VASCULAR &

INTERVENTIONAL RADIOLOGY
 INTERVENTIONAL RADIOLOGY

• Interventional radiology also known as

Image-Guided Surgery or Surgical
Radiology, is a subspecialty of Radiology,in
which minimally invasive procedures are
performed using image guidance. Some of
these procedures are done for purely
diagnostic purposes (e.g., angiogram), while
others are done for treatment purposes (e.g.,
angioplasty).
• Minimally invasive procedures for both
diagnostic and therapeutic (treatment)
purposes
• Has it’s origins in coronary angiograms of the
1950’s and 1960’s
• Performed by specially trained radiologists
• Performed using state-of-the-art imaging
guidance (X-Ray , ultrasound, ct )
• Typically accesses structures through a tiny
(<2mm) nick in the skin
 What kind of things can be done?

• Treatment of vascular problems

• angiogram; angioplasty +/- stenting
• Biopsies
• Drainage of fluid collections
• abscesses, kidneys or bile ducts/gallbladder
• Embolization (blockage) of arteries
• to stop bleeding or treat tumours, etc.
• Treatment of infertility
• Insertion of feeding tubes
• Treatment of liver tumours
These procedures can replace certain
surgeries
– faster recuperation than with surgery
– usually no hospital admission required
(done as an outpatient)
– local anaesthetic used instead of general
anesthesia
– safe and effective
Angiography catheter
 Angioplasty

• Angioplasty (dilating blood vessels with

a balloon is a very common procedure
• Narrowing of vessels occurs commonly
as a result of hardening of the arteries
(atherosclerosis)
MRI PELVIS
FIBROID EMBOLIZATION
IVC FILTER
BILIARY DRAINAGE
BILIARY DRAINAGE