Varicos Vein Radiofrequency Ablation, Sclerotherapy, Endovenous
Post Liver Transplant
of anastomotic portal vein and hepatic vein
artery angioplasty and stenting
trans hepatic billiary drainage and billiary stenting
Embolization is a treatment that blocks
or slows down the blood supply to tissues or an organ. TACE is specific type of
chemoembolization that blocks the hepatic artery to treat liver cancer
especially hepatocellular carcinoma. Chemotherapy drugs used in TACE is
doxorubicin,cisplatin and mitomycin. Lipiodol is also used for emultion medium
for the drugs to reach target area.
Percutaneous radiofrequency (RF)
ablation (RFA) is an exciting approach to destroying inoperable primary tumors
or metastases in the liver. Percutaneous RFA is a minimally invasive,
repeatable procedure with few complications. It is performed under radiologic
guidance. In the most common configuration of clinical RFA, monopolar RFA, the
patient is a part of a closed-loop circuit that includes an RF generator, a
needle electrode, and a large dispersive electrode (grounding pads).
Portosystemic Shunt (TIPS
TIPS is an artificial channel
within the liver that establishes communication between the inflow portal vein
and the outflow hepatic vein. It is used to treat portal hypertension (which is
often due to liver cirrhosis) which frequently leads to intestinal bleeding,
life-threatening esophageal bleeding (esophageal varices) and the buildup of
fluid within the abdomen (ascites).The shunt is completed by placing a special
mesh tube known as a stent or endograft to maintain the tract between the
higher-pressure portal vein and the lower-pressure hepatic vein
Percutaneous Transhepatic Biliary Drainage (PTBD) With Or Without
PTBD is one of the most essential
procedures in cases with dilated IHBR due to failed ERCP stenting, blocked CBD
stent, Distal CBD lesion with stenting not possible and in cases with non
dilated system with CBD injury.
Indications of PTBD for
palliation in obstructive jaundice include:
- Pain alleviation
- To decrease serum bilirubin before the
initiation of chemotherapy
- To access biliary system for further
palliative interventions such as stent placement or transhepatic brachytherapy
PTC done in under USG guidance with
opacification of IHBR in both lobes of liver.
Portal Vein Embolization
embolization is a preoperative procedure
performed in interventional radiology to initiate hypertrophy of the
anticipated future liver remanant a couple weeks prior to a major liver
Venoplasty is a procedure used to open clogged veins in after
hemodialysis via arteriovenousfistula. A
ballon is threaded into the vein and inflated to open a narrowed or obstructed
aseptic precautions site for USG guided FNAC can be done from cervical
lymphnodes, breast lesions, thyroid gland lesions which are marked after reviewing the previous imaging.
Local part draped with sterile material. Using real time USG guidance needle placed within the lesion and aspiration
done with syringe. The aspirated material used to prepare multiple slides,
which were sent in alcohol jar and as air dried slides.
aseptic precautions site for USG guided Biopsy can be done from liver
lesion,breast lesion benign or malignant tumors which are marked after
reviewing the previous imaging. Local part draped with sterile material.Using
real time USG guidance needle placed
within the lesion and multiple biopsy cores obtained. The biopsy material
collected in formalin container and send to histopathology lab.
Guided Therapeutic Tapping
precautions site for USG guided ascetic or pleural tapping done after reviewing
the previous imaging. Local part draped with sterile material. Local
anaesthesia 2% lignocaine injected at the skin site. Using real time USG
guidance 16G cannula placed within the fluid for therapeutic tapping.
Trans Rectal Usg Guided Prostate Biopsy
aseptic precautions 12 Core TRUS guided Prostate biopsy done under cover of 2%
lignocaine jelly for local anesthesia given per rectally, each biopsy material
collected in separate formalin container and sent to histopathology lab.
Trans Rectal Usg Guided Placement Of Fiducial Gold Markers - Prostate
aseptic precautions, under cover of 2%
lignocaine jelly for local anesthesia given per rectally Four Gold Markers were
Placed for planning foe cyberknife Prostate Radiation Therapy.
aseptic precautions site for CT guided Biopsy can be done from lung tumors,liver
tumors or benign or malignant tumors of the organs which are marked after
reviewing the previous imaging. Using CT
guidance 18/16 G needle placed within the lesion and multiple biopsy cores
obtained. The biopsy material collected in formalin container and send to