Experiencing a condition not covered in our main specialties? Interventional Radiology may still offer a less invasive solution. We treat a variety of other conditions, often reducing recovery times and minimizing discomfort compared to traditional surgery. Schedule a consultation to learn more.
Conditions and how they're treated
- Conditions Treated: Symptomatic abdominal or pelvic cysts, renal cysts, liver cysts
- Reason for Procedure: Cysts can form in the body for various reasons. Cysts can cause abdominal pain if the cysts are large. Aspirating and sclerosing cysts can help determine the cause of the cyst, provide pain relief, and prevent cyst recurrence.
- How It’s Performed: An Interventional Radiologist will place a small needle into the cyst using CT or US guidance. The cyst will be drained. If sclerosis is being performed, chemicals will be injected into the cyst to damage the cyst wall, reducing its chance of returning.
- Anesthesia: Local Anesthesia, Conscious Sedation
- Recovery Time: 1-2 hours
- For more information and to schedule a consultation with one of our IR physicians, please call 631-403-7088
- Conditions Treated: Abdominal abscess, cholecystitis, biliary obstruction, hydronephrosis, seroma, biloma, urinoma, lymphocele
- Reason for Procedure: Fluid collections can accumulate in the body due to infection, leaking bile or urine, lymphatic injury, and for other reasons. These fluid collections may require drainage for diagnosis or definitive treatment.
- How It’s Performed: An Interventional Radiologist will place a small needle through the skin into your fluid collection using CT or US guidance. A small wire is placed through the needle, and a drainage tube is placed over the wire. The tube is then connected to a bag to drain external to the body.
- Anesthesia: Conscious Sedation or Local Anesthetic
- Recovery Time: 1-2 hours
- For more information and to schedule a consultation with one of our IR physicians, please call 631-403-7088
- Conditions Treated: Bleeding, liver cancer, arteriovenous malformations, lymphatic malformations, uterine fibroids, benign prostatic hyperplasia, pelvic venous disease, etc.
- Reason for Procedure: To block arteries to stop bleeding or to cut off the vascular supply to benign or malignant masses. To shut off abnormal blood flow in arteries or veins.
- How It’s Performed: An Interventional Radiologist will access an artery or vein in your wrist, leg, or neck. Catheters and wires will be passed into the target blood vessel. Contrast dye is usually injected under X-ray guidance to study the blood vessels. If needed, small particles, occlusive fluids, or metal coils and plugs can be injected or inserted to shut down flow in an artery or vein.
- Anesthesia: Conscious Sedation
- Recovery Time: 2-4 hours
- For more information and to schedule a consultation with one of our IR physicians, please call 631-403-7088
- Conditions Treated: Type 2 endoleak
- Reason for Procedure: Abdominal aortic aneurysms are often treated with endovascular aortic aneurysm repair or stent placement. Sometimes your aneurysm can continue to expand because a small artery is flowing into it. This can increase your risk for aneurysm rupture and death.
- How It’s Performed: An Interventional Radiologist accesses an artery in your wrist or leg and advances a small catheter into the artery feeding the aneurysm or excluded aneurysm sac. These blood vessels are blocked using metal coils or other occlusive liquid substances. Sometimes the excluded aneurysm sac is punctured directly through the skin using CT scan and X-Ray guidance, and coils or other occlusive substances are directly injected into the aneurysm sac.
- Anesthesia: Conscious Sedation
- Recovery Time: 2-4 hours
- For more information and to schedule a consultation with one of our IR physicians, please call 631-403-7088
- Conditions Treated: Joint pain, joint effusion, joint inflammation, joint infection
- Reason for Procedure: To diagnose the cause of joint inflammation and joint fluid accumulation, to provide pain relief by removing excess joint fluid, or to reduce inflammation and provide pain relief by injecting steroids into a joint.
- How It’s Performed: An Interventional Radiologist will place a small needle into the joint of interest using ultrasound or X-ray guidance. Joint fluid can be removed and sent for analysis. Anesthetic medication and steroids can be injected to provide longer lasting pain relief.
- Anesthesia: Local Anesthesia
- Recovery Time: 1-2 hours
- For more information and to schedule a consultation with one of our IR physicians, please call 631-403-7088
- Conditions Treated: Lymphatic malformation
- Reason for Procedure: Lymphatic malformations are abnormal clusters of lymphatic vessels, or fluid filled cysts or channels, which are usually present at birth. Their size and appearance can vary widely. Lymphatic malformations can be painful, prone to infection and bleeding, cosmetically bothersome, and can even lead to functional impairment, such as difficult breathing or swallowing, if located in a critical area such as the neck. Sclerotherapy can be performed to eliminate or reduce the size of lymphatic malformations, thereby reducing symptoms.
- How It’s Performed: An Interventional Radiologist will access your lymphatic malformation with a small needle. Contrast dye is usually injected to study the lymphatic malformation and evaluate for communication with veins or other vital structures. Sclerotherapy is performed by injecting certain medications, which cause lymphatic malformation to scar down, thereby reducing its size.
- Anesthesia: Conscious Sedation, General Anesthesia
- Recovery Time: 1-2 hours
- For more information and to schedule a consultation with one of our IR physicians, please call 631-403-7088
- Conditions Treated: Chylothorax, thoracic duct injury, chylous pleural effusion
- Reason for Procedure: Lymphatic fluid (chyle) can build up in the chest after trauma or surgery, causing difficult breathing and chest pain. Lymphangiography and thoracic duct embolization can be performed to stop leakage and prevent surgery.
- How It’s Performed: An Interventional Radiologist place small needles into lymph nodes in your leg. Contrast dye will be injected to map out the lymphatic ducts under X-ray guidance. A small needle will be placed into your lymphatic ducts, followed by a small catheter. The catheter will be advanced into your main lymphatic duct (thoracic duct), and it will be occluded using metal coils and other chemicals, to prevent further leakage of lymphatic fluid.
- Anesthesia: General Anesthesia
- Recovery Time: 1-2 hours
- For more information and to schedule a consultation with one of our IR physicians, please call 631-403-7088
- Conditions Treated: Aneurysm, dissection, gastrointestinal bleeding, cirrhosis, biliary obstruction, biliary leak, May-Thurner Syndrome, iliocaval thrombosis, renal artery stenosis, peripheral arterial disease
- Reason for Procedure: Stents are metal mesh tubes, and stent grafts are mesh metal tubes which have an impermeable fabric covering. Stents and stent grafts are used for various reasons. They can be used to prevent blood or bile from leaking. Stents can also be used to repair blood vessels and stop life-threatening bleeding, preventing open vascular surgery. Stents can also be used to open blockages and improve flow in arteries, veins, or bile ducts.
- How It’s Performed: An Interventional Radiologist will access your arteries or bile ducts using image guidance. Small catheters and wires are advanced into the area of interest. Contrast dye is injected to study your blood vessels or bile ducts. Balloons, stents, and stent grafts may be used to address your specific condition if needed.
- Anesthesia: Conscious Sedation
- Recovery Time: Variable, depending on your condition.
- For more information and to schedule a consultation with one of our IR physicians, please call 631-403-7088
- Conditions Treated: Pleural effusion, chylothorax, empyema
- Reason for Procedure: Fluid can accumulate in the chest for various reasons, including infection, cancer, and due to surgery. Fluid accumulation between the lung and chest wall is called a pleural effusion, which can cause difficulty breathing. During thoracentesis, the fluid will be removed to provide symptom relief, and to obtain samples to determine the cause of fluid accumulation.
- How It’s Performed: An Interventional Radiologist will place a small needle into your chest under US guidance. The fluid will then be removed using a small catheter. Sometimes a catheter might be left in place in certain situations, to monitor fluid accumulation and output over time.
- Anesthesia: Local Anesthesia
- Recovery Time: 30 minutes
- For more information and to schedule a consultation with one of our IR physicians, please call 631-403-7088
- Conditions Treated: ascites, pleural effusion
- Reason for Procedure: Fluid can accumulate in the chest for various reasons, including malignancy. Fluid accumulation can cause symptoms such as pain, pressure, and shortness of breath. In certain cases, tunneled catheters can be placed to allow patients to drain the fluid at home, increasing comfort and reducing the need for repeated drainage procedures
- How It’s Performed: An Interventional Radiologist will place a small needle and wire into the fluid in your abdomen or chest. A tract will be created under the skin, and the tube will be tunneled into the fluid. Your fluid will be drained during the procedure.
- Anesthesia: Local Anesthesia, Conscious Sedation
- Recovery Time: 1-2 hours
- For more information and to schedule a consultation with one of our IR physicians, please call 631-403-7088
- Conditions Treated: Varicocele, Male Infertility, Testicular Pain
- Reason for Procedure: Varicoceles can develop due to incompetent valves in your gonadal/spermatic veins. Large varicoceles can cause chronic, dull, achy pain in the testicles. In certain cases, varicoceles can cause decreased sperm count and lead to male infertility. Varicocele embolization can provide symptomatic relief and improve fertility.
- How It’s Performed: An Interventional Radiologist will access a vein in your arm, neck, or leg. Under X-ray guidance, a small catheter will be advanced into the abnormal veins, and contrast dye will be injected to study the veins. If enlarged veins are noted, they can be occluded using metal coils, plugs, or other chemical agents, reducing blood flow to the varicocele and improving symptoms.
- Anesthesia: Conscious Sedation
- Recovery Time: 2 hours
- For more information and to schedule a consultation with one of our IR physicians, please call 631-403-7088
- Conditions Treated: Difficult intravenous access, long term intravenous access
- Reason for Procedure: Durable long term intravenous access is often required to treat infection and cancer, to perform dialysis, as well as to treat certain metabolic and autoimmune conditions. Your doctor may request placement of a central venous catheter, including a peripherally inserted central catheter (PICC), venous chest port, or another tunneled central venous catheter. Placement of these catheters will allow easy access to your blood stream to administer medications, particularly in cases where patients have poor intravenous access.
- How It’s Performed: An Interventional Radiologist will access a vein in your arm, leg, or neck. Catheters and wires will be advanced under image guidance and secured in place. Most catheters will be able to be used immediately.
- Anesthesia: Local Anesthesia, Conscious Sedation
- Recovery Time: 1-2 hours
- For more information and to schedule a consultation with one of our IR physicians, please call 631-403-7088
- Conditions Diagnosed: Primary aldosteronism (Conn’s Syndrome), adrenal Cushing’s Syndrome, pheochromocytoma localization, syndromes of androgen excess, adrenal gland dysfunction
- Reason for Procedure: Adrenal vein sampling is most often performed to diagnose the source of excess aldosterone hormone production in one or both adrenal glands. By pinpointing the affected adrenal gland, adrenal vein sampling may help determine the most appropriate treatment strategy, which may include medical or surgical management. Adrenal vein sampling remains the gold standard technique for identifying the source of excess aldosterone production in patients with primary hyperaldosteronism.
- How It’s Performed: An Interventional Radiologist will access a vein in your leg. Under image guidance, a small catheter will be advanced into the veins that drain your adrenal glands. Samples of blood will be taken and submitted for laboratory analysis.
- Anesthesia: Conscious Sedation
- Recovery Time: 2 hours
- For more information and to schedule a consultation with one of our IR physicians, please call 631-403-7088
