The Interventional Radiology division at Asiri Central Hospital was established in 2013, with the installation of the first biplane neuro digital subtraction angiography unit in Sri Lanka. The unit has its own well-equipped patient-receiving area and recovery area with facilities for anaesthesia.
Interventional radiology is rapidly developing and is one of the most technically advanced fields in modern medical practice. Today, many patients are treated with minimally invasive techniques using image guidance, instead of major surgery. This treatment results in equal or better outcomes, as shown by reduced infection rates and recovery time, and a shorter hospital stay. In some situations, it is the only available treatment to prevent mortality or significant morbidity.
Hence, it can be identified as the surgical wing of radiology.
Centre outcomes are comparable with the best such centres of excellence in the world.
| Disease/ Condition | Minimally Invasive Endovascular Management |
|---|---|
Peripheral Interventions |
|
| Arterial occlusive disease | Peripheral arterio venous malformations |
| Peripheral vascular/ aortic Aneurysms/ pseudoaneurysms | Endovascular stenting / stent graft |
| Deep vein thrombosis+/- pulmonary embolism | Placement of IVC filter, Microwave/ RFA ablation |
| Peripheral arterio venous malformations | Endovascular embolization |
| Peripheral vascular tumors | Preoperative embolization to reduce blood loss |
Genitourinary Interventions |
|
| Hydronephrosis due to ureteric Obstruction | Percutaneous nephrostomy + stenting |
| Varicocele | Testicular vein embolization |
| Uterine fibroids | Embolization of uterine artery |
| Renal artery stenosis | Renal artery angioplasty +/- stenting |
| Post-partum hemorrhage | Endovascular embolization |
| AV fistula or acute renal bleeding following trauma | Embolization of segmental intra renal arteries |
Gastrointestinal Interventions |
|
| GI pseudoaneurysms, angiodysplasia /ulcers | Endovascular embolization |
| Hypersplenism due to splenomegaly | Embolization of splenic artery |
Pulmonary Interventions |
|
| Pulmonary AVM/ Aneurysms | Endovascular embolization |
| Bronchiectasis/ Mycetoma following Past TB | Endovascular embolization |
Hepato – biliary Interventions |
|
| Biliary obstruction | Percutaneous biliary drainage/ stenting |
| Hepatoma/ Vascular liver secondaries | Trans Arterial Chemo Embolization (TACE) |
| Liver tumors awaiting lobectomy | Percutaneous portal vein embolization |
| Liver/ lung/ renal tumors | Guided radio frequency ablation |
| Portal hypertension | Trans Jugular Intra Hepatic Porto-systemic shunt (TIPS) |
| Budd chiari syndrome | Percutaneous hepatic venoplasty |
| Liver parenchymal disease | Trans-jugular liver biopsy |
Head, neck and spinal interventions |
|
| Cerebral aneurysms | Coil embolization/ placement of flow diverter stent |
| Carotico cavernous fistula | Endovascular embolization |
| Dural arterio venous fistula of brain or spine | Endovascular embolization |
| Cerebral or spinal arterio venous malformation | Endovascular embolization |
| Vein Galen malformation | Endovascular embolization |
| Vascular tumours of brain and spine Eg: Meningioma/ paragangliomas |
Preoperative embolization to reduce blood loss |
| Scalp arterio venous malformations | Percutaneous embolization |
| Pituitary microadenoma | Petrosal sinus venous sampling |
| Carotid artery stenosis | Carotid artery angioplasty and stenting |
| Acute stroke | Endovascular clot retrieval |
| Vascular malformation/ post traumatic epistaxis | Endovascular embolization |
Interventional radiology (IR) is an advanced medical specialty that utilizes advanced imaging techniques to perform precise and minimally invasive procedures.
IR is a revolutionary approach to healthcare, which enables unclogging of blocked arteries, closing off abnormal blood vessels, delivering targeted treatments to tumors, and much more. This technology involves smaller incisions, reduced pain, faster recovery times, and fewer complications compared to traditional surgical methods.
For instance, neuro-interventional procedures including endovascular embolization of cerebral aneurysms and cerebral arteriovenous malformations are replacing major neurosurgery and are performed with minimal physical and psychological trauma.
Additionally, mechanical clot retrieval in cases of acute stroke is becoming an essential component of an advanced medical practice. This has revolutionized the potential outcomes for these patients, offering them a chance of a fully functional life vs. death or permanent disability.
Such successes are seen in multiple disciplines in medicine, making IR vital to our healthcare centres.
Please feel welcome to contact our friendly reception staff with any general or medical enquiry. Our doctors will receive or return any urgent calls.
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With International accreditation for Patient Safety and Care, the Asiri Health Group is the leading private healthcare provider in Sri Lanka. Our unwavering commitment to compassionate patient care, innovation & outstanding patient outcomes has earned us the high position of trust we enjoy.
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