent complications.

The interventional Radiology procedures are associated with minimal risk, early recovery and early discharge as compared to conventional open surgical treatments. Real time image guidance allows precise treatment. 

Peripheral Arterial Interventions

  • Peripheral Angioplasty and Stenting for Peripheral Vascular Disease
    • Aorto-iliac stenosis or occlusive lesions
    • Below knee arterial stenosis or occlusions
    • Renal artery stenosis
    • Femoro-popliteal stenosis or occlusions
    • Mesenteric artery stenosis/occlusion
    • Subclavian artery stenosis or occlusions
    • Carotid artery stenosis
  • Stent-Grafting for Peripheral A-V Fistula / Pseudoaneurysms / Dissection
  • Pharmaco-Mechanical Catheter Directed thrombolysis
    • Thrombectomy for - Acute lower or upper limb ischemia
    • Acute mesenteric ischemia
    • Acute thrombosis of By-Pass Grafts
  • Embolizations: Peripheral Pseudoaneurysms, Arteriovenous malformations
  • Preoperative tumor embolization for hypervascular tumors like JNA, Para-gangliomas, Sarcomas
  • Endovascular snaring / removal of foreign bodies (catheters, guidewires etc)

Peripheral Venous Interventions

  • Peripheral Venography
  • Angioplasty & Stenting for Central Venous Stenosis or occlusions (Iliac vein, IVC, Superior Vena Cava, Brachio-cephalic vein, subclavian vein)
  • Catheter directed thrombolysis & thrombectomy for Acute Ilio-femoral or Caval DVT & Pulmonary Thrombo-embolism
  • IVC filter Placement & Retrieval
  • Endo-Venous Laser Ablation/ RFA for VARICOSE VEINS
  • Percutaneous Sclerotherapy for slow flow vascular malformation
  • PICC / Central line insertion

Hepatobiliary Interventions

  • PTBD (Percutaneous Transhepatic Biliary Drainage)
  • PTC (Percutaneous Transhepatic Cholangiography)
  • Percutaneous Biliary Stenting (Self Expanding Metallic Stenting: single or Y-Stenting or stent graft placement)
  • Percutaneous Cholecystostomy
  • HVPG (Hepatic Venous Pressure Gradient measurement)
  • TJLB (Trans-Jugular Liver Biopsy)
  • BORTO for Gastric Varices (Balloon Occluded Retrograde Transvenous Occlusion)
  • PARTO for Gastric Varices (Plug Assisted Retrograde Transvenous Occlusion)
  • Preoperative Portal Vein Embolization
  • Catheter-directed thrombolysis for Acute Portal vein thrombosis
  • Hepatic Vein / IVC Angioplasty and Stenting for chronic Budd Chiari Syndrome
  • Portal Vein Angioplasty and Stenting
  • TACE (Trans-Arterial Chemo-Embolization) for HCC
  • TACE for liver metastases / Unresectable Cholangiocarcinoma
  • Embolization for liver trauma, giant hepatic hemangioma, hepatic pseudoaneurysms, GDA pseudoaneurysms
  • Preoperative tumor embolization

Gastrointestinal Interventions

  • Splenic artery embolization for splenic trauma, Hypersplenism, Portal Hypertension, & Gastric varices
  • Embolization for Acute GI bleeding, pseudoaneurysms
  • Catheter directed thrombolysis for acute mesenteric ischemia
  • Angioplasty and stenting for chronic mesenteric ischemia
  • Pigtail drainage of Pancreatic and Peripancreatic Collections
  • Naso-Jejunal tube insertion

Nephrology / Urology / Gynecological Interventions

  • Hemo-dialysis Fistula Dysfunction Interventions
    • Radio-cephalic fistula Angioplasty
    • Angioplasty & Stenting for Central Venous stenosis or occlusion
    • Catheter directed thrombolysis and thrombectomy for acute thrombosis of fistula
  • Perma-Cath insertion for hemo-dialysis
  • Percutaneous Nephrostomy / Ureteric stenting
  • Renal Biopsy / TRUS guided biopsy for prostate
  • Embolization for Renal Bleeding, Coil Embolization renal pseudoaneurysms/ AV fistula
  • Endovascular closure of AV fistula
  • Embolization for large Angio-myelolipoma
  • Endovascular Coil Embolization of Varicocele
  • Uterine artery embolization (PPH, uterine fibroids)
  • Ovarian vein embolization for Pelvic Venous Congestion

Pulmonary Interventions

  • Bronchial Artery Embolization for Hemoptysis
  • Coil or Vascular Plug Embolization for pulmonary Arterio-Venous Malformation
  • CT -guided Lung / Mediastinal / Pleural mass Biopsy

Oncology Interventions

  • TACE for HCC, liver metastasis
  • RFA / Microwave for HCC, Renal cell Carcinoma, liver metastasis
  • Preoperative tumor embolization for Hyper-vascular tumors
  • Biopsy for Neoplasms

Non-Vascular Interventions

The division of Vascular & Interventional Radiology also performs Non-Vascular Interventions. Following are the NVIs that are carried out by the Radiologists:- nbsp;

  • USG or CT guided Pigtail drainage of abdominal collections, liver abscess, empyema, pleural effusion
  • USG guided Pleural tap / Ascitic tap
  • USG / CT guided biopsies
  • CT guided Bone Biopsy, Retroperitoneal/ Mediastinal mass biopsies
  • FNACs
  • Celiac ganglion block/ablation for pain management
  • Percutaneous Sclerotherapy for Aneurysmal Bone Cyst

The radiology department has its own wards and dedicated surgical rooms fully equipped with standardized infrastructure focusing on patients' safety. Furthermore, each and every test is well organized with accurate results. The team work is the key that has helped us in constantly achieving our goal. The department is equipped with modern-day equipments including flat panel Cath Lab, 3D angiography, premium colour Doppler machine, digital mammograph, etc. 

To know more about our Radiological Investigations & Procedures click here.....



Team of Doctors

Dr. Amit Kumar

Dr. Amit Kumar

Director- Vascular & Interventional Radiology (IR)

Areas of Expertise:

Endovascular Specialist, Heptobiliary / Oncology Interventions

Qualification:

MD (Radiology), PDCC, EDIR, DICR

Dr. Amit Kumar

Director- Vascular & Interventional Radiology (IR)

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