Vascular and Interventional Radiology
Interventional radiology is the growing practice of using radiological images to guide narrow tubes (catheters) and other tiny instruments through blood vessels and other parts of the body to both diagnose and treat various conditions. At Montefiore Medical Center, we have been at the forefront of every medical breakthrough regarding vascular and interventional radiology in order to treat patients safely and aggressively with minimally invasive solutions rather than surgery. These advanced procedures rarely require general anesthesia and can dramatically reduce a patient's risk, recovery time and cost, compared to traditional operations.
Pioneers of Vascular & Interventional Radiology
In the Division of Vascular and Interventional Radiology, innovation lies at the heart of every effort of our radiologists. Director of Interventional Radiology and the Division of Vascular and Interventional Radiology, Dr. Jacob Cynamon, participated in one of the first endovascular aortic aneurysm repairs (EVAR) alongside our vascular surgeons in 1992 and co-authored and popularized the "lyse and wait" graft declotting technique in 1997 that serves as a base model for many hospitals across the country treating patients in need of immediate hemodialysis. Along with our vascular surgeons, we also pioneered superficial femoral artery and tibial vessel recanalization for limb salvage and described new techniques to help patients with deep venous thrombosis (DVT) avert the long-term effects of post-phlebitic syndrome.
Special Vascular & Interventional Radiology Procedures
We offer the full range of vascular and nonvascular diagnostic and interventional procedures. Traditional vascular services for all patients from pediatric to geriatric encompass diagnostic angiography, angioplasty, stents and stent grafts (e.g. mesenteric artery stenting, aortic aneurysm repair, etc.), thrombolysis, inferior vena cava (IVC) filter placement, management of deep vein thrombosis (DVT), hemodialysis grafts, embolization of vascular lesions, uterine fibroid embolization, and venous access. Nonvascular interventional procedures include percutaenous nephrostomy, ureteral stents, biliary drainage and stents, percutaneous feeding tubes, imaging-guided biopsies and abscess drainages, and percutaneous and osteoplasty. Additionally, the newly established Liver Transplant Center at Montefiore has increased the number of transarterial chemoembolization (TACE), transjugular intrahepatic portosystemic shunt placements (TIPS), and radiofrequency and cryoablation of tumors being performed.