1. Interventional Radiology Minimum Access – Maximum Result

2. Interventional Radiology is pin hole surgery performed with the aid of X rays, CT and ultrasound by specially trained doctors called Interventional Radiologists

3. 8 out of 10 procedures use skin incisions smaller than 5 millimetres

4. 9 out of 10 procedures use only local anaesthetic, sometimes with sedation

5. Up to 8 out of 10 patients go home the same day

6. And it’s often a less invasive option than traditional surgical procedures

7. Blocked kidneys Targeted cancer treatment Varicose veins Blocked bile ducts Leg arteries We treat many conditions....... Here are just a few Dialysis Fibroids Aortic aneurysms Blocked arteries Internal Bleeding Blood clots Blood vessel malformations Bone and spine

8. Interventional Radiology Cancer Blood Vessels Treats blood vessels from 2 mm to 30 mm Narrowed blood vessels are stretched (Angioplasty) to improve blood flow Blocked blood vessels can be internally reopened in many cases Treatment of aneurysms (abnormal bulges in vessels). Bleeding Control Many other treatments

9. Unblocking arteries Blocked arm artery (Arrow) causing pain and arm weakness Treated by internally unblocking the artery and placing a stent Major surgery avoided. Total treatment time of one hour

10. Aortic Aneurysm Abnormal bulge (aneurysm) of the main artery in the abdomen Risk of rupture and major bleeding Treated by internally relining the artery (Endovascular aneurysm repair-EVAR) Major surgery avoided. Total treatment time of 90 minutes

12. Cancer Treatment Small cancer lesion in the liver (arrow) in a patient with previously treated cancer Image guided thermal destruction Surgery and chemotherapy avoided. Treatment time of 60 minutes.

13. Scope of Interventional Radiology Blood vessels Cancer Key emergency role for Interventional Radiology Treatment of bleeding from Trauma, bowel, child birth or following surgery Blood vessels as small as 2-3mm can be treated Blood vessels can be blocked (embolisation) or relined with a stent depending on the location and need Many other treatments Bleeding Control

14. Bleeding into Bowel Severe bleeding into the large bowel (arrow) Treated with selective Blockage of the bleeding Artery Emergency surgery avoided

15. Scope of Interventional Radiology Bone Blood vessel Cancer Dialysis Fibroids Bleeding control Liver and Bile ducts Many other treatments Kidneys

16. Too many procedures...too little space For more detailed patient information and further information about Interventional Radiology please visit www. bsir.org & www.bsir-qi.org

17. Interventional Radiology Minimal access Local anaesthesia/sedation Quicker recovery Less invasive alternative

18. Prepared on behalf of British Society of Interventional Radiology by Dr G Ananthakrishnan and Dr I Robertson