Division of Interventional Radiology

Our interventional radiology department is recognized for having in-depth expertise in state-of-the-art imaging and minimally invasive techniques that help our patients recover faster with less pain and fewer risks than traditional surgery. Our team of experts treat patients with various complications, allowing us to continue delivering better outcomes for our patients.

Service List

Neurointerventions

  • Endovascular management of brain aneurysms both ruptured and unruptured.
  • Endovascular management of AVM.
  • Endovascular management of Dural arteriovenous fistula (DAVF).
  • Endovascular management of Carotid – cavernous fistula (CCF).
  • Endovascular management of AV Fistulas.
  • Endovascular management of VOGM (Vein of Galen Malformations)
  • Endovascular management of Spinal Vascular Malformation.
  • Endovascular / percutaneous management of craniofacial Vascular malformation.
  • Endovascular management of intractable epistaxis
  • Endovascular management of post traumatic arteriovenous fistula / pseudoaneurysms
  • Acute stroke management by mechanical thrombectomy using stent retrievers and Aspiration Systems.
  • Carotid & Intracranial stenting.
  • Endovascular Treatment of Vasospasm
  • Nimodipine infusion
  • Balloon Angioplasty
  • Endovascular Venous sampling from Inferior Petrosal Sinus.
  • Miscellaneous Endovascular procedures
  • Super selective Chemotherapy of retinoblastoma
  • Temporary balloon occlusion test of internal carotid artery
  • Presurgical endovascular / Direct percutaneous glue injection in hypervascular tumours

ABDOMINAL INTERVENTIONS : (LIVER)

  • Percutaneous liver biopsy for focal and diffuse lesions.
  • Transjugular liver biopsy for diffuse infiltrative lesions.
  • RF/microwave ablation of small liver tumours.
  • Trans arterial chemoembolisation with doxorubicin/ DC beads/ Hepaspheres for inoperable Hepatocellular carcinoma/ liver metastasis.
  • Portal vein embolisation presurgically prior to hepatectomy.
  • Peritoneovenus shunts for intractable recurrent medially uncontrollable ascites/ pigtail and percutaneous removal of ascites.
  • Percutaneous transhepaticbiliary drainage/ stenting in obstructive biliary lesions.
  • Percutaneous Cholecystostomy in inoperable high risk patients.
  • Hepatic free and wedge venous pressure measurements in portal hypertension.
  • TIPS (Transjugular intrahepatic portosystemicstenting) in cirrhotic with portal hypertension with recurrent variceal bleeds, recurrent ascites, hepatorenal syndrome, hepatic hydrothorax and variceal embolisation.
  • DIPS (Direct intrahepatic portosystemic stenting in Budd Chairi Syndrome).
  • Hepatic vein angioplasty/ stenting and IVC plasty/ stenting in Budd Chairi Syndrome.
  • Hepatic arterioportal fistula/ portovenous fistula embolisation.
  • Hepatic artery pseudoaneurysm embolisation in bleeding.
  • Balloon occluded transvenous occlusion of bleeding gastric varices (BRTO).

CHEST INTERVENTIONS :

  • Bronchial and systemic artery embolisation in hemoptysis. Embolisation of pulmonary AVM.
  • Pulmonary artery thromboaspiration / thrombectomy, direct intra – arterial lysis in pulmonary thromboembolism.
  • Biopsy procedures of lung/ mediastinal/ chest wall lesions.
  • Catheter drainage –PleurX catheter for recurrent pleural effusions
  • Radiofrequency ablation of pulmonary tumours.
  • Embolisation of MAPCA, embolisation in sequestration lung.

SPLEEN

  • Embolisation of splenic artery aneurysm / pseudoaneurysms.
  • Partial ambolisation of splenic artery in hypersplenism/portal hypertension with thrombocytopenia.
  • Splenic artery embolisation in post-traumatic splenic artery pseudoaneurysms/ AV fistula/ contrast extravasation.
  • Drainage of splenic abscess/perisplenic collections.

URINARY TRACT INTERVENTIONS :

  • Renal artery angioplasty and stenting in symptomatic renal artery stenosis of native/ transplant kidneys.
  • Renal artery angioplasty in aortoarteries/ fibromuscular dysplasia.
  • Embolisation of renal artery aneurysms/ pseudoaneurysm/ AV fistula.
  • Presurgical embolization of hypervascular renal tumours.
  • Embolisation in symptomatic renal angiomyolipoma.
  • RF ablation in small/inoperable/high risk exophytic renal tumours.
  • Renal artery embolization in polycystic kidneys in intractable, recurrent hematuria.
  • Percutaneous nephrostomy (PCN).
  • Percutaneous PCN and DJ stenting.
  • Percutaneous drainage of renal / perinephric abscess / collection.
  • Percutaneous / tansjugular renal biopsy.
  • Embolisation in hematuria.
  • Benign prostatic hyperplasia (BPH) – Embolisation of Prostastic artery.

GENITAL TRACT INTERVENTION :

  • Male

Varicocele embolisation.

Interventions – angioplasty / embolisation in arterial, venous cause of erectile dysfunction.

  • Female

Embolisation of fibroid uterus, Adenomyosis, embolisation in PPH, Postceserian bleeding.

Ovarian vein embolisation in pelvic congestion syndrome.

Fallopian tube recanalisation in cornual blocks.

AORTA AND PERIPHERAL VASCULAR INTERVENTIONS :

ARTERIAL

  • Angioplasty/stenting of iliac/femoral/ popliteal/below knee stenosis /occlusions.
  • Aortic aneurysms / dissections covered stent graft placement.
  • Angioplasty /stenting of coarctation of aorta.
  • Embolisation of AVM/ posttraumatic pseudoaneurysms / AV fistula of extremities.

 

VENOUS

  • Varicose veins laser/ RF /microwave ablation.
  • Acute DVT thrombolysis /thromboaspiration.
  • IVC filter placement.
  • Venous angioplasty /stenting of dialysis related stenosis.
  • Hemodialysis Tunneled and non-tunneled catheter placement in access failure
  • Declotting of AV fistulas in renal failure patients if non-functional.

 

MUSCULOSKELETAL INTERVENTIONS :

  • Vertebral biopsy and vertebroplasty.
  • Sacroplasty and RF/microwave ablation / laser ablation of osteoid osteomas.
  • RF ablation of painful bone metastasis.
  • Embolisation of aggressive vertebral hemangiomas with soft tissue component.
  • Presurgical embolisation of vascular bony tumours.
  • Percutaneous laser disc decompression (PLOD) in symptomatic contained disc bulge.
  • Nerve blocks /celiac plexus/splanchnic nerve blocks in pain.
  • Vertebroplasty for osteoporosis, metastasis, multiple myeloma or hemangioma.
  • Genicular artery embolisation in early OA with pain.

GASTROINTESTINAL TRACT VASCULAR INTERVENTIONS :

  • Embolisation in upper and lower GI bleeds.
  • Thrombolysis in acute mesenteric ischemia without perforation /peritonitis.
  • Angioplasty/stenting in chronic mesenteric ischemia.

The Team

Dr. Harshith Kramadhari

Associate Professor

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Dr. Mithun Shekar

Assistant Professor

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