Interventional Radiology
Interventional radiology takes an active role in performing minimally invasive image-guided
procedures to diagnose and treat disease in nearly every organ of the body, including
many conditions that once required surgery. This includes most cancers, vein problems,
fibroids, musculoskeletal issues, pain, and more.
Interventional Radiology
Interventional radiology takes an active role in performing minimally invasive image-guided
procedures to diagnose and treat disease in nearly every organ of the body, including
many conditions that once required surgery. This includes most cancers, vein problems,
fibroids, musculoskeletal issues, pain, and more.
Our Technology
Our universal procedure room is a multifunctional system offering:
- Precision. Our IR specialists use multiple imaging specialties--X-ray, ultrasound, fluoroscopy
and CT—to hone in on specific parts of the body.
- Hi-fidelity imaging. These high-quality images instantly inform our interventional radiologists so they
can make the right care decisions.
- 3-D imaging. Rotating C-arms can also capture 3-D vascular images in real time to provide an
accurate roadmap during catheterization.
- Ultra low dose. Because of the precise nature of these images, procedure times are shorter, which
reduces X-ray dose to patients.
- Patient comfort. Ambient Technology, where patients can choose different soft lighting colors, helps
create a positive and relaxing environment of care that is patient-focused.
Our Services
As a regional referral center, we provide care for some of the area’s most complex
cases, including bariatric cases. But complex or simple, you can rest assured that
our team has the experience and technology to care for you and your family.
We provide some of the most advanced procedures in the region, including Y90 radioembolization, which safely treats advanced liver cancer and preserves the patient’s quality of
life. This outpatient procedure is offered in very few institutions in the Southeast,
but is performed routinely at Augusta University Medical Center.
Diagnostic Test and Procedures
Veins
- Catheter-directed thrombolysis. This procedure breaks up a blood clot by delivering a clot-busting drug directly
into the vein.
- Central venous access catheters (CVAC). CVAC are tubes that are inserted into the body for frequent blood draws, hemodialysis,
or for giving long-term nutrition or medications such as antibiotics and chemotherapy
drugs. The different types of CVAC include:
- Peripherally inserted central catheters, or PICC lines
- Dialysis catheters
- Plasmapheresis catheters/Hickman catheter
- Ports/Portacath
- Embolization. We cut off blood supply to a diseased artery, vein, or other tissue by making a small
nick in the groin and inserting a catheter that delivers coils and chemicals. Embolization
can be used to stop life-threatening bleeding as well as to treat conditions such
as varicoceles and uterine fibroids.
- Inferior vena cava filter placement (retrievable and permanent). Placing a device called an IVC filter in the leg vein prevents blood clots from traveling
from the veins up to the lungs.
- Peripheral arterial disease treatment. Placing stents in arteries opens up blockages and restores blood flow in the limbs.
- Pulmonary AVM (arteriovenous malformation) embolization. Using minimally invasive techniques, we can embolize (cut off the blood supply) to
AVMs in the lungs without the need for surgery. This service is part of our work with
Dr. James Gossage and the hereditary hemorrhagic telangiectasia clinic at Augusta
University Health, which is the largest HHT clinic in the Southeast.
- Transjugular intrahepatic portosystemic shunt (TIPS). This procedure creates a connection between two blood vessels of the liver to relieve
fluid congestion and ascites.
- Varicose vein treatment. Using vein ablation, we seal up a diseased vein through application of laser or radiofrequency
energy.
- Venogram/arteriogram. We inject dye into arteries and veins to diagnose blocked areas.
- Uterine fibroid embolization. We cut the blood supply to benign tumors in the uterus to reduce bleeding, pain
and urinary frequency and avoid the need for other surgery, such as hysterectomy.
Cancer
- Biopsy. Instead of open surgery, we use a catheter to remove a sample of tissue such as from
the breast, lung, or liver to look for cancer and other diseases.
- Chemoembolization. A catheter delivers chemotherapy drugs directly to the tumor.
- Cryotherapy. A cold gas is applied directly to cancerous tissue to freeze and remove it.
- Radiofrequency ablation and microwave ablation. Radiofrequency energy is delivered directly to the tumor through a catheter.
- Y90 radioembolization. Augusta University Health is the only hospital in Georgia outside of Atlanta offering
Y90 radioembolization to treat liver cancer that has metastasized. This procedure
is ideal for patients who are not candidates for surgery or liver transplantation.
During the outpatient procedure, we deliver tiny microspheres filled with the radioactive
isotope yttrium Y-90 through the blood vessels and to the tumor site, to help slow
the cancer’s progression and preserve the patient’s quality of life.
Abdomen
- Biliary drain. This is a tube that drains bile from the liver when bile ducts are blocked.
- Cholecystostomy. We place a tube through the skin and create a stoma that drains bile directly from
the gall bladder. This procedure is for patients who need to delay gall bladder surgery
or those who are not good candidates for surgery.
- Fistulagram. During this procedure, we take an image of a dialysis fistula or arteriovenous graft
to find clots or other blockages before removing them.
- Gastrostomy tubes (PEG tube) placement. We insert a feeding tube into the stomachs of patients who are unable to take food
by mouth.
- Nephrostomy tube. A small tube is placed through the skin into the kidney to drain urine in cases
of ureter or bladder disease.
- Thoracentesis/paracentesis. We remove fluid that has collected around the lungs or in the abdomen.
- Ureteral stent. A small tube is placed inside a ureter to keep it open and prevent it from blocking
urine flow from the kidney to the bladder.
Back Pain/Osteoporosis
- Vertebroplasty and kyphoplasty. Patients with back issues or osteoporosis may experience compression fractures in
the spine. Instead of lengthy (and risky) back surgery involving multilevel fusion
and screws, we can inject a cement mixture into the bone to stabilize the vertebrae.
Patients go home the same day with just a band-aid on their backs; pain is decreased,
and patients can often walk normally again.
Other Procedures
- Abscess drain. We place a tube that drains infected fluids collected inside the body.
Preparing for Your Procedure
If you have any questions or concerns about your procedure, please contact us at 706-721-8220.
Before your procedure, your physician or a member of your physician’s staff will go
over what to expect before and after your procedure.
Most interventional radiology procedures are performed with the patient under conscious
sedation. Conscious sedation means that you will be given medication that will block
pain and help you relax. These medications require that you do not take any food or
drinks by mouth after midnight before the procedure.
IV contrast may be given during the procedure. If you think you may be allergic to
contrast material, inform your physician.
You may be able to go home on the same day or be admitted overnight, so you must arrange
for a ride home accordingly.
You should bring all your medications or your medication list with you on the day
of the procedure.