- 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 and Procedures Performed
- Conditions Treated: Internal hemorrhoids, rectal bleeding
- Reason for Procedure: To reduce pain and bleeding from hemorrhoids
- How It’s Performed: An Interventional Radiologist will access a small artery in your leg or wrist. Contrast dye is injected to map your arteries. Small metal coils or particles will be placed into the arteries feeding the hemorrhoids, causing them to shrink over time, resulting in decreased pain and bleeding.
- 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: 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: Benign prostatic hyperplasia (BPH) with moderate to severe lower urinary tract symptoms (LUTS) who have not responded to mediations or who may not be suitable for surgery, catheter dependent BPH, urinary retention, hematuria
- Reason for Procedure: This minimally invasive procedure is performed to shrink the enlarged prostate and provide symptomatic relief. PAE generally has a lower risk of erectile dysfunction, lower risk of retrograde ejaculation, and quicker recovery time, compared to transurethral resection of the prostate (TURP) and other surgical options.
- How It’s Performed: An Interventional Radiologist will access an artery in your wrist or leg. Contrast dye will be injected to map your pelvic arteries. A small catheter will be advanced into the arteries supplying your enlarged prostate. Very small particles will be injected to block these blood vessels, causing the prostate to shrink in size over time, which can reduce or eliminate urinate symptoms.
- 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: Pulmonary arteriovenous malformation (pAVM), hereditary hemorrhagic telangiectasia (HHT), pulmonary artery pseudoaneurysm
- Reason for Procedure: A pAVM is a direct communication between a pulmonary artery and vein. These abnormal communications can compromise oxygenation, causing shortness of breath. Large pAVMs can serve as a conduit for clots and bacteria to bypass the lungs, known as paradoxical emboli, which can lead to stroke or brain abscesses. Additionally, pAVMs are at risk of rupture, which may cause life-threatening bleeding.
- How It’s Performed: An Interventional Radiologist will access a vein in your leg. A small catheter is advanced into your pulmonary arteries. Contrast dye is injected to study your blood vessels. If a pAVM is present, it will be shut down using small metal coils or plugs.
- 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: Symptomatic uterine fibroids, uterine leiomyoma, adenomyosis, postpartum hemorrhage
- Reason for Procedure: UAE is an outpatient procedure commonly performed to decrease symptoms secondary to uterine fibroids or adenomyosis, reducing the need for more invasive surgery. UAE is also performed in the inpatient setting as a treatment for life-threatening post-partum bleeding. UAE is a minimally invasive uterus-sparing treatment option for patients who want to preserve future fertility.
- How It’s Performed: An Interventional Radiologist will access an artery in your wrist or leg. Using X-ray guidance, a small catheter will be inserted into the uterine artery. Particles and other agents will be injected to reduce blood flow to the uterus, causing the fibroids and uterus to shrink over time.
- 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: Chronic knee pain, knee osteoarthritis, hemarthrosis
- Reason for Procedure: To reduce chronic knee pain due to osteoarthritis or bleeding into the knee joint in patients who are not surgical candidates or who defer knee surgery.
- How It’s Performed: An Interventional Radiologist will access a small artery usually in your leg. Contrast dye is injected under X-ray guidance to map the arteries of the knee. Small catheters will be advanced into the knee arteries of interest. Microscopic particles or other substances will be injected into the arteries to reduce inflammation or stop bleeding, thereby reducing knee pain.
- 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: Pelvic venous disease, pelvic venous insufficiency, pelvic congestion syndrome, pelvic varices, gonadal vein reflux
- Reason for Procedure: Varicose veins can develop in your abdomen and pelvis for various reasons, including hormone changes during pregnancy, genetic or anatomic variation, as well as other medical conditions and lifestyle factors. These distended veins may not drain properly, leading to chronic achy and crampy pelvic pain, pain with sexual intercourse, and pain with prolonged standing. Pelvic venography is the gold standard method used to diagnose abnormal pelvic veins. Embolization can be performed to block these veins, providing long lasting symptomatic relief.
- How It’s Performed: An Interventional Radiologist will access a vein in your neck, arm, or leg. A small catheter will be advanced into your pelvic veins, and contrast dye will be injected to study the veins. If abnormal veins are discovered, blood flow in these veins can be blocked by placing metal coils and plugs, as well as other medications.
- 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: Hepatocellular carcinoma (HCC), primary or secondary liver cancer, liver metastases
- Reason for Procedure: Most cancers are susceptible to radiation. External beam radiation dose must be limited at times, to prevent injury to healthy tissue surrounding your cancer. Radioembolization allows for targeted delivery of radiation directly into liver tumors, thereby avoiding injury to nearby tissues.
- How It’s Performed: Y90 radioembolization is usually performed in at least two sessions. An Interventional Radiologist will first perform a procedure to map your liver arteries. An artery in your wrist or leg will be accessed. Small catheters will be advanced into the liver arteries and injection of contrast dye is performed to study the arteries. Small arteries might be closed off to prevent radiation from going to your GI tract. A test will also be performed to evaluate for shunting of blood flow from your liver to your lungs. Following mapping, a second procedure is usually performed 1-2 weeks after, at which time the liver arteries will be again accessed, and the Y90 radiation dose is administered.
- 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
