Rose Interventional Radiology Provides Cutting-Edge Minimally Invasive Procedures

Pulmonary Artery Embolism Treatment 

An acute pulmonary embolism occurs when a blood clot travels from any part of the body (often the legs) and causes a blockage in the pulmonary arteries in the lungs. It is the third most common cause of cardiovascular death in the US.  In response, Rose Medical Center Interventional Radiology is forming a Pulmonary Embolism Response Team (PERT). This team of multidisciplinary specialists are prepared to work together quickly and smoothly as soon as an acute PE patient has been identified. The team includes cardiologists, pulmonologists, interventional radiologists and cardiothoracic surgeons who work closely together to expedite diagnosis and treatment. 

Interventional Oncology

Interventional oncology procedures are often the treatment identified for patients whose cancer cannot be surgically removed or effectively treated with systemic chemotherapy. Treatments include radiofrequency ablation (RFA), a procedure that kills the tumor inside the body with heat, and cryoablation, which destroys cancer cells with targeted cold. 

Some of our interventional oncology procedures include:

  • Drug Eluting Bead Embolization provides targeted cancer treatment directly to the tumor while minimizing exposure to the rest of the body
  • Intra-arterial Yttrium-90 Radioembolization, known as Y-90, is a palliative treatment for patients with liver cancer that provides a higher dose of radiation compared to external therapies
  • Chemoembolization, which involves injection of high concentrations of chemotherapy into a tumor, which then blocks the tumor’s blood supply to starve it
  • Tumor embolization
  • Tumor ablation
  • Complex biopsies

Women’s Health Interventions

Uterine fibroids are a commonly occurring, generally non-cancerous growth (or tumor) that develops in the muscular wall of the uterus. Historically, treatment has involved hysterectomy (surgery that removes the uterus) or myomectomy (surgery to remove the fibroids), but advances in interventional radiology can provide a much less invasive, non-surgical option: uterine fibroid embolization (UFE).

This procedure blocks the blood flow to the tumor(s), which causes the fibroids to shrink and die, leaving the rest of the uterus healthy and causing symptoms to subside. This is one procedure in which patients are kept overnight in the hospital for monitoring but stay in the dedicated IR suite, where they receive care from the same physicians and nurses with whom they interacted during the whole process. UFE also generally involves less hormone therapy following treatment compared to hysterectomy. 

IR can also be used to address fertility problems. Patients diagnosed with blocked fallopian tubes may be treated with fallopian tube recanalization (FTR), a nonsurgical procedure using a catheter to clear the blockages and open the tubes. 

The Rose IR team also uses embolization to treat pelvic congestion syndrome, a chronic pelvic pain caused by dilated veins in the lower abdomen and pelvis. 

Prostate Artery Embolization (PAE)

This treatment for enlarged prostate (BPH) is a minimally invasive interventional radiology solution. Men first undergo an imaging procedure (either ultrasound or MRI) to determine how blood is supplied to the prostate gland. Our team then accesses the blood flow through a small incision and place a catheter into the prostate artery. Tiny particles are inserted through the catheter to block the blood supply, causing the gland to shrink. This procedure has shown to have fewer sexual side effects and even has shown to improve sexual function.

Spine Interventions for Patients with Weak and Brittle Bones

The Rose IR team is specialized in vertebral augmentation including kyphoplasty, vertebroplasty and sacroplasty. These procedures help  patients  recover from an injured or collapsed vertebra. Using fluoroscopy (a process in which a continuous X-ray beam is passed through a body part being examined so that the body part and its motion can be seen clearly on a screen, aiding in precision of treatment), a cement-like mixture is inserted into the affected portion of the spine to keep it from compressing again. Post-surgery, patients experience rapid pain relief and improved quality of life with no physical therapy or rehabilitation. 

Pulmonary Artery Thrombolysis/Thrombectomy
Pulmonary Artery Thrombolysis/Thrombectomy is a minimally invasive technique in which a catheter is inserted into the artery with the assistance of an ultrasound. There, the IR team either dissolves the blood clot using medication or removes the blood clot (using either a balloon or suction), restoring blood flow. 

Deep Vein Thrombosis (DVT) Management

Catheter-directed thrombolysis is a state-of-the-art procedure for treatment and prevention of thrombosis (which is the formation of blood inside a blood vessel, which can be very serious). This is an image-guided procedure in which a clot-busting drug is injected directly into the blood clot through a small tube inserted into a vein in the leg. The procedure prevents damage to tissues and organs and improves blood flow. 

Endovascular Aneurysm Repairs (EVAR) for Abdominal Aortic Aneurysm

Endovascular aneurysm repairs (EVAR) is an alternative to open surgery that treats aortic disease with fewer risks and complications. The procedure is most commonly used to treat an abdominal aortic aneurysm (AAA) by inserting an expandable stent graft to support the aorta.

Additional Resources

View helpful videos to understand minimally-invasive IR procedures on The Interventional Initiative