Chandan Institute of Interventional Radiology

Dr. Rohit Agarwal

Interventional Radiology (IR) or Vascular and Interventional Radiology (VIR) is an amalgamation of detection and simultaneous correction of the abnormalities inside the human body. The scope of imaging sciences is expanding much beyond the diagnostics and adding value to various image-guided treatments. Interventional radiologists make use of imaging modalities such as X-ray, CT, MRI and ultrasound for guidance and achieve better outcomes.

IR procedures are backed by image-guidance and minimally invasive technologies; thus are safer and better alternatives to conventional open surgeries. Interventional radiology offers corrective, outpatient-based procedures that usually do not need general anesthesia. Compared to open surgery, patients experience better outcomes in terms of lesser bleeding, infections and complications. Thus, interventional radiology offers faster recovery with minimal risk and pain. Chandan Institute of Interventional Radiology is equipped with state-of-the-art, high-resolution neuro and peripheral Angio suites, 3D rotational Angio and 3D CT supported by advanced software integration. These Angio suites are well equipped for advanced vascular interventions including complex intracranial procedures, gastrointestinal and aortic interventions.

Image-guided interventional procedures are performed by a comprehensive medical care team with expertise in interventional radiology, vascular surgery, endoscopy, laparoscopy, and other minimally invasive techniques.

Interventional radiology focuses on all diseases irrespective of the affected area and thus covers major abnormalities of brain, nerves, spine, lungs, heart, blood vessels, liver and kidneys. Thus interventional radiology team collaborates with interventional cardiologists, neurologists, vascular surgeons, general surgeons, oncologists, gastroenterologists, nephrologists, urologists, and gynecologists, when necessary.

Chandan Institute of Interventional Radiology provides comprehensive and extensive array of treatments including vascular and nonvascular interventions in the specialties of neurovascular, oncology, gastrointestinal, peripheral vascular disease and emergency bleeding.

Interventional Neurovascular Therapy

  • Interventional Stroke therapies – Intra-arterial Thrombectomy or thrombolysis
  • Intracranial aneurysm coiling – Balloon-assisted/ stent-assisted
  • Flow diverter placement for intracranial aneurysms
  • Intracranial AVM/ Dural AVF embolization
  • Carotico cavernous fistula occlusion
  • Carotid stenting for carotid stenosis
  • Balloon occlusion test
  • Preoperative embolization of meningioma and skull base hypervasculartumors
  • Embolization of spinal AVMs

Interventional Gastrointestinal therapies

  • Percutaneous transhepatic biliary drainage (PTBD)
  • Percutaneous transhepatic cholangiography
  • Percutaneous biliary stenting for benign and malignant strictures
  • Transjugular intrahepatic portosystemic shunt (TIPSS)
  • Interventions in Budd-Chiari syndrome
  • Embolization for GI bleed/ aneurysms pseudoaneurysms
  • Portal vein embolization
  • Transjugular liver biopsy
  • Barium meal and follow-up

Interventions In Peripheral Vascular Disease

  • Critical limb ischemia – stenting, angioplasty
  • Varicose veins – RF ablation
  • Thrombolysis for peripheral arterial/ venous thrombosis
  • IVC filter placement

Interventions for OBS & GYN Disorders

  • Uterine artery embolization for placental anomalies
  • Uterine fibroid embolization
  • Fallopian tube recanalization
  • Fallopian tube catheterization

Interventional vascular therapies

  • Uterine artery embolization for postpartum hemorrhage
  • Embolization for Gastrointestinal bleeding
  • Bronchial artery embolization for massive hemoptysis
  • Embolization of intractable epistaxis
  • Embolization for visceral bleeding in polytrauma

Interventional Treatments for Vascular Malformations

  • Sclerotherapy for hemangioma
  • Sclerotherapy for venous malformations
  • Embolization for extremity AVMS
  • Embolization for high flow craniofacial vascular malformation

Interventions In Nephrology & Urology

  • Preop renal tumor embolization
  • Renal artery embolization in vascular injury
  • Dialysis access
  • Dialysis access complications–fistuloplasty/venoplasty
  • RCC- RF ablation
  • Varicocele embolization
  • PCN (Percutaneous nephrostomy)
  • Ureteral stent placement

Interventional Oncology therapies - Image-Guided Tumor Ablation

  • Transarterial chemoembolization for hepatocellular carcinoma
  • Transarterial chemoembolization for liver metastasis
  • Radiofrequency Ablation therapy for hepatoma
  • Radiofrequency Ablation therapy for metastatic liver tumor
  • Tunneled catheter placement for chemotherapy
  • RF ablation for osteoid osteoma

Interventional Pain Therapy

  • Celiac ganglion block
  • Facetal injections
Interventional radiology

Balloon dilatation of the stenosed internal jugular vein (photo from an X-ray angiograph monitor). While pressure in the balloon is relatively low, stenosis prevents the balloon from inflating in the middle. Further increase in pressure will dilate the narrowing and restore the full blood flow.