Interventional radiologist (IR) is a medical specialist who performs minimally invasive curative or palliative treatments using radiologic imaging for procedure guidance. Interventional radiology treatments have become the primary method of care for a variety of conditions, offering less risk, less pain and less recovery time, compared to open surgery.
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Hydrosalpinx is the name for a condition in which a woman’s fallopian tube becomes blocked with fluid.
There are different causes for this condition and symptoms can vary depending on the individual. Some women do not experience any symptoms, but hydrosalpinx can have a severe impact on fertility.
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There are different causes for this condition and symptoms can vary depending on the individual. Some women do not experience any symptoms, but hydrosalpinx can have a severe impact on fertility.
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TREATMENT AND MANAGEMENT OF FEMALE INFERTILITY
Hydrosalpinx is the name for a condition in which a woman’s fallopian tube becomes blocked with fluid.
There are different causes for this condition and symptoms can vary depending on the individual. Some women do not experience any symptoms, but hydrosalpinx can have a severe impact on fertility.
Symptoms of hydrosalpinx include:
abdominal and pelvic pain
unusual vaginal discharge
Diagnosis
Hydrosalpinx is characterized by one or both fallopian tubes being filled with water.
A doctor can diagnose hydrosalpinx using several methods. These include:
An ultrasound: This is one way of looking for hydrosalpinx, but is not as effective.
Hysterosalpingogram (HSG): This is a type of X-ray that can display tubal blockages. A special dye visible to the X-ray is introduced through the vagina and cervix.
Laparoscopy: Also known as keyhole surgery, a laparoscopy is a surgical procedure where small incisions are made in the abdomen, and a camera is inserted. This allows a surgeon to see the organs and remove fluid or other issues.
A diagnostic laparoscopy can also determine whether there is another issue that may be causing infertility, such as endometriosis.
Hydrosalpinx and infertility
Anyone with hydrosalpinx should seek professional advice for planning a pregnancy.
During conception, the egg travels from an ovary along the fallopian tube to the uterus. Hydrosalpinx causes the fallopian tube to become blocked with fluid, so the egg cannot pass down the tube, Also, the fimbria that help to draw the egg from the ovary into the tubes can become stuck together.
If only one fallopian tube is blocked, it is still possible to conceive without intervention, as eggs from the other ovary will still be able to make it to the uterus.
There is also a chance that the fluid build up could leak into the uterus and interfere with the embryo implanting itself properly.
Treatment and management
The most common treatment for a woman with hydrosalpinx is to have surgery to remove the affected tube. This type of surgery is known as salpingectomy.Surgery may also be offered to remove scar tissue or other adhesions that could be affecting fertility. If endometriosis is found to be the cause, doctors can also remove the endometrial growths.
Another possible treatment is sclerotherapy. Sclerotherapy is where an ultrasound-guided needle is used to draw fluid out of the affected tube. A special chemical, called a sclerosing agent, is then injected, which should prevent the fluid from building back up again.
Interventional ultrasound sclerotherapy before IVFis a very effective and acceptable prophylactic intervention alternative to salpingectomy for patients with hydrosalpinx, with no adverse effect on ovarian reserve and responsiveness during the IVF procedure.
Interventional ultrasound sclerotherapy before the IVF cycle can improve the endometrial receptivity and pregnancy rate.
What you are to do before procedure (Preparation)?
Book prior appointment
Visit us in OPD (9am-5pm) after breakfast, take prescribed medicine and with empty bladder(*No need to hold urine)
Referring Doctor prescription, previous lab results (*PT/INR), imaging etc.
If you are on blood thinner like Aspirin or warfarin inform during appointment.
One accompanying person
Need to sign a consent form for procedure
Approx. Stay in hospital?
We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 6 hours.
Complications:
These are very safe procedures with minor (<1%) complication. Mild pain can occur for which medicines will be given. There should be no lingering pain or other unpleasant sensation.
Resume to work?
You can resume your work after 1 day if existing disease allows.
TAG- Female Infertility Treatment In Delhi, Interventional Radiologist In Delhi, Dr. Ajit Yadav
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Procedure in which the blood supply of abnormal and diseased part of lung is blocked with medicine. A small puncture is made in blood vessel of thigh region with needle through which wire passed and sheath placed. Angiography done with catheter under X-ray guidance.
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Procedure in which the blood supply of abnormal and diseased part of lung is blocked with medicine. A small puncture is made in blood vessel of thigh region with needle through which wire passed and sheath placed. Angiography done with catheter under X-ray guidance.
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BRONCHIAL ARTERY EMBOLIZATION AND IT'S PROCEDURE
What is it?
Procedure in which the blood supply of abnormal and diseased part of lung is blocked with medicine. A small puncture is made in blood vessel of thigh region with needle through which wire passed and sheath placed. Angiography done with catheter under X-ray guidance.
Why (Indications)?
To stop the life threatening blood in cough.
Why Not (Contraindication)?
Cases suitable for surgery
What you are to do before procedure (Preparation)?
Book prior appointment if elective or get admission in causality if emergency
Lab investigation (*PT/INR, CBC, Serum Creatinine, Viral markers), CT scan and previous records.
4-6 Hours fasting.
If you are on blood thinner like Aspirin inform during appointment.
One accompanying person
Need to sign a consent form for procedure
Approx. Stay in hospital?
We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 1 Day.
Complications
Chest Pain, vomiting needs tablet or injections.
Resume to work?
You can resume your work after 2-3 day if existing disease allows.
Results?
Usually bleeding stop immediately. You may have some clots in sputum for 2-3 days. Recurrence rate is about 10-20% depends on your disease status and control.
TAG- BAE Treatment In Delhi, Dr. Arun Gupta, Dr. Ajit Yadav
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Interventional radiologist (IR) is a medical specialist who performs minimally invasive curative or palliative treatments using radiologic imaging for procedure guidance. Interventional radiology treatments have become the primary method of care for a variety of conditions, offering less risk, less pain and less recovery time, compared to open surgery.
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Interventional radiologists are trained physicians who specialize in minimally invasive, targeted treatments. They are also experts at reading x -rays, ultrasounds, CTs, MRIs, and other forms of medical imaging.
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WHO WE ARE (ABOUT INTERVENTIONAL RADIOLOGIST)?
Interventional radiologist (IR) is a medical specialist who performs minimally invasive curative or palliative treatments using radiologic imaging for procedure guidance. Interventional radiology treatments have become the primary method of care for a variety of conditions, offering less risk, less pain and less recovery time, compared to open surgery.
Interventional radiologists are trained physicians who specialize in minimally invasive, targeted treatments. They are also experts at reading x -rays, ultrasounds, CTs, MRIs, and other forms of medical imaging.
Department of Interventional Radiology (IR) in our hospital was started in year of 2006 by Dr. Arun Gupta who is working as chairperson since then. We are doing approximately 1000 vascular procedures in a year including all type of Body, peripheral and Onco-Interventions. Our department initiated a special training programme for one-year duration in 2012 to make interventional radiology more feasible across India.
We have done lot of publications which also contribute lot of information to society and medical fraternity.
TAG- Interventional Radiologist in Delhi, Dr. Arun Gupta, Dr. Ajit Yadav
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Uterine Artery Embolisation And Ablation
It is a minimally invasive treatment for uterine fibroids, noncancerous growths in the uterus. It uses a common femoral artery puncture. Super selective embolisation of Uterine arteries is done to block the fibroid blood vessels, starving the fibroids and causing them to shrink and die.
Why (Indications)?
Large fibroids with bulky uterus causing increased frequency of urine, pain , increased and heavy menstruation.
Adenomyosis
Uterine AVM
RPOC (retained products of conception)
Why Not (Contraindications)?
Avoid uterine artery embolization if you:
Are pregnant
Have possible pelvic cancer
Have an active, recent or chronic pelvic infection
Are allergic to contrast material containing iodine
What you are to do before procedure (Preparation)?
Book prior appointment if elective or get admission in causality if emergency
Lab investigation (*PT/INR, CBC, Serum Creatinine, Viral markers) and previous records. An MRI or ultrasound of the prostate gland.
Urine test (urinalysis)
4-6 Hours fasting.
If you are on blood thinner like Aspirin inform during appointment.
One accompanying person
Need to sign a consent form for procedure
Approx. Stay in hospital?
We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 1 day.
Complications
Mild Pain (usually ends within a day or two). In some patients pain may last for few weeks.
Vaginal discharge.
Post-embolization syndrome — characterized by low-grade fever, pain, fatigue, nausea and vomiting — about 48 hours after the procedure and usually resolve on its own within a week.
Resume to work?
You can resume your work after 2-3 days if existing disease allows.
Results?
Symptoms such as heavy bleeding, urinary incontinence and abdominal enlargement are relieved in the first three months after treatment. These results appear to be comparable to that of myomectomy, in which the fibroids are surgically removed and the uterus repaired.
Your menstrual period may continue on its normal schedule. If you miss any periods, they will probably resume within a few months.
There is low risk of subtle ovarian damage which may make getting pregnant more difficult. Despite these risks, many women have had successful pregnancies after uterine artery embolization.
Ablation
What is it?
Radiofrequency ablation (RFA) and microwave ablation (MWA) are treatments that use image guidance to place a needle through the skin into fibroid
In RFA, high-frequency electrical currents are passed through an electrode in the needle, creating a small region of heat.
In MWA, microwaves are created from the needle to create a small region of heat. The heat destroys the liver cancer cells.
RFA and MWA are effective treatment options for patients who might have difficulty with surgery
The success rate is greater than 85 percent.
TAG-
Uterine Artery Embolization Treatment Delhi,
Uterine Fibroid Treatment In Delhi
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Thyroid nodules are common and occur in up to 50% of the adult population. Although most thyroid nodules are benign, some nodules require treatment for cosmetic reasons, subjective symptoms or anxiety about a malignant change. Furthermore, if large compressive thyroid nodules are untreated, they may result in life-threatening conditions because of the potential acute onset of respiratory crisis.
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Thyroid nodules are common and occur in up to 50% of the adult population. Although most thyroid nodules are benign, some nodules require treatment for cosmetic reasons, subjective symptoms or anxiety about a malignant change. Furthermore, if large compressive thyroid nodules are untreated, they may result in life-threatening conditions because of the potential acute onset of respiratory crisis.
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About Thyroid Nodules And Thyroid Cancer
Thyroid nodules are common and occur in up to 50% of the adult population. Although most thyroid nodules are benign, some nodules require treatment for cosmetic reasons, subjective symptoms or anxiety about a malignant change. Furthermore, if large compressive thyroid nodules are untreated, they may result in life-threatening conditions because of the potential acute onset of respiratory crisis.
The conventional treatments for thyroid nodules are levothyroxine medication and thyroid surgery. However, both surgery and medication have drawbacks. Although surgery is good option, it can cause some problems such as upper airway obstruction, non-esthetic scars, injuries to the laryngeal nerves, iatrogenic hypothyroidism and so on. Moreover, the efficacy of thyroid hormone suppressive therapy is still controversial.
Microwave ablation is a safe and effective technique for the treatment of benign thyroid nodules. It ablation can achieve shrinkage of nodule size and relief of clinical symptoms. Side effects and failures are few.
What you are to do before procedure (Preparation)?
Book prior appointment
Visit us in OPD (9am-5pm) after breakfast, take prescribed medicine and with empty bladder(*No need to hold urine)
Referring Doctor prescription, previous lab results (*PT/INR), imaging etc.
If you are on blood thinner like Aspirin or warfarin inform during appointment.
One accompanying person
Need to sign a consent form for procedure
Approx. Stay in hospital?
We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 6 hours.
Complications:
These are very safe procedures with minor (<1%) complication done under local anaesthesia.
Mild pain can occur for which pain-killer medicines will be prescribed.
Resume to work?
You can resume your work after 1day if existing disease allows.
Para Thyroid Adenoma
Primary hyperparathyroidism is the third most common endocrine disorder, with its highest incidence being in postmenopausal women. In hyperparathyroidism, in the absence of a known or recognized stimulus, one or more of the four parathyroid glands secrete excess parathyroid hormone (PTH), resulting in hypercalcemia. Single-gland adenoma is the most common, cause (75%–85%), multigland adenoma arises in a substantial proportion (two glands in 2%–12% of cases)
The standard therapy for hyperparathyroidism is surgical removal of a parathyroid adenoma or adenomas. Newer treatment modality like Microwave ablation is a safe and effective technique for the treatment of hyperparathyroidism with parathyroid nodules. It can reduce adenoma size, decrease serum PTH and calcium levels, and relieve nodule-related symptoms with minimal hospital stay and morbidity.
Thyroid Cancer
Thyroid cancer is the most common endocrine malignancy. Papillary thyroid carcinoma (PTC) is the most common subtype of the thyroid cancer and it has a clinically silent course and a relatively low mortality rate. Although it frequently spreads locally and recurs by metastasising to local cervical lymph nodes. The overall recurrence and mortality rates for well-differentiated thyroid cancers (papillary and follicular thyroid carcinomas) are 20.5% and 8.4%, respectively, at a mean follow-up of 11.3 years.
If a minimally invasive technique could eradicate these small nodules, then it may become a potential therapeutic approach in these patients. Ultrasound guided percutaneous microwave ablation appears to be safe and effective for inducing complete necrosis of solitary papillary carcinoma( less then 10mm).
TAG- Thyroid ablation treatment in Delhi, Interventional Radiologist in Delhi
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Procedure in which 2 or 3 small pieces of tissue are taken with help of fine needle or biopsy needle under ultrasound guidance or CT guidance and local anaesthesia.
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Procedure in which 2 or 3 small pieces of tissue are taken with help of fine needle or biopsy needle under ultrasound guidance or CT guidance and local anaesthesia.
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FNAC & Biopsy (Indications and Complications)
What is it?
Procedure in which 2 or 3 small pieces of tissue are taken with help of fine needle or biopsy needle under ultrasound guidance or CT guidance and local anaesthesia.
Why (Indications)?
To ascertain the cause of illness: infection or cancer. Appropriate treatment can be given after the diagnosis is made.
What you are to do before the procedure (Preparation)?
Book prior appointment
Visit us in OPD (9 am -5 pm) after breakfast, take prescribed medicine and with empty bladder (*No need to hold urine)
Referring Doctor prescription, previous lab results (*PT/INR), imaging etc.
If you are on blood thinner like Aspirin or warfarin, inform during appointment.
One accompanying person
Need to sign a consent form for procedure
Approximatestay in hospital?
We have a very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around one hour.
Liver, Renal, Prostate or any high risk biopsy requires continuous monitoring for which we provide day care (4-8 hrs.) facility.
Complications
These are very safe procedures performed under local anaesthesia, with a low (1%) complication rate. You may have minor pain after the biopsy for which we provide analgesics.
Resume to work?
You can resume your work after 4 hours if existing disease allows.
Results: When and How?
FNAC: Next working day if done before 12 pm. Accuracy is about 80-85 %. In approx. 10-15% cases, repeat FNAC may be required, for which you will have to pay only the lab charges (20%)
Biopsy: Results takes approx. 72 hrs.
Biopsy reports are confidential reports; patient/attendant can take the reportfrom the histopathology counter (SSRB block, first floor) after confirmation of patient’s unique hospital registration number.
TAG- FNAC & Biopsy, Interventional Radiologist In Delhi
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Facet joint block is an injection of local anaesthetic and steroid that reduces inflammation in facet joint space of vertebrae of spine and relieves back pain. It is a minimally invasive procedure and we do it under CT guidance. Facet joints are made of cartilage and are responsible for your flexibility and ability to bend and twist. Your nerves pass through them to go to other parts of your body.The vertebrae in spine have two
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