Advanced interventional radiology procedures in Denver

Interventional radiology provides a less invasive option for many conditions that once required surgery, providing less risk, pain and recovery time. Most interventional radiology procedures can be performed on an outpatient basis or require only a short hospital stay, and general anesthesia is usually not required.

Additionally, since most interventional radiology procedures do not require an overnight stay in the hospital, the time and cost of treatment is lower.

Interventional radiology at Rose

The interventional radiologists at Rose Imaging are board-certified and fellowship trained. Additionally they work alongside highly trained nurses and technologists who prioritize patient care.

When you choose Rose Imaging, you are choosing quality care. We participate in a program called Radiation Right. This means that for each exam, the technologist and radiologist work together to establish the lowest possible dosage of radiation needed for the highest quality images.

Following your procedure, you will be provided with discharge instructions tailored to you. Your nurse will go over these instructions in detail with you. In addition, you will receive a phone call within 24 hours from one of our nurses to check on you following the procedure. If you had a contrast study performed, please be sure to drink extra fluids after your exam.

Interventional radiology procedures

Pulmonary artery embolism treatment

Rose Medical Center has formed a Pulmonary Embolism Response Team (PERT) as part of our interventional radiology services. An acute pulmonary embolism occurs when a blood clot travels from any part of the body and causes a blockage in the pulmonary arteries in the lungs. It is the third most common cause of cardiovascular death in the U.S. Our PERT is made up of multidisciplinary specialists who work together quickly and smoothly as soon as an acute pulmonary embolism patient has been identified.

Interventional oncology

Interventional oncology is typically utilized for patients whose cancer cannot be surgically removed or effectively treated with systematic chemotherapy. Treatment options include radiofrequency ablations (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 in order to starve it
  • Tumor embolization
  • Tumor ablation
  • Complex biopsies
Y-90 radioembolization with chemotherapy

Y-90 delivers one dose of internal radiation up to 40 times higher than conventional external beam therapy while simultaneously sparing healthy tissue.

  • How does Y-90 work?
    • A Rose interventional radiologist inserts a micro catheter through the femoral artery to precisely administer millions of micro-particles containing radiation to the hepatic arteries
    • Delivers radiation directly into liver tumors by using the tumor’s own blood supply
    • Maximizes treatment’s effectiveness and reduces the risk of injury to healthy tissue
    • Can be used in conjunction with systematic chemotherapy
  • Who is a candidate for Y-90?
    • Indicated most commonly for patients who have liver metastasis from colon cancer in which the metastasis cannot be surgically removed
  • What is the benefit of Y-90 for the patient?
    • Typically administered as an outpatient procedure
    • Entire procedure takes about 90 minutes
    • Most patients return home four to six hours following treatment
    • Shown to extend life expectancy of patients with liver metastasis
    • Most insurance companies generally cover cost
Women’s health interventions

Interventional radiology now offers an alternative to surgery for women dealing with uterine fibroids, non-cancerous growths (or tumors) that develop in the muscular wall of the uterus. Historically, treatment has involved surgery, either a hysterectomy or myomectomy, but now can be treated through a non-surgical option, uterine fibroid embolization (UFE).

UFE blocks the blood flow to the tumor, which causes the fibroids to shrink and die, leaving the rest of the uterus healthy and causing symptoms to subside. This is one interventional radiology procedure that requires patients to be kept overnight in the hospital for monitoring, but patients stay in the dedicated IR suite. Additionally, UFE generally involves less hormone therapy following treatment compared to hysterectomy.

Interventional radiology can also be used to address problems in fertility. 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 interventional radiology team at Rose 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)

PAE is used to treat an enlarged prostate (BPH) through a minimally invasive, interventional radiology procedure. Men first undergo an imaging procedure, either an ultrasound or MRI, to determine how blood is supplied to the prostate gland. Our radiology team then accesses the blood flow through a small incision and places a catheter in 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/or brittle bones

The Rose interventional radiology team specializes in vertebral augmentation including kyphoplasty, vertebroplasty and sacroplasty. These procedures help patients recover from an injured or collapsed vertebra. Using fluoroscopy, 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 is a minimally invasive technique in which a catheter is inserted into the artery with the assistance of an ultrasound. Once in place, the interventional radiology team either dissolves the blood clot using medication or removes the blood clot, using either 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. 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 repair (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.

About Sarah Cannon Cancer Institute

Rose Medical Center is part of Sarah Cannon, the Cancer Institute of HCA Healthcare. Our family of hospitals provides comprehensive cancer services with convenient access to cutting-edge therapies for people facing cancer in our communities. From diagnosis, to treatment and survivorship care, our oncology expertise ensures you have access to locally-trusted care with the support of a globally-recognized network.

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