Haneef scans, interventions and diagnostics

18/12/2021

Interventional radiology offers various options like sclerotherapy with VENASEAL, endovenous laser / Radiofrequency ablation. These are sutureless procedures with least hospital stay and side effects.
Sclerotherapy is most effective of all.

18/12/2021

Tumor ablations-
Certain liver, renal and lung cancers, benign bone tumors can be burnt using special probes in radiofrequency and microwave ablations
Here is a liver tumor where microwave ablation was used to burn liver tumor. Immediate CT showed complete resolution.

18/12/2021

TRANS ARTERIAL CHEMO EMBOLISATION-
This a procedure used to treat certain liver cancers, liver metastasis.
In this procedure, chemotherapy drug is directly given to the artery feeding the tumor so that side effects like hair loss are least.
Recently drug eluting beads are used to treat liver cancers.

18/12/2021

stenting can be done for not only bile radicals and vessels but also for intestines.
Here is a case of Carcinoma pancreas causing obstruction to both duodenum and biliary tract for which stents were placed to relieve obstruction.

18/12/2021

Embolisation of duodenal varices:
This is a case of young male with massive hematemesis due to duodenal varices, where endoscopy was not able to reach the varices. Embolisation was done using coils, access thorough liver. No further such episodes were encountered later.

18/12/2021

STENT can be placed in order to relieve obstruction due to repeated narrowing in a vessel or to exclude aneurysms from circulation.
Here is a case of carotid vessel narrowing for which a stent was placed. post stenting flow is normal in internal carotid vessel

18/12/2021

STENT can be placed in order to relieve obstruction due to repeated narrowing in a vessel or to exclude aneurysms from circulation.
Here is a case mycotic aneurysm was there in a patient with a lung abscess. Stent was placed to exclude aortic aneurysm from circulation. post stenting, flow in aorta is unremarkable.

18/12/2021

BALLOON ANGIOPLASTY-
when ever a vessel is narrowed, initially with the help of a balloon catheter, narrowing can be dilated
Here is such an example
a liver transplant patient developed repeated narrowing in hepatic vein anastomosis with IVC, for which he had undergone stenting. he again developed in-stent narrowing for which a balloon catheter was used to dilate the narrowing. Post plasty narrowing showed food flow across the narrowing.

18/12/2021

sclerotherapy can be done for venous malformations, varices, recurrent cystic lesion/ lymphoceles.
here is a case of venous malformation in cheek and lower neck, sclerotherapy was done using absolute alcohol.

18/12/2021

CO2 ANGIOGRAM- indicated when angiogram is required in a renal failure patient.
Here is a case with a past h/o aortic and bi renal stenting for abdominal aortic aneurysm, presented with acute onset hypertension, papilledema in fundoscopy with a suspicion for renal occlusion. there was complete in-stent occlusion in right renal artery.

18/12/2021

PERMACATH/ PERMCATH- used for a long term dialysis catheter.

18/12/2021

peripherally inserted central venous catheter-
Indications-
Infusion therapies with hypertonic solutions, medications
that may irritate venous endothelium
– Antibiotics
– Chemotherapy
– Cytotoxins
○ Vasopressors
○ Inotropes in heart failure patients
○ Total parenteral nutrition
○ Provide access for aspiration of blood products (lab
work), for administering radiographic contrast
○ Bacteremia, sepsis, or coagulopathy preventing more
permanent access

18/12/2021

TRANSJUGULAR LIVER/ RENAL BIOPSY - can be done when percutaneous biopsy is not possible in diffuse diseases.
Here is a case where percutaneous biopsy was not possible for a liver biopsy, transjugular liver biopsy was done.

18/12/2021

BREAST WIRE LOCALISATION-
For a smaller breast lesions which are difficult to be palpated, a wire can be placed under ultrasound guidance into the lesion, just before the procedure, that can facilitate the surgeon.

18/12/2021

when ever bone shows abnormal areas either lytic or sclerotic, Jamshidi needle can be used to take samples from the bone.
Here is an example where vertebral spinous process was biopsied.
Pathology report- Paget's disease.

18/12/2021

various interventional radiology techniques can be used to take biopsy from any where in the body using ultrasound, fluoroscopy, CT and sometimes MRI.
Here is such a case of para aortic mass
CT guided biopsy was done.
Lymphoma was given in pathology report.

14/11/2021