WHAT IS INTERVENTIONAL RADIOLOGY Cira什么是介入放射学西拉.pptxVIP

WHAT IS INTERVENTIONAL RADIOLOGY? Speaker: [ ] Date: [ ] Venue: [ ] A presentation by the Canadian Interventional Radiology Association (CIRA) http://www.medicine.dal.ca/departments/department-sites/radiology.html Real life case A 50 year old man presents to the emergency department with a history of high speed motor vehicle collision. CT scan shows a large liver laceration with active bleeding from a hepatic artery branch You are the ER doctor on shift and you have managed to stabilize his vitals but the patient is still requiring ongoing blood transfusions. What is the appropriate management? Real life case If you said “Surgery”, you would be wrong. This case will be managed by interventional radiology Introduction Interventional Radiology (IR) is a relatively new medical field which performs minimally invasive therapies under imaging guidance. Interventional radiologists are physicians who perform these minimally invasive treatments. IR is currently a subspecialty of Radiology: interventional radiologists have completed a diagnostic radiology residency, followed by subspecialty/fellowship training in IR. What do we do? Vascular/angiography Peripheral Vascular Disease Interventional Oncology Gastrointestinal, Genitourinary, Hepatobiliary Women’s health Biopsies and Drainages Musculoskeletal Neurointerventional Vascular / Angiography Coiling of splenic artery pseudoaneurysm Peripheral Vascular Disease Angioplasty and stenting of superficial femoral artery Interventional Oncology Hepatocellular carcinoma can be treated with Transarterial Chemoembolization (TACE) or Radiofrequency Ablation (RFA) Gastrointestinal, Genitourinary, Hepatobiliary Percutaneous gastrostomies, nephrostomies, biliary drainages /kidney-ureteral-stones/emergency/ Women’s Health Uterine fibroid embolization: before and after /patients/uterine-fibroids/ Biopsies and Drainages Diverticular Abscess Drainage Musculoskeletal Steroid injections for pain relief Neurointerventional Basilar artery oc