CRL Surgical & Radiology Associates
Imaging Procedures
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Vascular Procedures

Vascular ProceduresInterventional radiology procedures are "minimally invasive" because radiologists guide catheters, needles, and/or other small instruments through the blood vessels, spine, or other pathways to treat disease through the skin. It is a branch of radiology that uses imaging guidance (x-rays) to accompany these minimally invasive techniques to perform procedures that can replace conventional surgery.

Because of this approach, these interventional procedures typically mean less pain, risk and recovery time for patients. The interventional (also known as vascular ) radiologists at CRL Radiology provide therapeutic care for a wide variety of vascular and nonvascular conditions affecting the chest, abdomen and extremities. These procedures include diagnostic angiography, renal and peripheral vascular interventions, biliary, gastrointestinal and genitourinary interventions, venous access procedures, embolization and regional cancer therapies.

Arterial Disease
Venous Disease
Oncologic Services
GI Services
GU/Nephrology Services
Renovascular Hypertension Treatment
Uterine Fibroid Embolization
Vertebroplasty
Pulmonary Services
Osteoporosis and Vertebral Fractures

Arterial Disease

  • Diagnostic arteriography and venography
  • Magnetic Resonance and Computerized Tomographic Angiography
  • Ultrasound and functional assessment for peripheral vascular disease
  • Recanalization (thrombolysis, angioplasty, stent) for symptomatic mesenteric, renal, brachiocephalic, upper and lower extremity occlusive disease
  • Embolization for control of post traumatic, gynecologic and gastrointestinal bleeding
  • Percutaneous management of aneurysmal disease (aortic, visceral, extremity)

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Venous Disease

  • Image-guided vena cava filter placement
  • Recanalization/reconstruction for upper extremity, caval and lower extremity veno occlusive disease
  • Deep venous catheter directed pharmaco-mechanical thrombolysis and Trellis peripheral infusion system

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Oncologic Services

  • Patients with inoperable liver cancer
  • Vascular access (tunneled catheter, chest and arm ports)
  • Transarterial localized tumor therapy for hepatic, ENT and pelvic malignancy (chemotherapy, brachytherapy)
  • Image guided percutaneous tumor ablation (cryoablation, radiofrequency ablation)
  • Palliative care (pleural effusion/ascites management)

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GI Services

  • Management of gastrointestinal bleeding
  • Management of portal bleeding (transjugular intrahepatic portosystemic shunt TIPS, transhepatic variceal sclerosis/embolization)
  • Percutaneous image-guided access to biliary tree (cholangiography, biliary drainage, duct biopsy, recanalization, antegrade endoscopy, manometry, percutaneous cholecystostomy)
  • GI tract (gastrostomy, primary and conversion gastrojejunostomy, esophageal and colonic stent placement)
  • Abscess drainage/management-fistulography
  • Transjugular liver biopsy

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GU/Nephrology Services

  • Dialysis Services: Image-guided transjugular and translumbar catheter placement and exchange, recanalization and management of native and prosthetic dialysis access conduits (declot, angioplasty, stent)
  • Hemodialysis port placement
  • Nephrostomy, nephroureteral catheterization and exchange

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Pulmonary Services

  • Image-guided tube throacostomy for localized collections
  • Pleurodesis
  • Pulmonary arteriography/pulmonary thrombolytic therapy
  • Bronchial arteriography and embolization

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