Interventional Radiology: A Survival Guide

Treating urological conditions

Nephrostomy Percutaneous nephrostomy is one of the most frequently performed interventional procedures and is a technique in which every radiologist should feel completely confident. Urgent drainage is required in an infected obstructed system due to the resultant rapid renal loss…

Treating urogenital vascular conditions

There are several conditions which have been grouped together relating to the urogenital tract and which loosely impact on fertility. Uterine artery embolization Indications for treatment The vast majority of uterine artery embolization (UAE) is performed to manage symptomatic fibroid…

Treating fluid collections and abscesses

Treating fluid collections and abscesses is part of the bread and butter of interventional radiology. The minimally invasive nature of interventional radiology (IR) drainage makes it an obvious choice for many postoperative collections, particularly in the elderly and frail. Pre-procedure…

Achieving tissue diagnosis

A combination of increased use of diagnostic imaging and advances in therapeutic interventions means that obtaining tissue to aid diagnosis and cellular typing is now more essential than ever. Most diagnostic and interventional radiologists require core skills in biopsy. The…

Principles of embolization

Embolotherapy is the deliberate blockage of blood vessels; it is usually performed to stop haemorrhage and may be life-saving in gastrointestinal bleeding and trauma. Embolization is sometimes used as an adjunct to surgery and in the treatment of a variety…

Principles of stenting and stent-grafting

Expandable stents are used to manage luminal narrowing in many systems from the aorta to the trachea. As with angioplasty, there is a common skill-set required for deployment, regardless of location but the indications and outcomes are very different so…

Principles of angioplasty

Angioplasty and stenting are cornerstone techniques in interventional radiology and have widespread non-vascular and vascular applications. The key skills and equipment choices remain largely the same, regardless of the site. The main indication for angioplasty is the treatment of atherosclerotic…