Fibroid embolization as a non-surgical option to surgery.
Lower Extremity Arterial Interventions
Angiography and interventions for peripheral arterial disease including angioplasty, atherectomy, stenting. Advanced techniques including radial/pedal access and plantar loop reconstruction. Non-healing ulcers and limb ischemia.
Angiography and interventions including SMA, Celiac, IMA, renal artery work. In patients with renal disease, we offer CO2 angiography to eliminate use of contrast.
Ports/Mediports, Tunneled PICCS.
Fistula/Graft imaging, angioplasty, stenting and declots. Tunneled dialysis catheter placement and removal.
Percutaneous biopsies including transjugular liver biopsies.
In the setting of massive PE (PE plus hypotension and/or cardiogenic shock), we offer emergent/urgent mechanical fragmentation and thrombectomy. In the setting of submassive PE (PE plus heart strain), we offer catheter directed therapy with mechanical thrombectomy and TPA thrombolysis into the pulmonary arteries. We also offer complex IVC filter interventions (see below).
IVC filter placement (permanent and retrievable filters), IVC filter removal (including complex retrieval), DVT treatment (including mechanical thrombectomy and thrombolysis), Venous reconstruction (for SVC obstruction, central venous stenoses/occlusions, May Thurner/iliac disease, IVC disease, chronic fem-pop occlusions). In patients with renal disease, offer CO2 venography to eliminate use of contrast.
Varicose Vein Treatment
Laser & RF ablations. Ultrasound guided foam and cosmetic sclerotherapy. Interventions include wound care for venous ulcers.
Bleeding Management with Endovascular Therapy
Primarily gastric, esophageal, pelvic, extremity, solid organ and pulmonary/bronchial; but available for consult and intervention regarding bleeding from any source. Involves coils, covered stents and particulate therapy.
We offer kyphoplasty and vertebroplasty for patients with stable, acute/subacute compression deformities of the spine.
We offer percutaneous access into the stomach for parenteral feeding.
TIPS, BRTO for bleeding/ascites. Thrombolysis and mechanical thrombectomy for PV thrombus. Cholangiography(PTC) and biliary drainage placement.
In addition to services rendered above, we offer percutaneous ablation of masses (Cryo, microwave and RFA) most commonly for lung, liver and renal lesions. Chemoembolization for hepatic (liver) cancers as well.
Neuro-imaging and Interventions
Carotid stenting. Diagnostic arteriography of the carotid/vertebral arteries and intracranially in patients with questionable disease on CT/MRI.