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Interventional Radiology

At Davis Hospital and Medical Center, we understand that surgery is a last resort for nearly every patient that walks through our doors. Before you visit the Surgical Center, you want to know that you’ve explored all the alternatives. That’s where the Interventional Radiology team at Davis Hospital and Medical Center comes in.

Using advanced imaging technology and surgical instruments, the interventional radiologists at Davis Hospital work with physicians to provide minimally invasive and non-surgical solutions.

What is interventional radiology?

Interventional radiology is a subspecialty of diagnostic radiology that uses advanced imaging technology and minimally invasive techniques to diagnose and treat diseases in the body. Interventional radiology can be used to treat everything from vascular diseases and heart problems to gynecologic conditions and spinal fractures. This subspecialty is the perfect combination of diagnostic imaging and advanced clinical treatment in northern Utah.

What are the benefits of interventional radiology?

Interventional radiology offers a number of benefits – especially when compared to open surgery:

  • Shorter hospital stays (some patients discharged same day as procedure)
  • Less pain
  • Less scarring
  • Lower risk of infection
  • Quicker recovery
  • No general anesthesia reduces cost and risk
  • More cost-effective overall

Interventional Radiology Treatment in Layton and Roy

At Davis Hospital and Medical Center, interventional radiologists partner with other specialists to provide patients with safe and effective alternatives to surgery. Learn more about how the following conditions are treated using interventional radiology:

  • Abdominal aortic aneurysms
  • Cancer Deep vein thrombosis (DVT)
  • Kidney disease/failure (dialysis management)
  • Peripheral artery disease (PAD)/peripheral vascular disease (PVD)
  • Spinal compression fractures
  • Uterine fibroids
  • Venous insufficiency

For more information about interventional radiology services, or a physician referral, call 1-866-431-WELL.

Abdominal Aortic Aneurysms

As the body’s main artery, the aorta carries oxygenated blood from the heart to the rest of the body. In some patients (especially men over the age of 65 who have smoked), the aorta wall may swell or bulge, resulting in a balloon shape. This is known as an aortic aneurysm, a dangerous condition that may show nonoticeable symptoms whatsoever.

At Davis Hospital and Medical Center, interventional radiologists treat abdominal aortic aneurysms using endovascular techniques (through the vein). A small incision is made in the groin, through which a catheter is passed. The catheter is guided through the femoral artery to the location of the abdominal aortic aneurysm. Once in place, the physician passes a compressed stent graft through the catheter. The graft is expanded within the damaged aortic wall and permanently fixed in place, improving blood flow and providing support at the diseased site.

Cancer

Cancer patients at Davis Hospital and Medical Center know they can rely on expert care and a variety of treatment options. Perhaps your patient navigator has already spoken with you about a few of your diagnostic and treatment options like brachytherapy and TomoTherapy®.

Cancer Diagnosis

Your physician may have prescribed a biopsy or tissue sample for determining the type of cancer in your body. Interventional radiology techniques make it possible (in most cases) for that biopsy to be removed non-surgically.

Cancer Treatment

Once the diagnosis is complete, your physician may recommend one of the following interventional radiology techniques for treating the cancer. These techniques are commonly used when the tumors are inoperable, due to size, location, or quantity. These interventional radiology procedures may be performed during a short hospital stay or on an outpatient basis:

Embolization

During this procedure, the interventional radiologist blocks blood from reaching the tumor site, which helps suppress – or stop – tumor growth. This treatment option may be combined with the following procedures.

Radioembolization. In this procedure, radioactive particles are sent to a tumor via the bloodstream. Once they arrive at the tumor, the particles emit radiation, killing the cancerous cells.

Chemoembolization. In this procedure, like radioembolization, chemotherapy drugs are sent directly to the site of the tumor through the bloodstream.

Radiofrequency Ablation

Using this technique, interventional radiologists are able to apply intense heat to the tumor through the patient’s skin (though there is no pain for the patient). The goal of radiofrequency ablation is to use heat to kill the cancer cells.

Deep Vein Thrombosis (DVT)

A deep vein thrombosis (DVT) is a blood clot that has occurred deep in a leg vein. DVT can cause swelling and pain, and may prevent you from standing still for a prolonged period. Not only is DVT uncomfortable, but it can be highly dangerous. The blood clot may grow large enough to completely block blood flow in the vein. Or, part of the clot may break loose and make its way through the heart and into the lungs (a pulmonary embolism).

The interventional radiologists at Davis Hospital and Medical Center treat deep vein thrombosis using advanced imaging technologies and catheter-based techniques. Treatment begins with diagnosis and clot detection. Imagists use ultrasounds to monitor blood flow and CT scans and MRIs to determine the precise location of the thrombosis. Once the location is known, the interventional radiologist inserts a catheter into the vein and administers clot-dissolving medications directly to the clot, a process known as thrombolysis.

Kidney Disease / Failure (Dialysis Management)

The kidneys play an essential role in the body’s health, filtering waste and excess fluids from the blood. The kidneys may become damaged for a number of other conditions, including obesity, hypertension, diabetes, infection, and overuse of some medications. When kidney failure occurs, dialysis treatment may be necessary to help filter the blood.

There are two types of dialysis treatments, hemodialysis and peritoneal dialysis. During hemodialysis, the body is attached to a machine through which blood is cleaned before returning to the body. In peritoneal dialysis, the natural lining of the abdomen uses fluid to clean the blood.

In order for dialysis to be possible, an arteriovenous fistula (connection between artery and vein) or catheters must be placed into the body. The interventional radiologists at Davis Hospital and Medical Center provide dialysis vein access treatments for patients suffering from kidney failure.

Peripheral Artery Disease (PAD) / Peripheral Vascular Disease (PVD)

Peripheral artery disease (PAD), also known as peripheral vascular disease (PVD), is a condition in which the arterial walls become hardened and narrowed due to plaque buildup. PAD is associated with diabetes, obesity, high cholesterol levels, smoking, and congenital factors. Symptoms include pain in the hips and thighs, pain in the legs (while walking), and erectile dysfunction. Also, individuals with peripheral vascular disease are at a greater risk for developing coronary artery disease and cerebrovascular disease, conditions which can lead to heart attack and stroke, respectively.

In some cases, PAD/PVD may be treated by interventional radiologists non-surgically.

Treatment options include:

Balloon Angioplasty. In this procedure, a balloon is attached to a catheter and inserted into the vascular system. The catheter is maneuvered into place and inflated, pressing plaque against the walls of the artery, restoring proper blood flow. Stent Placement. In some cases, a stent may be needed in addition to the balloon angioplasty. A small metal or mesh stent helps keep the arterial walls open.

Thrombolysis. In this procedure, clot-dissolving pharmaceuticals are administered directly to the site of the occlusion.

Spinal Compression Fractures

The spine has 24 articulating vertebrae. When these bones become weak, they can fracture and collapse. The pain may be mild or severe, localized or spread out. The interventional radiologists at Davis Hospital and Medical Center can diagnose and treat spinal fractures using a variety of imaging technologies, including CT scans, MRIs, and bone scans. There are two common minimally invasive treatment options for spinal compression fractures, vertebroplasty andkyphoplasty.

During a vertebroplasty procedure, bone cement is injected directly into the fractured vertebra. During a kyphoplasty procedure, the physician makes a small incision in the back, through which a hollow tube is placed. A balloon is passed through the tube, inflating the hollow space where the full vertebra used to be. The balloon is then removed and the inflated space is filled with a bone-specific, medical-grade cement to provide increased comfort and support.

Uterine Fibroids

Uterine fibroids are non-cancerous tumors that grow inside and outside the walls of the uterus. Some uterine fibroids may be cancerous, but this is rare. Most uterine fibroids (80-90 percent) cause no symptoms and require no treatment. However, some women may experience discomfort:

  • Heavy menstrual periods
  • Unusual monthly bleeding and clotting
  • Pelvic pain and pressure
  • Pain in back and legs
  • Pain during sexual intercourse
  • Bladder pressure, frequent urge to urinate
  • Bowel pressure (leading to constipation and bloating).

The interventional radiology experts at Davis Hospital and Medical Center provide a treatment option for women with uterine fibroids who don’t want to undergo a hysterectomy: Uterine fibroid embolization. In this procedure, a thin, flexible catheter is guided to the fibroid tumors using x-ray or ultrasound technology. Small particles are then released to block blood flow and cause the fibroids to shrink. Many physicians and patients prefer this method because of the faster recovery time, fewer complications, and less scarring (compared to hysterectomy)

Venous Insufficiency

Venous insufficiency is a condition in which blood flow through the veins is impaired. Deep vein thrombosis and varicose veins are two of the most common types of venous insufficiencies. Individuals with a venous insufficiency may have skin ulcers or discoloration, swelling, and pain (aching, throbbing, and burning).

The interventional radiologists at Davis Hospital and Medical Center use ultrasound technology to diagnose the presence and severity of venous insufficiencies. There are a number of minimally invasive treatment modalities available for patients with venous insufficiency.

Radiofrequency ablation is one of the most common treatment methods for varicose veins.

For more information about interventional radiology services at Davis Hospital and Medical Center, please call 1-866-431-WELL, or Find a Physician online.

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