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Interventional Radiology
Interventional radiology is a subspecialty of radiology that uses image-guided minimally invasive procedures for diagnosis and treatment. Our Department of Interventional Radiology at Apollo Hospitals in Jubilee Hills, Hyderabad, comprises highly experienced doctors, with over a decade of expertise. We employ cutting-edge facilities to enhance patient care through less risky, less painful, and faster recovery procedures.
The field of interventional radiology first emerged in the 1960s and has since significantly expanded, finding applications across various medical specialties. Within our department, we offer advanced treatments for a wide range of medical conditions, including but not limited to stroke, aneurysms, head trauma, liver and lung cancers, peripheral vascular disease, kidney-related problems, gynaecological disorders, pain management, and more.
Procedures performed within interventional radiology rely on imaging modalities like DSA, fluoroscopy, CT scans, MRI, and ultrasound. These modalities guide catheters through blood vessels and organs based on the images obtained, ensuring precise and effective medical interventions. Our department is composed of esteemed interventional radiologists, nurses, and radiologic technicians who collaborate to execute procedures with effectiveness. Additionally, we provide fellowship programs for medical doctors.
Interventional radiology offers treatments for a wide range of medical diseases and conditions across various medical disciplines. The treatments that interventional radiology can perform are continually evolving and expanding.
The head and neck consists of an intricate network of blood vessels. Any treatment or surgery in these areas requires high expertise and has to be undertaken precisely. Interventional radiology which is carried out with cutting-edge three-dimensional imaging techniques provides precise treatment for head and neck disorders including trauma, cancer, aneurysms, fistula, and even stroke.
In recent years, interventional radiology has revolutionised the treatment of strokes, extending the critical treatment window from 4 hours to 24 hours. When compared to open surgical procedures, interventional radiology provides minimally invasive alternatives for a broad range of head and neck vascular disorders.
Gastrointestinal hepatobiliary intervention is dedicated to diagnosing and treating issues in the digestive system and related areas, employing image-guided techniques. This approach involves a range of procedures, including stenting, drainage, biopsy, embolization, and others, all conducted with explicit image guidance.
Being the most advanced and rapidly expanding approach in the medical field, interventional radiology also offers modern interventions in the speciality of oncology. In certain cases, interventional radiology can even substitute chemotherapy or conventional surgeries for removing tumours. When interventional radiology is employed in oncology or cancer care, it is termed as interventional oncology.
Interventional oncology can be preferred for complex cases and for patients who are extremely weak to undergo open surgery. The procedures carried out under interventional radiology at Apollo Hospitals, Hyderabad, are:
Peripheral vascular disease (PVD) refers to the narrowing or obstruction of blood vessels outside the heart and brain due to fat or calcium deposits. The surgical treatments for PVD include angioplasty, peripheral vascular bypass, stenting, thrombectomy, embolization, atherectomy, and more. These procedures are performed with the help of interventional radiology using cutting edge imaging techniques.
In fact, the first interventional radiology carried out in 1964 was done to dilate a stenosed femoral (thigh) artery in a woman. Since then, interventional radiology has substantially expanded and advanced to provide top-notch treatments for peripheral vascular diseases.
The field of nephrology and urology deals with the study, diagnosis, and treatment of kidneys, ureters, urinary bladder, and genitourinary system. Therapeutic procedures executed in these areas entail great attention for minute details. Employing interventional radiology in these procedures not only provides utmost precision but also reduces pain and complications as it necessitates tiny incisions. At Apollo, our interventional radiologists collaborate with nephrologists and urologists for advanced imaging diagnostics and image guided treatment procedures.
Interventional radiology is experiencing a significant growth in the field of gynaecology due to the emergence of advanced technologies and their clinical applications. It is very effective in managing gynaecological conditions like uterine fibroids, pelvic venous disease, and postpartum bleeding. Most of the interventional radiological procedures are outpatient meaning patients can return to their home on the same day of surgery.
In the field of pulmonology, interventional radiology plays a remarkable role in diagnosing and treating certain respiratory ailments. It is commonly used for the bronchial artery embolization procedures. Pulmonary embolism is a medical emergency that results from the presence of a blood clot or thrombus in the lung’s blood vessels, typically originating in other parts of the body, often in the legs. Interventional radiologists carry out embolization procedures with high quality image guidance and minimally invasive approaches.
Enduring pain for a long time can markedly affect your quality of life. There are a lot of conservative approaches to manage pain of any origin. But some patients may not find relief even after trying all these approaches. Interventional pain management is an excellent choice for those patients. It aims to alleviate pain and to enhance the overall wellbeing of patients with minimally invasive techniques. Interventional pain management utilises methods such as surgery, electrostimulation, nerve blocks, embolization or radiofrequency ablation to alleviate and control pain.
Recent decades have witnessed the emergence of interventional radiology in the field of endocrinology. Many endocrine disorders including benign and malignant can be diagnosed and treated with interventional image-guided procedures.
Non-vascular intervention within the field of interventional radiology encompasses a broad range of procedures. These procedures are utilised across various medical specialties to conduct both diagnostic and therapeutic interventions, including ultrasound-guided biopsies, CT-guided biopsies, and percutaneous drainage.
The biplane angiography system is an advanced imaging tool employing two X-ray sources and detectors to capture high resolution, 3-dimensional images of blood vessels in the brain and spinal cord. With the utilisation of two C-arms (X-ray cameras), this system generates a 3-dimensional image, enabling physicians to navigate the smallest vessels and visualise beyond clots. This cutting edge technology enhances precision and minimises invasiveness in the diagnosis and treatment of various neurovascular conditions, including aneurysms, arteriovenous malformations, and stroke. The Biplane angiography system is scheduled to be introduced to the Interventional Radiology department in June 2024.
Utilising artificial intelligence (AI) at Apollo, we are at the forefront of enhancing stroke management. Thanks to AI, we can now complete automated analyses within just two minutes, a significant improvement compared to the standard 60-minute stroke diagnosis time. This breakthrough enables stroke patients to receive immediate and AI-guided treatment based on a range of scan results, including non-contrast CT, CT angiography, CT perfusion, and MRI diffusion and perfusion scans.
The Apollo Hospitals is also partnering with several peripheral hospitals in the Telangana region to implement AI capabilities. This collaboration aims to ensure rapid diagnosis, triage, and treatment within the crucial “golden hour” – a time frame when comprehensive stroke facilities are not yet accessible for outreach.
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