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Prof. A. Yiğit GÖKTAY, MD

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INTERVENTIONAL RADIOLOGY


Interventional radiology developing as a result of scientific and technological progress is the healing of a disease in internal organs, brain or veins by entering a small hole in the skin via advanced radiological imaging methods such as ultrasound, angiography, MR or CT.

The interventional radiology physician uses high technological imaging units and accesses the diseased site with advanced units and administers the treatment. The patient recovers fast since it is performed by accessing a small hole in the skin and is generally discharged in a day.

Interventional radiological treatmetns and diseases

Interventional radiological procedures for cerebrovascular diseases: It is generally carried out to prevent cerebral hemorrhage and paralysis.

 • Treatment of aneurism in brain veins in the vein
 • Congenital glomerulus (AVM) in the brain proceeds in the capillary vessels
 • Intervention within hours for new onset stroke-paralysis and opening the embolic vein of the brain
 • Opening carotid artery constituting risk of paralysis or preventing the feed of brain, cerebellum vein stenosis accompanied with protective filters in the vein and via balloon and stent

Interventional radiological procedures for vascular diseases: comprises of angiography and interventional procedures for all veins of the body other than coronary.

 • Opening congested veins in patients with leg sore or having pain or difficulty in walking due to stenosis and congestion of especially leg veins with balloon and stent
 • Opening veins of patients with stenosis in kidney veins and advanced hypertension with interventional radiological methods
 • Repair of vein with special cuff stent in the vein in case of aneurism of aorta
 • Opening stenosis and congestion of vascular fistulas established for the dialysis of hemodialysis patients.
 • Inserting filter in vena cava for the possibility of pulmonary emboli due to congestion of vena cava.
 • In cases of varicosis and venous failure due to vena failure, treatment with intravascular laser and interventional procedures with the imaging.
 • Other embolization procedures are used for hemorrhage or it is the treatment of abnormal tissue as feeder veins of diseased tissue or mass in the organ congest one by one and excluded from the blood circulation.
 • Blocking the bleeding vein and stopping hemorrhage by proceeding in the vein in angiography in cases of hemorrhage due to organ injury, liver hemorrhage, gastrointestinal bleeding, internal bleeding
 • Uterine myoma (fibroid) embolization interventions based on the principle of elimination of feeder vein congestion of myoma in the uterus of women without operation

Interventional radiological procedures for tumor treatment for cancer patients:
 • Administration of special medicines to cancerous tissue up to the tumor in the vein for the liver tumors and cancers with metastatis in liver and treatment of chemoembolization
 • Radioembolization treatments that radioactive substance is administered by point shooting to the tumor tissue with similar methods
 • Drying cancerous tissues by means of special energy applications (radiofrequency, microwave, etc.) by accessing to the tumor with a needle in the skin if liver, kidney or lung located tumors if treatment with operation is not possible
 • Pain control procedures with the interventions with imaging for drying nerve involvement resulting in advanced pain for the cancer patients

Special interventional procedures by needle in the skin: Does not require long hospitalization and patients are generally discharged following a short observation.

 • Draining abscess and fluid accumulation in abdominal cavity or thoracic cavity with special tools from the skin.
 • Draining kidney cysts from the skin and treatment if they are harmful for the patient (abscess drainage).
 • Drainage of urine from the skin to prevent damage of kidney as it is not ejected from the body in cases of kidney and urinary tract stricture (nephrostomy) or ensuring the pass to urinary bladder (antegrade urethral stent).
 • Draining bile juice from the skin to prevent the damage of body if biliary tract congests in liver, bile tracts or pancreas diseases or opening the congestion by balloon and stent.
 • Draining parasite cysts (cyst hydatic) especially in liver from the skin and drying with a special treatment.
 • Biopsy procedures by needle in the skin with imaging to understand the structure of tumors, nodules, masses in any parts of the body.