Interventions
Surgical inteventions
The fusion guided prostatic biopsy is a method that allows the operator to see the images of the multiparametric MRI of the prostate, performed before the procedure, superimposed on the images of the transrectal ultrasound that is performed during the biopsy. The fusion of two different radiological methods allows to perform targeted and extremely precise biopsies on prostate areas suspected of neoplasia, significantly increasing the possibility of diagnosis. (Find out more)
Prostate artery embolization (PAE) is a minimally invasive procedure indicated for the treatment of symptomatic benign prostatic hypertrophy. It is based on the endovascular occlusion (from inside) of the arteries that vascularize the prostate. This causes the therapeutic ischemia of a portion of the prostate and the subsequent and progressive reduction of the glandular volumes and therefore of the urinary symptoms. (Find out more)
Varicocele embolization is a minimally invasive procedure, performed under local anesthesia, with which the veins responsible for the varicocele are selectively closed from the inside. The success rate is very high. The results are comparable to traditional surgery, but with less invasiveness and a faster post-surgery recovery. (Find out more)
Central Venous Accesses
CVC - PICC - MIDLINE
Medium and long-term venous access, in a central or peripheral vein, have multiple indications and uses. The CVC is placed directly in a large caliber vein (internal jugular, subclavian, femoral) and arrives in the vena cava. It is used for drug administration, parenteral nutrition, central venous pressure monitoring, hemodialysis, etc. (Find out more: CVC - PICC - MIDLINE)
Caval Filter
The caval filter is a metal filter that is placed in the inferior vena cava, a large abdominal vein that collects blood from the legs and pelvis and channels it to the heart, from where it then goes to the lungs. The cava filter reduces the risk of pulmonary embolism in the case of deep vein thrombosis of the lower limbs and pelvis, by capturing the clots that travel from below to the heart and lungs.
Lower limb revascularization
The occlusion of the arteries of the legs, from the iliac downwards, can often be treated endovascularly, with an arterial access of a few mm, without the need for surgical incisions, by means of angioplasty (balloon dilatation) and possible stent implantation . The patient is generally discharged after 24 hours (one night of hospitalization) and can resume normal daily activities.
Minimally invasive biopsies
Biopsies guided by radiological images (ultrasound, CT, fluoroscopy), allow sampling with minimal damage, without surgical cuts and with dedicated needles, under local anesthesia, of almost all organs and tissues: liver, lung, bone, subcutaneous soft tissue, lymph nodes , thyroid, etc. There are many indications, from the suspicion of neoplasia to the study of the renal cortex, to the sampling of inflammatory tissue to establish the correct therapy.
Oncological procedures
Interventional Oncology procedures offer safe and effective treatments for several cancers. It is a booming and constantly evolving field, which has led to the application in the oncological field of numerous minimally invasive procedures in both curative and palliative contexts. Over time, the importance of interventional oncology has greatly increased, and now it has established itself as the fourth pillar of cancer care alongside medical oncology, surgical oncology and radiation therapy.
Extravascular procedures
Drainages & co.
Extravascular intervention encompasses everything that has nothing to do with veins and arteries.
The daily activity of the Interventional Radiologist includes the placement of numerous thoracic, abdominal, biliary, double J, nephrostomy, PEG, etc. drainage catheters. The extravascular obviously also includes biopsies, spinal treatments, tumor ablation, which are discussed separately.
Vertebral procedures
Lower back pain treatment
The applications of interventional radiology for the treatment of back pain are numerous. By means of minimally invasive approaches, it is possible to infiltrate corticosteroids and local anesthetics into the facet joints, the volume of herniated discs can be reduced and therefore the symptoms associated with them, facet pain can be treated with radiofrequencies, vertebral fractures can be stabilized and greatly reduce their pain with vertebroplasty, etc.
Joint infiltrations are injections of medications (corticosteroids, hyaluronic acid, local anesthetics) into one or more joints or the affected muscle-tendon tissues to treat inflammatory, degenerative, or traumatic conditions. The main goal is to reduce pain, improve mobility, and, in some cases, slow the progression of the disease.
The use of ultrasound guidance significantly increases the accuracy of the treatment and reduces potential complications compared to traditional methods. (Find out more)