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Interventional Radiology

Interventional Radiology

The days of large incisions and lengthy recovery times for patients who need surgery are rapidly becoming a thing of the past. With today’s advances in interventional radiology, a broad range of health conditions can be treated (often on an outpatient basis) with tiny incisions, diminished risk, less discomfort, and shorter recovery times.

Sophisticated imaging equipment is utilized to guide the placement of small catheters, needles, and other specialized devices directly to target sites deep in the body through skin incisions as small as 2 millimeters. At Advanced Medical Imaging Consultants (AMIC), we have made interventional radiology an integral part of our practice and perform a wide array of innovative procedures at leading area hospitals in and around Northern Colorado, Southern Wyoming, and Southwest Nebraska. Our interventional radiologists are board-certified in diagnostic radiology and have completed subspecialty fellowship training in interventional radiology. This high level of specialization allows us to keep up-to-date with the latest advances in our field. As a result, we offer your patients the most modern solutions and the best possible treatment outcomes.

comprehensive interventional radiology capabilities.

Vascular interventional procedures – We offer a complete range of peripheral arterial, neurovascular, and venous interventions. Prior to treating peripheral arterial conditions, we use clinical evaluation and state-of-the-art vascular imaging techniques (noninvasive Doppler ultrasound, CTA, and MRA) to diagnose the extent and location of the patient’s peripheral arterial disease. When necessary, we can then perform the full spectrum of peripheral arterial endovascular interventions, including diagnostic angiography, balloon angioplasty, endovascular stenting, thrombolytic therapies, and Foxhollow Atherectomy™.

Neurovascular interventions – AMIC was the first in the area to perform selective external carotid embolization procedures for uncontrolled epistaxis, and the first radiology group to perform carotid stenting, which is gaining a central role in the treatment of carotid occlusive disease. Using our combination of diagnostic imaging expertise and neurointerventional expertise, we are uniquely qualified to select the appropriate patients for this procedure and to safely perform it.

Venous interventions – Interventional radiology is leading the way in the diagnosis and treatment of venous insufficiency. Catheter-directed DVT thrombolysis (which AMIC was first to introduce to the region) and mechanical thrombectomy have an emerging role in the treatment of acute and early subacute ileofemoral deep vein thrombosis. We also place inferior vena cava filters on a permanent or temporary basis to decrease the risk of pulmonary embolism. We treat varicose veins and spider veins with endovenous laser treatment, injection sclerotherapy, and ambulatory phlebectomy. All of these procedures are performed on an outpatient basis, and most patients can return to their normal activities within a day.

Dialysis – Hemodialysis is the mainstay of therapy offered to patients with end-stage renal disease (ESRD). Maintaining patency of the arterial-to-venous graft or fistula is crucial for the survival of the patient. Utilizing techniques of thrombolysis, balloon angioplasty, and stenting, we can help improve long-term patency. Plus, we commonly insert dialysis catheters using imaging guidance to ensure optimal catheter placement.

Interventional oncology – Interventional radiology is playing an increasing role in treating some types of malignancy. AMIC is proud to perform a variety of innovative interventional oncologic procedures. We were the first radiology group in the region to offer transarterial chemoembolization (TACE), percutaneous radiofrequency ablation, and percutaneous cryoablation. In addition, we are one of only three or four centers in Colorado to offer transarterial embolization with Yttrium-90. Our other interventional oncologic capabilities include percutaneous biopsy and oncologic venous access services. Patients with nonresectable primary liver tumors and certain types of liver metastases can have improved survival rates and/or improved symptom control with TACE and Y-90 embolization. Radiofrequency ablation (RFA) and cryoablation are minimally invasive procedures that use thermal energy to treat inoperable tumors, most commonly in the liver, lung, bone, kidney, and adrenal glands.

Pain management/spine interventions – We perform a number of diagnostic and therapeutic treatments for chronic pain and spine-related conditions, including discography, facet joint injection, epidural steroid injection, nerve root injection, and sacroiliac joint injection.

Vertebral compression fractures – We offer vertebroplasty and kyphoplasty. Vertebroplasty is a minimally invasive technique that involves the injection of an acrylic “bone cement” into the fractured vertebral body. This is highly effective in alleviating the pain associated with acute/subacute vertebral compression fractures and also helps to prevent progression of the vertebral fracture. With kyphoplasty, an additional step is involved. A balloon is inserted and inflated inside the fractured vertebra. This creates space that is filled with bone cement in order to stabilize the fracture, restore vertebral height, alleviate pain, and potentially reduce long-term deformity.

Uterine fibroid embolization (UFE) – This is a minimally invasive procedure that treats symptomatic fibroids characterized by dysfunctional uterine bleeding, pelvic pain, or pelvic bulk symptoms. With UFE, angiographic techniques are used to place a catheter into the arteries supplying the fibroids. Small particles are injected that block the blood supply to the fibroids, causing them to decrease in size and thereby alleviating symptoms in most patients. AMIC was the first radiology group in the region to offer UFE.

Additional interventional procedures performed.

  • Transjugular intrahepatic portosystemic shunt (TIPS)
  • Biliary interventions: percutaneous cholangiography, stone extraction, and stent placement
  • Urologic interventions: percutaneous antegrade pyelography, nephrostomy tube placement, and ureteral stent placement
  • Gastrointestinal bleeding treatment: intra-arterial embolotherapy and infusion techniques
  • Gastrointestinal feeding tubes: gastrostomy and gastrojejunostomy
  • Percutaneous abscess drainage
  • Percutaneous image-guided biopsy

Your partner in patient management.

Interventional radiology is one of the many ways we are helping keep our friends and neighbors in good health. Our board-certified interventional radiologists are dedicated to providing our referring physicians and their patients with exceptional clinical care as well as the highest level of technical expertise. For more information on AMIC’s interventional radiology capabilities or if you wish to refer a patient, please call us today. We appreciate your referrals.

 

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