Welcome to a listing of the procedures performed here at Dayton Interventional Radiology. Our procedures are intended to treat a broad spectrum of conditions and disorders all with the use of x-ray guidance and minimally invasive non-surgical techniques. Almost all of our procedures are done through a small hole in the groin that allows us to access the interior of blood vessels. With the use of catheters and guide wires, we are able to precisely locate specific blood vessels for local treatment. Using these techniques we can close off damaged or hemorrhaging blood vessels, open up closed or narrowed vessels, and deliver medications directly to specific regions in the body.

We also have an expertise in placing needles with the use of x-ray equipment for other treatments such as the procedures that are listed under interventional back pain. Most of our procedures are very quick with very little actual procedure time and very quick recoveries. Please feel free to see the individual procedures that are listed on the left hand side of the screen for more detailed information about each procedure.

Thank you and feel free to call us with any questions or concerns regarding any of the procedures that we offer here at Dayton Interventional Radiology.

The majority of our procedures are performed on an outpatient basis at our freestanding facility. You can park fifty feet from our door and walk into our reception area. No hospital parking to navigate, no impersonal hospital personnel. Just our two doctors and our staff of ten caring people who are there to help you.

All of our procedures are minimally invasive, which means that you won't have large scars or a long recovery time. They are virtually painless, and you'll be able to walk out of the office and return to work the next day. We can perform a great variety of procedures by accessing your body from inside your blood vessels, protecting you from the potential complications posed by surgical techniques.

Most importantly, the procedures that we perform have an excellent success rate.

Our doctors perform two main types of procedures: catheter-based and needle-based. Catheter-based procedures use a long thin flexible tube to traverse your blood vessels to reach the location of the procedure. Only a tiny incision is necessary at the entry site; you'll walk out with just a Band-aid. Needle-based procedures use a hollow needle to go directly to the procedure site. Sometimes a device will be inserted through the needle to perform the procedure.

• Catheter-based procedures
• Needle-based procedures

Benefits of Minimally Invasive Procedures

There are many benefits to minimally invasive techniques over traditional surgical techniques.

• very effective
• no general anesthesia - conscious sedation is used instead, so you will be awake but calm and comfortable.
• quick recovery time - most people walk out of the office and return to work the next day
• little or no blood loss - no need for blood transfusion
• tiny incision - no need for stitches and very little chance of infection
• less painful - no incisions to heal
• cheaper - no hospital stay required

Risks

• infection - any procedure in which the skin is broken carries a risk of infection, but the hole is so tiny that it is very uncommon.
• blood vessel damage - any procedure involving a catheter in a blood vessel carries the slight risk of damage to the blood vessel.
• bruising or bleeding at the site of entry

• Angiography - imaging technique used to view blood vessels or organs.
• Angioplasty - expansion of blood vessels narrowed by collapse or plaque buildup.
• Embolization - blockage of blood flow.
• Radiofrequency Ablation (RFA) - destruction of damaged or malfunctioning tissue or nerves.
• Stenting - support of a narrowed or clogged artery with a mesh tube.
• Thrombectomy - removal of a blood clot.

• Arteriovenous Fistulas for Dialysis - creation of arteriovenous (AV) fistulas to strengthen and widen veins to aid in long-term dialysis.
• Dialysis Catheter Placements - installation of a hemodialysis catheter into the jugular vein to allow dialysis without the wear and tear on veins.
• Renal Biopsy - removal of a small amount of renal tissue for examination.
• Renal Cyst Drainage - removal of fluid from a cyst in the kidney.
• Renal Artery Stenting - placement of a mesh tube (stent) to open and support a renal artery that has collapsed or been narrowed by plaque buildup.
• Thrombectomy - removal of blood clots in the renal artery.

• Chemoembolization - direct application of chemotherapy drugs to a tumor while also blocking (embolizing) a blood vessel to reduce blood flow to the tumor.
• Chemotherapy Port Placement - installation of a port to ease chemotherapy administration.
• Paracentesis - removal of excess peritoneal fluid that builds up in the belly.
• Peritoneal Port Placement - installation of a port so that paracentesis may be performed more easily and more safely.
• Radiofrequency Ablation (RFA) for Pain Relief - application of radiofrequency energy to destroy the nerves surrounding tumors caused by bone cancer.
• Radiofrequency Ablation (RFA) for Tumors: Liver, Lung, Kidney - application of radiofrequency energy to destroy tumor tissue in the liver, lung, or kidney.

• Carotid Artery Stenting - placement of a mesh tube (stent) to open and support a carotid artery that has collapsed or been narrowed by plaque buildup.
• Aortic Stent Grafts - grafting of a mesh tube (stent) into a vessel to create new vessel walls to treat adbominal aortic aneurysms (AAA).

• Chemoemoblization of Liver Tumors - direct application of chemotherapy drugs to a tumor while also blocking (embolizing) a blood vessel to reduce blood flow to the tumor.
• Mesenteric and Celiac Angiography and Stenting - examination and placement of a mesh tube (stent) to open and support a mesenteric or celiac artery that has collapsed or been narrowed by plaque buildup.
• Percutaneous Transhepatic Biliary Drainage (PTBD) - procedure to drain the bile ducts in the presence of a blockage or damage that prevents normal bile drainage.
• Percutaneous Transhepatic Cholangiograms (PTCA) - x-ray of the bile ducts in and around the liver.
• Paracentisis and Peritoneal Port Placement - drainage of peritoneal fluid in the belly as well as port placement to simplify repeated paracentisis.
• Percutaneous Endoscopic Gastronomy (PEG) - procedure in which a gastronomy tube (G-tube) is put in place to allow enteral feeding.
• Radiofrequency Ablation (RFA) for Liver Tumors - application of radiofrequency energy to destroy tumor tissue in the liver.
• Transjugular Intrahepatic Portosystemic Shunts (TIPS) - procedure to create a new path from the portal vein directly into the main venous system through a vein in the liver.
• Transjugular Liver Biopsy - technique for gathering cells for liver biopsy without piercing the liver from outside the body.

• Nephrostomy Catheter Placement - placement of a catheter through the skin when a traditional catheter is not possible.
• Radiofrequency Ablation (RFA) for Renal Tumors - destruction of tumor tissue using radiofrequency energy.
• Ureteral Stenting - placement of a mesh tube (stent) to widen and support the ureter during healing or blockage.
• Varicoseal Embolizations - blocking (embolization) of a blood vessel to treat varicose veins in the testicles.

• Arteriovenous Malformation (AVM) Embolization - treatment of abnormal collection of blood vessels in the lungs in which oxygenated blood is short circuited directly back to the heart.
• Bronchial Artery Embolization (BAE) - procedure used to treat severe, ongoing, or recurrent vomiting of blood by blocking flow of blood in the brochial artery.
• Inferior vena cava (IVC) Filter Placement - placement of a tiny mesh filter in the inferior vena cava that prevents blood clots in the legs from traveling to the lungs or heart.
• Lung Tumor and Nodule Biopsy - extraction of small amounts of tissue from a tumor or nodule within the lung.
• Pulmonary Artery Angiography - examination of the pulmonary artery using fluoroscopy.
• Radiofrequency Ablation (RFA) for Lung Tumors - procedure that uses radiofrequency energy to destroy tumor tissue.
• Thrombectomy - removal of a blood clot from the pulmonary artery.

• Carotid Artery Stenting - placement of a mesh tube (stent) to open and support a mesenteric or celiac artery that has collapsed or been narrowed by plaque buildup.
• Spinal Cord Stimulators - to relieve chronic back pain, such as from failed back syndrome or neuropathy.
• Epidural Steroid Injections - to diagnose or relieve pain from disc disorders in the spine.

• Internal Maxillary Artery (IMAX) Embolization - blockage (embolization) of the internal maxillary artery (IMAX) to stop hemorrhaging.
• Neck Mass Biopsy - remove of tissue from neck masses for examination.

• Bone Biopsy - removal of bone material for examination.
• Discography - diagnostic procedure used to examine the discs between the vertebrae in the spine.
• Facet Nerve Denervation- relieves pain caused by facet arthopathy.
• Intradiscal Electrothermal Therapy (IDET) - procedure reducing the bulk of a herniated disc to reduce pressure on surrounding nerves.
• Nucleoplasty - percutaneous removal of disc tissue to reduce pressure on surrounding nerves.
• Radiofrequency Ablation (RFA) - radiofrequency treatment of painful benign lesions such as osteoid osteomas.
• Spinal Cord Stimulator - implanted device used to relieve chronic back pain
• Steroid Injections - injection of steroids into joints or discs to relieve pain caused by herniated discs, facet arthopathy, or sacroiliac joint disorders.
• Vertebroplasty / Khyphoplasty - repair of vertebral fractures using bone cement directly applied to the vertebrae.

• Uterine Fibroid Embolization (UFE) - a minimally invasive procedure to block (embolize) the uterine artery to reduce blood flow to uterine fibroids.