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Angiography and Interventional Radiology Services

Women’s Health Interventions

We use minimally invasive techniques to treat chronic conditions such as uterine fibroids and pelvic congestion syndrome without surgery.

Uterine Fibroid Embolization (UFE)

Fibroids are a common non-cancerous growth in the uterus. Fibroids can cause abdominal and pelvic pain, cramping, heavy period, and frequent urination.

Uterine fibroid embolization is a uterus preserving procedure which is performed in women with symptoms related to fibroids. This procedure is a safe alternative to surgery. The interventional radiologist uses a small catheter to treat the arteries going to the fibroids.

Blood flow to the fibroids is blocked by which plugging up the blood vessels going to the fibroid. After this procedure fibroids shrink, and symptoms related to fibroids are improved.

High Intensity Focused Ultrasound (HIFU) for Uterine Fibroids

MRI guided HIFU is a completely non-invasive therapy for treating uterine fibroids. The HIFU machine is used to direct sound waves at a uterine fibroid. The treatment destroys the uterine fibroid while sparing the rest of the uterus. MRI is used target the fibroids with precision.

Pelvic Venous Insufficiency

Enlarged and congested pelvic veins accumulate large volumes of blood which can contribute to chronic pelvic pain. By using a small catheter, abnormal pelvic veins can be sealed with coils and sclerosants. Once these veins are treated, pain symptoms related to the enlarged and dilated veins typically improve.

Men’s Health Interventions

We use minimally invasive techniques to treat men with urinary symptoms from an enlarged prostate. We also treat men with symptomatic varicoceles.

Prostate Artery Embolization

A common reason why men experience the frequent urge to urinate is from a condition called benign prostate hyperplasia (BPH). In this condition the prostate becomes enlarged which can impair a man’s ability to urinate adequately. Over time, an enlarged prostate can lead to weakening of the bladder muscles which further diminish the ability to urinate.

Prostate artery embolization (PAE) is a minimally invasive procedure where blood flow to the prostate arteries is blocked by using tiny beads to plug up the blood vessels. By lowering blood flow to the prostate, the prostate shrinks and prostate related urinary symptoms are improved. This minimally invasive procedure can be helpful for men with lower urinary tract symptoms related to an enlarged prostate. This procedure is an alternative to surgery and transurethral resection of the prostate (TURP).

Varicocele Embolization

Varicoceles are dilated veins in the scrotum which can lead to cramping and aching pain as well as diminished fertility or infertility. This condition is treated by interventional radiologists in a minimally invasive fashion in an outpatient setting.

A small catheter is inserted through a skin incision and advanced into the abnormal veins leading to the scrotum. These abnormal veins are sealed with tiny coils or medications which help seal the vein. By plugging up this vein symptoms of cramping and aching are relieved.

Chemoembolization and Radioembolization

Interventional radiologists work with oncologists, radiation oncologists, and surgeons to come up with the best treatment for each patient. Interventional procedures are frequently used to treat cancer of the liver and cancer metastatic to the liver.

Liver tumors and tumors which have metastasized to the liver can be treated by injecting chemotherapy (chemo) directly into the liver artery as well as by blocking the arteries feeding the tumor (embolization). Liver tumors and metastases to the liver can also be treated by delivering tiny beads covered with radioactive material into the arteries supplying the liver tumor.

These treatments can help shrink tumors and help reduce tumor related symptoms.

For information regarding the tumor ablation program at BWH, please click on the following link: BWH Tumor Ablation Program

Varicose Veins Treatment

We use innovative techniques to treat patients with varicose veins, spider veins, and other vein related issues

Vein Center Page

Inferior Vena Cava Filter Management

We use minimally invasive techniques to place filters in the inferior vena cava. These filters help to stop large blood clots from reaching the lungs.

What is the Inferior Vena Cava?

The Inferior vena cava (IVC) is a vein in the abdomen which carries a large portion of the blood from the lower part of the body to the heart.

What are IVC Filters?

IVC filters are implantable devices which are placed in the IVC using a minimally invasive technique. These filters can prevent harmful blood clots from traveling to the heart and lungs from the lower part of the body. Once they are no longer needed, these filters should be removed.

Lymphatic Disorders

We use minimally invasive techniques to treat patients with lymphatic system abnormalities.

The lymphatic system helps to absorb nutrients, supports the immune system, and aids in draining fluid from tissues. Certain injuries and diseases can lead to leakage of fluid from these lymphatic vessels into other parts of the body. These symptoms can be disabling and harmful.

Interventional radiologists can use minimally invasive techniques to help diagnose and treat abnormalities in the lymphatic system.

Transjugular Intrahepatic Portosystemic Shunts (TIPS)

We use minimally invasive techniques to treat patients with symptoms related to high blood pressures in the portal vein.

The portal vein is responsible for carrying blood from the bowel, spleen, and pancreas to the liver. High portal blood pressures can lead to large volumes of fluid filling up the abdominal cavity and life-threatening gastrointestinal bleeding. This condition can be caused by liver scarring (cirrhosis), certain kinds of heart failure, and portal vein clots, among other reasons.

Patients experiencing the effects of increased blood pressure in the portal veins can be treated with a Transjugular Intrahepatic Portosystemic Shunt (TIPS). The TIPS procedure can effectively reduce the portal blood pressure to reduce the risk of these events.

Back Pain

Pain related to fractures of bones in the spine can be painful and can limit function. Back pain related to damaged vertebral bones may be treated using minimally invasive procedures.

Fractures can occur in weakened bones from osteoporosis, from bone damage due to cancer, or from traumatic injury. Since many nerves are present around the spine, fractures to the vertebral bones can cause pain.

An interventional radiologist can help treat this pain by inserting a needle under x-ray guidance into the damaged bone. A sterile medical grade cement is injected into the damaged bone to help restore its shape and strength, which can help reduce pain.

LEARN MORE ABOUT BRIGHAM AND WOMEN’S HOSPITAL


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