Femoral Arteriogram

To evaluate the underlying peripheral artery disease.

If atherosclerotic disease is identified, various procedures can be performed to correct the problem including balloon angioplasty, stenting, atherectomy. The most advanced techniques are available at VIA.

Visceral/Mesenteric Arteriogram

To evaluate or to exclude mesenteric ischemia.

Renal Arteriogram

To evaluate the source or site of GI bleeding with possible embolization, to evaluate the renalvascular disease with possible correction of renal hypertension with balloon angioplasty or stenting.

Pulmonary Arteriogram

To evaluate the pulmonary embolism (including pulmonary thrombosis) or pulmonary AVM, as well as pulmonary AVM embolization.

Carotid Arteriogram or Cerebral Arteriogram

To evaluate the underlying carotid disease when the MRI, CTA and ultrasound doppler evaluations are inconclusive.

IVC Filter Insertion and Removal

To prevent pulmonary emboli.

TIPS Procedure

To correct the portal hypertension, to treat esophageal varices/bleeding and to treat refractory asacites.

Varicose Vein and/or Saphenous Vein Insufficiency

(R.F. Vein Ablation)
With ultrasound guidance, a small R.F. catheter is inserted into the vein with incompetent valve. The RF energy emitted causes the incompetent vein to close. The body will automatically redirect blood flow to the healty veins.

Central Venous Catheter and/or Hemodialysis Catheter Placement or Removal

To correct the malfunction. Declotting dialysis A.V.F. or A.V. graft.

Venogram

A catheter is placed in a vein, and images are taken while dye is injected in order to detect narrowing or clotting of the vein.

PICC Lines Placement

Fluoroscopy and ultrasound are used to guide a catheter through a vein in the arm and then into the upper chest. The catheter is used for long term IV therapy and eliminates the necessity for multiple needle punctures.

Paracentesis

A thin needle or tube is placed into the abdomen in order to remove fluid for diagnosis and/or reduce discomfort.

Thoracentesis

A thin needle or tube is placed into the chest in order to remove fluid for diagnosis and/or to reduce discomfort.

Biliary Tube / Stent Exchange

Fluoroscopy is used to guide a catheter and/or stent into the biliary ducts of the liver. This is performed to relieve the buildup of bile caused by an obstruction.

Nephrostomy / Ureteral Tube Placement & Exchange

Fluoroscopy is used to guide a catheter into the kidney. This is performed to relieve the buildup of urine caused by an obstruction.

Percutaneous Abscess Aspiration / Drainage

A thin catheter is placed through the skin to drain an infected collection in the body.

Arthrogram (Shoulder, Elbow, Wrist, Hip, Knee, and Ankle)

Fluoroscopy is used to place a thin needle into the symptomatic joint. Dye is injected and images are obtained. In most cases additional images are then obtained using MRI or CT.

Myelogram (Cervical, Thoracic, Lumbar)

Fluoroscopy is used to place a thin needle into the spinal canal. Dye is injected and images are obtained. In most cases additional images are then obtained using CT

Arthrocentesis (Joint Fluid Aspiration, Joint Tap, Synovial Fluid Aspiration)

A needle is placed into a joint space and fluid is removed for diagnostic analysis or to help relieve pain and pressure on the joint.

Image-Guided Percutaneous Biopsy

A needle is placed in a desired location using imaging guidance in order to obtain a small piece of tissue so that it can be examined by a pathologist.

Certain biopsies may need to be performed at the hospital due to their risk of complications.

Joint Injection (Lumbar Facet and Sacroiliac)

Steroid medication is injected into the symptomatic joint to decrease pain and swelling.

Spinal Injection (Epidural, Nerve Root, Facet, and Sacroiliac)

Anesthetics and/or steroid medications are injected in the spine to reduce back and/or leg pain. These can be both diagnostic and therapeutic and include epidural, nerve root, facet, and sacroiliac joint injections.

Lumbar Puncture (Spinal Tap, Spinal Puncture, Thecal Puncture, Rachiocentesis)

Local anesthesia is injected into the lumbar region of the back, and a needle is inserted into the spinal canal. Cerebrospinal fluid (CSF) can then be removed for testing.

Vertebroplasty (Thoracic, Lumbar)

Fluoroscopy is used to place a needle into a fractured vertebra. Bone cement is then injected to stabilize the fracture.

Sacroplasty

CT is used to guide two needles into a fractured sacrum. A mixture of bone cement and contrast is then injected into the sacrum through the needles to stabilize the fracture.

Epidural Blood Patch

Epidural Blood Patch (EBP) is used to treat spinal headaches that are most commonly encountered after dural puncture. The blood patch acts as a gelatinous glue which prevents cerebrospinal fluid (CSF) leakage and allows the dural hole to heal.