Interventional Radiology is a field of medicine that uses minimally invasive techniques and imaging guidance to perform procedures that can replace conventional surgery.
Several advantages to interventional radiology procedures exist, including:
- Most IR procedures can be performed on an outpatient basis.
- Patients undergoing an IR procedure typically do not require general anesthesia, so they retain the ability to breathe on their own, are conscious, and can respond to instructions.
- Outcomes with interventional radiology procedures are equal to or better than outcomes for patients undergoing traditional surgery. IR techniques have proven so effective, they have been adapted to a variety of surgical procedures; in some cases, they have replaced traditional surgery as a treatment option.
Interventional procedures performed at MedStar Harbor Hospital include:
- Artis Q X-ray system
- Kyphoplasty and vertebroplasty
- Uterine artery
- Uterine fibroid
- Varicose vein treatment
Ablation is the thermal destruction of tissue that treats
- Primary liver cancer
- Metastatic cancer to liver
- Lung cancer
- Kidney cancer
In this localized treatment, tumor tissue is killed with either heat or extreme cold. Patients are usually discharged home the same day or next day after the procedure and return to their baseline status days after the procedure.
Artis Q X-ray System
The Imaging and Radiation department at MedStar Harbor Hospital has a new X-ray system, the Artis Q, developed by Siemens, which improves minimally invasive therapy of diseases, such as coronary artery disease, stroke, and cancer, while reducing radiation exposure.
The Artis Q helps identify small vessels up to 70 percent better than conventional X-ray tube technology and supports interventional imaging in ultra-low dose ranges, thus protecting patients, physicians, and medical staff, especially during longer interventions. This new system supports a more homogenous design with better signal amplification while, at the same time, reducing the noise at ultra-low dose settings.
This provides a higher level of detail in imaging-supported interventional therapy at a lower power and dose level.
“MedStar Harbor has installed the first single plane Siemens Artis Q in the region,” says Andrew Brown, MD, vascular and interventional radiologist at MedStar Harbor.
“This technology allows us to perform complex oncologic interventions, embolizations, vertebral body augmentations, and other fluoroscopic procedures. The system emits significantly less radiation exposure to both the patient and physician, allowing for a safer and easier procedure,” says Andrew Brown, MD.
In chemoembolization, a catheter is placed into the liver, and chemotherapy drugs are injected directly into the liver arteries. This technique delivers chemotherapy at much higher doses than traditional treatment and in a way that spares the rest of the body from chemotherapy side effects.
However, is not a curative treatment; it is designed to increase the patient’s life expectancy and improve cancer-related symptoms.
Chemoembolization treats liver cancers, including:
- Primary liver cancer (Hepatocellular carcinoma)
- Metastatic liver cancers:
- Head and neck
Kyphoplasty and Vertebroplasty
Kyphoplasty and vertebroplasty are minimally invasive procedures used to relieve the pain from a vertebral fracture, especially if it does not improve over a number of weeks with pain medication and treatment with a brace. Certain diseases, such as osteoporosis or cancer, are known to cause loss of bone mass and changes in bone structure, making them brittle and weak. Genetic factors and certain lifestyles, such as a low calcium diet, can also damage bone. Over time, the vertebral bodies can become so weak that normal activities such as bending over or lifting a bag of groceries, can cause a spinal fracture.
Both vertebroplasty and kyphoplasty procedures involve placing cement into the fractured vertebra through small incisions in the skin under x-ray guidance.
Kyphoplasty can also be very helpful when there is severe collapse of the broken vertebra or wedging. By correcting the wedging, kyphoplasty may help restore the spine to a more normal alignment and prevent severe kyphotic (hunchback) deformity to the spine. In someone who has had multiple fractures with previous wedging, kyphoplasty can prevent further worsening of the deformity.
- Bone cement is injected under pressure directly into the fractured vertebra.
- Once in position, the cement hardens in about 10 minutes, congealing the fragments of the fractured vertebra and providing immediate stability.
- A balloon catheter is guided into the vertebra and inflated with a liquid under pressure.
- As the balloon inflates, it can restore the collapse in the vertebra and correct abnormal wedging of the broken vertebra.
- Once the balloon is maximally inflated, it is deflated and removed, and the large cavity created is filled with bone cement.
- The cement then hardens in place, maintaining any correction of collapse and wedging.
To schedule an appointment, please call 855-546-2100.
MedStar Harbor Hospital
3001 South Hanover St.
Baltimore, MD 21225