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Interventional
radiology offers an alternative to the surgical treatment
of many conditions. It results in significant reductions in
the risk, pain, and recovery time compared to traditional
surgical treatments. Because it is less invasive, it is generally
safer, less costly, and faster than surgery, and results in
a significantly reduced hospital stay. This is important for
the stronger patient and can be a matter of life and death
to a very weak patient who could not survive the trauma of
a surgical procedure.
Interventional radiology involves the treatment of the patient,
rather than just the diagnosis of the disease. Interventional
radiologists are a small group of highly trained subspecialists
(numbering around 3600 in the US) highly skilled in both
diagnostic imaging and technical catheter related procedures.
Interventional radiologists use X-rays and other imaging
tools to "see"
inside the body while they guide narrow tubes (catheters)
and other very small instruments through blood vessels and
other pathways of the body to the site of a problem, treating
a variety of medical disorders, without surgery.
Please visit the Society
of Cardiovascular and Interventional Radiology for more
information regarding this subspecialty:
One of the most dramatic applications of the interventionalist's
art is in the treatment of patients suffering from blockages
in arteries. If blood vessels become totally blocked they
can cause loss of function of the tissue or even death of
the organ or limb.
To increase blood flow, the interventionalist can insert a
catheter into a blood vessel and thread it to the point of
the narrowing or blockage, then inflate a tiny balloon on
the end of the catheter (angioplasty). Using angioplasty,
the radiologist can open the blockage and return normal blood
flow to the tissue. Other techniques are available to open
blocked vessels, including the use of stents to hold arteries
open from the inside. These stents stay in the vessel permanently.
The effect of these treatments is dramatic and immediate,
and the need for subsequent surgery is often eliminated.
These techniques are frequently used to open narrowed or blocked
leg arteries, which cause pain during exercise (claudication),
and to treat narrowed arteries to the kidneys, which can cause
renal failure or high blood pressure.
Vascular and Interventional Radiology procedures include:
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