Conditions and Treatments
We offer highly specialized interventional services using state-of-the-art equipment in a compassionate, caring environment. Our minimally invasive image-guided treatments allow patients care with less risk, pain and recovery time.
Our interventionists perform innovative treatments using state-of-the-art techniques in a variety of imaging modalities including fluoroscopy, computed tomography, ultrasound and magnetic resonance imaging to treat conditions in the following areas:
Arterial Disease Vascular
Our Johns Hopkins Interventional Radiology Center (IRC) team of interventionalists have dedicated their professional lives to providing advanced therapies for people suffering from heart disease. Peripheral arterial diseases, like blood clots or calcium blockages, damage arteries impacting how blood is delivered from the heart throughout the body and can lead to heart attack or strokes.
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A nurse, physician assistant or medical affairs coordinator will work closely with your doctors to coordinate your care and assist you in making appointments to see other specialists at Johns Hopkins or for tests or treatment.
- Peripheral arterial disease
- Renal vascular disease renal artery angioplasty and stenting
- Visceral angiography
confirm following conditions:
- Thrombolysis
- Thrombectomy
- Angioplasty
- Stenting
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- Andrew Stephen Akman, M.D., M.B.A.
- Christopher Ravi Bailey, M.D.
- Nikhil Bhagat, M.D.
- Ji Young Buethe, M.D.
- Lemore Carmi, M.D.
- Christos Savvas Georgiades, M.D., Ph.D.
- Brian Philip Holly, M.D.
- Kelvin Kai-wen Hong, M.B.B.Ch., M.B.B.S.
- Brian Gregory Johnson, M.D.
- Robert Patrick Liddell, M.B.B.Ch., M.S.
- Grafe Reid Lyons, M.D., Ph.D.
- Elie Portnoy, M.D.
- Harjit Singh, M.D.
- Abhishek Srinivas, M.D.
- Clifford Raabe Weiss, M.D.
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Biliary Intervention
Our Johns Hopkins Interventional Radiology Center (IRC) team of interventionalists have dedicated their professional lives to providing advanced interventional radiology therapies. Our experts specialize in treating gallstones and blockages or damage of the passages between bile ducts.
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A nurse, physician assistant or medical affairs coordinator will work closely with your referring physician to coordinate your care and will provide instructions before your appointment.
- Biliary drainage (native and transplant liver)
- Cholecystostomy
- Percutaneous Cholangioscopy
- Biliary Endoscopic Laser Lithotripsy (BELL) and percutaneous stone retrieval
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- Andrew Stephen Akman, M.D., M.B.A.
- Christopher Ravi Bailey, M.D.
- Nikhil Bhagat, M.D.
- Ji Young Buethe, M.D.
- Lemore Carmi, M.D.
- Christos Savvas Georgiades, M.D., Ph.D.
- Brian Philip Holly, M.D.
- Kelvin Kai-wen Hong, M.B.B.Ch., M.B.B.S.
- Brian Gregory Johnson, M.D.
- Robert Patrick Liddell, M.B.B.Ch., M.S.
- Grafe Reid Lyons, M.D., Ph.D.
- Elie Portnoy, M.D.
- Harjit Singh, M.D.
- Abhishek Srinivas, M.D.
- Clifford Raabe Weiss, M.D.
Cancer Therapies
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- Intraarterial Procedures
- Chemoembolization (TACE)
- Chemoembolization (DEB)
- Radioembolization
- Tumor ablation
- Cryoablation
- Radiofrequency ablation (RFA)
- Microwave ablation
- Intraarterial Procedures
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- Paracentesis or Thoracentesis
- PICC line placement
- Tunneled catheter placement
- Port catheter placement
- Percutaneous biliary drainage
- Percutaneous nephrostomy
- Pleurx catheter placement
- Stenting of malignant strictures: bile duct, esophageal, tracheobronchial and intestinal
- Portal vein embolization
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Interventional oncology, practiced by interventional radiologists, is one of four parts of a multidisciplinary team approach in the treatment of cancer and cancer related disorders. The others include medical oncology, surgical oncology and radiation oncology.
Interventional oncology procedures provide minimally invasive, targeted treatment of cancer. Image guidance is used in combination with the most current innovations available to treat cancerous tumors while minimizing possible injury to other body organs. Most patients having these procedures are outpatients or require a one night stay in the hospital.
- Some of these therapies are regional, as when treating cancers involving several areas of the liver with chemoembolization or radioembolization.
- Others are better classified as local, as when treating focal lesions in the kidney, liver, lung and bone with cryoablation (freezing), or microwave or radiofrequency ablation (heating).
In general, these techniques are reserved for patients whose cancer cannot be surgically removed or effectively treated with systemic chemotherapy. These procedures are also frequently used in combination with other therapies provided by other members of the cancer team.
Dialysis Access Treatments
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A nurse, physician assistant or medical affairs coordinator will work closely with your referring physician to coordinate your care and will provide instructions before your appointment.
- Percutaneous dialysis fistula / graft treatments
- Vascular recanalization
- Tunneled central venous catheter
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- Andrew Stephen Akman, M.D., M.B.A.
- Christopher Ravi Bailey, M.D.
- Nikhil Bhagat, M.D.
- Ji Young Buethe, M.D.
- Lemore Carmi, M.D.
- Christos Savvas Georgiades, M.D., Ph.D.
- Brian Philip Holly, M.D.
- Kelvin Kai-wen Hong, M.B.B.Ch., M.B.B.S.
- Brian Gregory Johnson, M.D.
- Robert Patrick Liddell, M.B.B.Ch., M.S.
- Grafe Reid Lyons, M.D., Ph.D.
- Elie Portnoy, M.D.
- Harjit Singh, M.D.
- Abhishek Srinivas, M.D.
- Clifford Raabe Weiss, M.D.
Gastrointestinal
Our Johns Hopkins Interventional Radiology Center (IRC) team of interventionalists have dedicated their professional lives to providing advanced therapies to address gastrointestinal conditions. Interventional radiologists use non-invasive imaging to diagnosis and treat diseases of the gastrointestinal tract.
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A nurse, physician assistant or medical affairs coordinator will work closely with your referring physician to coordinate your care and will provide instructions before your appointment.
- Placement and maintenance of gastrostomy and gastrojejunostomy feeding tubes
- Placement and maintenance of cecostomy tubes
- Treatment of gastrointestinal obstruction via stenting
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- Andrew Stephen Akman, M.D., M.B.A.
- Christopher Ravi Bailey, M.D.
- Nikhil Bhagat, M.D.
- Ji Young Buethe, M.D.
- Lemore Carmi, M.D.
- Christos Savvas Georgiades, M.D., Ph.D.
- Brian Philip Holly, M.D.
- Kelvin Kai-wen Hong, M.B.B.Ch., M.B.B.S.
- Brian Gregory Johnson, M.D.
- Robert Patrick Liddell, M.B.B.Ch., M.S.
- Grafe Reid Lyons, M.D., Ph.D.
- Elie Portnoy, M.D.
- Harjit Singh, M.D.
- Abhishek Srinivas, M.D.
- Clifford Raabe Weiss, M.D.
Kidney Disease
Our Johns Hopkins Interventional Radiology Center (IRC) team of interventionalists have dedicated their professional lives to providing advanced kidney disease therapies. Interventional radiology therapies can assist in allowing the kidneys to function better or assist in cancer treatments.
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A nurse, physician assistant or medical affairs coordinator will work closely with your referring physician to coordinate your care and will provide instructions before your appointment.
- Obstructive Uropathy
- Nephrostomy, nephroureterostomy and urteteronephrostomy
- Ureteral stents
- Percutaneous access for stone retrieval
- Suprapubic drainage
- Chronic Kidney failure
- Kidney biopsy
- Chemotherapy dialysis access
- Fistula intervention
- Percutaneous disease access
- Kidney cancers
- Radio Frequency Ablation (RFA) of kidney tumors and osteoid osteomas
- Radioembolization (Yttrium-90)
- Obstructive Uropathy
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- Andrew Stephen Akman, M.D., M.B.A.
- Christopher Ravi Bailey, M.D.
- Nikhil Bhagat, M.D.
- Ji Young Buethe, M.D.
- Lemore Carmi, M.D.
- Christos Savvas Georgiades, M.D., Ph.D.
- Brian Philip Holly, M.D.
- Kelvin Kai-wen Hong, M.B.B.Ch., M.B.B.S.
- Brian Gregory Johnson, M.D.
- Robert Patrick Liddell, M.B.B.Ch., M.S.
- Grafe Reid Lyons, M.D., Ph.D.
- Elie Portnoy, M.D.
- Harjit Singh, M.D.
- Abhishek Srinivas, M.D.
- Clifford Raabe Weiss, M.D.
Liver Disease
Our Johns Hopkins Interventional Radiology Center (IRC) team of interventionalists have dedicated their professional lives to providing advanced liver disease therapies. Interventional radiology therapies can assist in allowing the liver to function better or assist in cancer treatments.
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A nurse, physician assistant or medical affairs coordinator will work closely with your referring physician to coordinate your care and will provide instructions before your appointment.
- Cirrhosis and portal hypertension
- Liver biopsy
- Percutaneous ultrasound or CT guided biopsy
- Chronic liver disease
- Treatment for:
- TIPPS – for bleeding
- Hippatory Biliary disease (Treatment for Biliary Intervention)
- PTCPDD- Biliary drainage (native and transplant liver)
- Drainage placement to the gallbladder- Cholecystectomy
- Cholangioscopy
- Chemoembolization of liver tumors
- Radioembolization (Yttrium-90)
- Radio Frequency Ablation (RFA) of liver tumors
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- Andrew Stephen Akman, M.D., M.B.A.
- Christopher Ravi Bailey, M.D.
- Nikhil Bhagat, M.D.
- Ji Young Buethe, M.D.
- Lemore Carmi, M.D.
- Christos Savvas Georgiades, M.D., Ph.D.
- Brian Philip Holly, M.D.
- Kelvin Kai-wen Hong, M.B.B.Ch., M.B.B.S.
- Brian Gregory Johnson, M.D.
- Robert Patrick Liddell, M.B.B.Ch., M.S.
- Grafe Reid Lyons, M.D., Ph.D.
- Elie Portnoy, M.D.
- Harjit Singh, M.D.
- Abhishek Srinivas, M.D.
- Clifford Raabe Weiss, M.D.
Men's Health
Johns Hopkins Interventional Radiology Center (IRC) team of interventionalists has dedicated their professional lives to providing men’s health services. Our services range from routine diagnostic exams, to in-depth consultations for men with infertility, arterial or vein disorders.
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Prostate artery embolization
Prostatic artery embolization (PAE) is a minimally invasive treatment that helps improve lower urinary tract symptoms caused by a Benign Prostatic Hyperplasia (BPH). BPH is a noncancerous enlargement of the prostate gland and is the most common benign tumor found in men.Prostate cancer diagnosis
Image-guided urologic interventions for prostate cancer include diagnostic biopsies, fiducial marker placements for external beam radiation, ultrasound-guided and primary ablative therapies, and fluid collection drainages.Varicose Veins
Varicose veins are swollen, enlarged veins that are clearly visible just under the surface of the skin. For some people, they cause pain, blood clots, or sores. This ailment usually occurs in the legs, but also can appear in other parts of the body. EVLT is a minimally invasive treatment that uses heat to close off problematic veins and relieve the symptoms they cause.Cancer Therapy
Interventional oncology procedures provide minimally invasive, targeted treatment of cancer. Image guidance is used in combination with the most current innovations available to treat cancerous tumors while minimizing possible injury to other body organs.Infertility
Varicocele is a term used to describe abnormally dilated veins (called the “pampiniform plexus” of veins) in the scrotum.With varicocele embolization, small coils are introduced through a vein in the groin area and are used to block the veins in the abdomen feeding the varicocele.
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- Andrew Stephen Akman, M.D., M.B.A.
- Nikhil Bhagat, M.D.
- Ji Young Buethe, M.D.
- Lemore Carmi, M.D.
- Christos Savvas Georgiades, M.D., Ph.D.
- Brian Philip Holly, M.D.
- Kelvin Kai-wen Hong, M.B.B.Ch., M.B.B.S.
- Brian Gregory Johnson, M.D.
- Robert Patrick Liddell, M.B.B.Ch., M.S.
- Grafe Reid Lyons, M.D., Ph.D.
- Elie Portnoy, M.D.
- Harjit Singh, M.D.
- Abhishek Srinivas, M.D.
- Clifford Raabe Weiss, M.D.
Pain Treatments
Our Johns Hopkins Interventional Radiology Center (IRC) team of interventionalists have dedicated their professional lives to giving providing minimally invasive image-guided treatments effectively treat patients with minimal discomfort.
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A nurse, physician assistant or medical affairs coordinator will work closely with your referring physician to coordinate your care and will provide instructions before your appointment.
- Injections
- Vertebral compression fractures
- Joint pain
- Chronic pelvic pain
- Local anthestic injections
- Steroid injections
- Nerve treatments
- Percutaneous pain therapy (debulk tumor)
- Palliative pain therapy
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- Andrew Stephen Akman, M.D., M.B.A.
- Christopher Ravi Bailey, M.D.
- Nikhil Bhagat, M.D.
- Ji Young Buethe, M.D.
- Lemore Carmi, M.D.
- Christos Savvas Georgiades, M.D., Ph.D.
- Brian Philip Holly, M.D.
- Kelvin Kai-wen Hong, M.B.B.Ch., M.B.B.S.
- Brian Gregory Johnson, M.D.
- Robert Patrick Liddell, M.B.B.Ch., M.S.
- Grafe Reid Lyons, M.D., Ph.D.
- Elie Portnoy, M.D.
- Harjit Singh, M.D.
- Abhishek Srinivas, M.D.
- Clifford Raabe Weiss, M.D.
Pediatric
Our expertise in pediatric anatomy and physiology allow us to provide a level of accuracy and insight that conventional radiologists are often unable to provide in pediatric cases.
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As a parent, you may have concerns about radiation exposure. Our children’s hospital takes every precaution to make sure your child is safe. Our goal is to do the procedure correctly and thoroughly, while exposing your child to the smallest amount of radiation necessary to complete the procedure.
Advances in equipment and imaging have lowered the amount of radiation your child will receive. All of the equipment is inspected regularly.
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We welcome your help and support before and after the procedure. The most important role of a parent and guardian is to help your child stay calm and relaxed before the procedure.
- The best way to help your child stay calm is for you to stay calm.
- We encourage you to talk to your child and hold his or her hand before the procedure.
- We welcome your questions, but please ask them either before or after the procedure.
- Before entering the IR procedure room, you will be asked to put on a disposable zip-up garment ("bunny suit") over your clothes to protect the sterile environment in the room.
- If sedation medication is needed for your child's IR procedure, you may stay with your child as the medication takes effect. You then will be escorted to the waiting area.
If at any time before or during your child's procedure, or while the sedation medication is taking effect, you or the IR doctor feel it would be best for you to leave the room, a staff member will escort you to the waiting area.
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The IR doctor will provide a written report of the results of your child’s IR procedure or treatment to the doctor who prescribed it. You should contact your doctor to get the results of your child’s procedure. Results often are not available on the same day the IR procedure or treatment was done.
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- Andrew Stephen Akman, M.D., M.B.A.
- Christopher Ravi Bailey, M.D.
- Nikhil Bhagat, M.D.
- Ji Young Buethe, M.D.
- Lemore Carmi, M.D.
- Christos Savvas Georgiades, M.D., Ph.D.
- Brian Philip Holly, M.D.
- Kelvin Kai-wen Hong, M.B.B.Ch., M.B.B.S.
- Brian Gregory Johnson, M.D.
- Robert Patrick Liddell, M.B.B.Ch., M.S.
- Grafe Reid Lyons, M.D., Ph.D.
- Elie Portnoy, M.D.
- Harjit Singh, M.D.
- Abhishek Srinivas, M.D.
- Clifford Raabe Weiss, M.D.
Stroke
Our Johns Hopkins Interventional Radiology Center (IRC) team of interventionalists have dedicated their professional lives to treating stroke patients. Our interventional radiologists use advanced therapies to restore blood flow to the part of the brain that is blocked due to a blood clot.
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A nurse, physician assistant or medical affairs coordinator will work closely with your referring physician to coordinate your care and will provide instructions before your appointment.
- Catheter-directed thrombolytic therapy
- Carotid artery angioplasty and stenting
- Endovascular coil treatment
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- Andrew Stephen Akman, M.D., M.B.A.
- Nikhil Bhagat, M.D.
- Ji Young Buethe, M.D.
- Lemore Carmi, M.D.
- Christos Savvas Georgiades, M.D., Ph.D.
- Brian Philip Holly, M.D.
- Kelvin Kai-wen Hong, M.B.B.Ch., M.B.B.S.
- Brian Gregory Johnson, M.D.
- Robert Patrick Liddell, M.B.B.Ch., M.S.
- Grafe Reid Lyons, M.D., Ph.D.
- Elie Portnoy, M.D.
- Harjit Singh, M.D.
- Abhishek Srinivas, M.D.
- Clifford Raabe Weiss, M.D.
Trauma and Bleeding
Embolization is a well-established interventional radiology technique that is used to treat trauma victims with massive bleeding, to control hemorrhage after childbirth and as a treatment prior to surgery to decrease blood loss. Some treatments interventional radiologists provide are a less invasive option than surgical removal of all or part of the organ, such as in liver trauma and spleen trauma.
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A nurse, physician assistant or medical affairs coordinator will work closely with your referring physician to coordinate your care and will provide instructions before your appointment.
- Embolization of vascular bleeding
- Localized treatment for embolization from trauma and postsurgical, benign setting
- Any artery bleeding
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- Andrew Stephen Akman, M.D., M.B.A.
- Christopher Ravi Bailey, M.D.
- Nikhil Bhagat, M.D.
- Ji Young Buethe, M.D.
- Lemore Carmi, M.D.
- Christos Savvas Georgiades, M.D., Ph.D.
- Brian Philip Holly, M.D.
- Kelvin Kai-wen Hong, M.B.B.Ch., M.B.B.S.
- Brian Gregory Johnson, M.D.
- Robert Patrick Liddell, M.B.B.Ch., M.S.
- Grafe Reid Lyons, M.D., Ph.D.
- Elie Portnoy, M.D.
- Harjit Singh, M.D.
- Abhishek Srinivas, M.D.
- Clifford Raabe Weiss, M.D.
Vascular Disease
Johns Hopkins Interventional Radiology Center (IRC) team of interventionalists has dedicated their professional lives to advancing interventional radiology services for the highest level of patient care.
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A nurse, physician assistant or medical affairs coordinator will work closely with your referring physician to coordinate your care and will provide instructions before your appointment.
- Gastrointestinal bleeding
- Hemoptysis - bronchial artery embolization
- Preoperative vessel occlusion
- Aneurysms
- Carotid Artery Disease
- Chronic Venous Insufficiency
- Claudication
- Deep Vein Thrombosis (DVT) / Thrombophlebitis
- Mesenteric Ischemia
- Peripheral Vascular Disease
- Pulmonary Embolism
- Raynaud's Phenomenon
- Renal Vascular Disease
- Varicose Veins
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- Andrew Stephen Akman, M.D., M.B.A.
- Christopher Ravi Bailey, M.D.
- Nikhil Bhagat, M.D.
- Ji Young Buethe, M.D.
- Lemore Carmi, M.D.
- Christos Savvas Georgiades, M.D., Ph.D.
- Brian Philip Holly, M.D.
- Kelvin Kai-wen Hong, M.B.B.Ch., M.B.B.S.
- Brian Gregory Johnson, M.D.
- Robert Patrick Liddell, M.B.B.Ch., M.S.
- Grafe Reid Lyons, M.D., Ph.D.
- Elie Portnoy, M.D.
- Harjit Singh, M.D.
- Abhishek Srinivas, M.D.
- Clifford Raabe Weiss, M.D.
Varicose Veins
Varicose veins are enlarged, twisted veins caused by increased blood pressure in the veins. Interventional radiologists treat problematic varicose veins with minimal recovery time.
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A nurse, physician assistant or medical affairs coordinator will work closely with your referring physician to coordinate your care and will provide instructions before your appointment.
- Varicose veins — Legs
- Varicose veins — Other
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- Andrew Stephen Akman, M.D., M.B.A.
- Christopher Ravi Bailey, M.D.
- Nikhil Bhagat, M.D.
- Ji Young Buethe, M.D.
- Lemore Carmi, M.D.
- Christos Savvas Georgiades, M.D., Ph.D.
- Brian Philip Holly, M.D.
- Kelvin Kai-wen Hong, M.B.B.Ch., M.B.B.S.
- Brian Gregory Johnson, M.D.
- Robert Patrick Liddell, M.B.B.Ch., M.S.
- Grafe Reid Lyons, M.D., Ph.D.
- Elie Portnoy, M.D.
- Harjit Singh, M.D.
- Abhishek Srinivas, M.D.
- Clifford Raabe Weiss, M.D.
Women's Health
Our Johns Hopkins Interventional Radiology Center (IRC) team of interventionalists have dedicated their professional lives to providing women’s health services. Our services range from routine diagnostic exams, to in-depth consultations for women with pelvic and vein disorders.
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- We offer women access to a special place created specifically for them, where you can obtain highly specialized interventional services using state-of-the-art equipment in a compassionate, caring environment.
- Our minimally invasive image-guided treatments effectively treat patients with minimal discomfort.
- At Johns Hopkins, we commit to continuously advancing radiological services for women and do research to help improve women’s services in many ways.
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A nurse, physician assistant or medical affairs coordinator will work closely with your referring physician to coordinate your care and will provide instructions before your appointment.
Uterine fibroid embolization
Fibroid tumors are noncancerous (benign) growths that develop in the muscular wall of the uterus. Uterine fibroid embolization involves cutting off blood flow to the fibroid, causing it to shrink.Pelvic pain (chronic)
Pelvic pain (chronic) is defined as “non-cyclic” pain lasting greater than six months. A multidisciplinary team approach is needed to treat this often complex medical condition. Ovarian vein embolization is used to treat chronic pelvic pain.Infertility — Selective salpingography
The most common cause of female infertility is a blockage of the fallopian tube through which eggs pass from the ovary to the uterus.Interventional radiologists can diagnose and treat a blockage in the fallopian tubes with a nonsurgical procedure known as selective salpingography.
Vascular arterial disease
Vascular arterial disease occurs in various forms that damage the arteries, which deliver blood from the heart throughout the body.Varicose veins
Varicose veins are enlarged, twisted veins. Varicose veins can happen anywhere in the body, but are more common in the legs.Sclerotherapy
Sclerotherapy is a minimally invasive treatment used to treat varicose and spider veins. The procedure involves the injection of a solution directly into the affected veins, causing them to shrink and eventually disappear. -
- Andrew Stephen Akman, M.D., M.B.A.
- Nikhil Bhagat, M.D.
- Ji Young Buethe, M.D.
- Lemore Carmi, M.D.
- Christos Savvas Georgiades, M.D., Ph.D.
- Brian Philip Holly, M.D.
- Kelvin Kai-wen Hong, M.B.B.Ch., M.B.B.S.
- Brian Gregory Johnson, M.D.
- Robert Patrick Liddell, M.B.B.Ch., M.S.
- Grafe Reid Lyons, M.D., Ph.D.
- Elie Portnoy, M.D.
- Harjit Singh, M.D.
- Abhishek Srinivas, M.D.
- Clifford Raabe Weiss, M.D.
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