Interventional Radiology

1. Interventional Radiology Minimum Access – Maximum Result

2. Interventional Radiology is pin hole surgery performed with the aid of X rays, CT and ultrasound by specially trained doctors called Interventional Radiologists

3. 8 out of 10 procedures use skin incisions smaller than 5 millimetres

4. 9 out of 10 procedures use only local anaesthetic, sometimes with sedation

5. Up to 8 out of 10 patients go home the same day

6. And it’s often a less invasive option than traditional surgical procedures

7. Blocked kidneys Targeted cancer treatment Varicose veins Blocked bile ducts Dialysis We treat many conditions....... Leg arteries Here are just a few Fibroids Aortic aneurysms Blocked arteries Internal Bleeding Blood clots Blood vessel malformations Bone and spine

8. Scope of Interventional Radiology Cancer Blood Vessel Bleeding control Many other treatments

9. Blood Vessels Treats blood vessels from 2 mm to 30 mm Narrowed blood vessels are stretched (Angioplasty) to improve blood flow Blocked blood vessels can be internally reopened in many cases Treatment of aneurysms (abnormal bulges in vessels).

10. Unblocking arteries Blocked arm artery (Arrow) causing pain and arm weakness Treated by internally unblocking the artery and placing a stent Major surgery avoided. Total treatment time of one hour

11. Aortic Aneurysm Abnormal bulge (aneurysm) of the main artery in the abdomen Risk of rupture and major bleeding Treated by internally relining the artery (Endovascular aneurysm repair-EVAR) Major surgery avoided. Total treatment time of 90 minutes

12. Cancer • Symptom relief • Stent insertion • into the bowel for • relief of obstruction • Insertion of lines for • delivery of chemotherapy • and nutrition • Treatment • Thermal destruction of small • cancers using image guided • needles • Targeted chemotherapy into • blood vessels supplying the • tumour

13. Cancer Treatment Small cancer lesion in the liver (arrow) in a patient with previously treated cancer Image guided thermal destruction Surgery and chemotherapy avoided. Treatment time of 60 minutes.

14. Bleeding Control Key emergency role for Interventional Radiology Treatment of bleeding from Trauma, bowel, child birth or following surgery Blood vessels as small as 2-3mm can be treated Blood vessels can be blocked (embolisation) or relined with a stent depending on the location and need

15. Bleeding into Bowel Severe bleeding into the large bowel (arrow) Treated with selective Blockage of the bleeding Artery Emergency surgery avoided

16. Other Treatments Bone Dialysis Fibroids Liver and Bile ducts Kidneys

17. Too many procedures...too little space For more detailed patient information and further information about Interventional Radiology please visit www.bsir.org & www.bsir-qi.org

18. Interventional Radiology Minimal access Local anaesthesia/sedation Quicker recovery Less invasive alternative

19. Prepared on behalf of British Society of Interventional Radiology by Dr G Ananthakrishnan and Dr I Robertson