Arteriograms Abdominal arteriogram with calcium stimulation Abdominal arteriogram with secretin stimulation Cerebral arteriogram Hepatic arteriogram Parathyroid arteriogram Pulmonary arteriogram Pulmonary arteriogram with filter placement Renal arteriogram Spinal arteriogram Spinal arteriogram with embolization Upper or lower extremity angiogram WADA test

Venous Sampling

Adrenal venous sampling Jugular venous sampling Parthyroid venous sampling Petrosal venous sampling Superior/inferior venacavagram

Tube Placements

Biliary tube placement or change Chest tube placement Drainage tube placement Gastrostomy tube placement Nasogastric tube placement Nephrostomy or ureteral tube placement or change

Vascular Access Devices

Hickman / Groshong placement (tunnelled) Hemodialysis catheter placement Jugular cathetar (JICC) Peripherally Inserted Central catheter (PICC) Subclavian Inserted Central catheter (SICC) Temporary femoral lines

Other Procedures

Biopsy Lymphangiogram Paracentesis Radiofrequency ablation of tumors Thoracentesis Thrombolytic therapy

Angiography Angioplasty & Stent Placement Arthrogram Carotid & Vertebral Arteriogram with Angioplasty & Stenting Chronic pelvic pain interventions Continuous ambulatory peritoneal dialysis (CAPD) --- Tenkoff Placement Dialysis Catheter Placement/Check

Image Guided Biopsies Image Guided Pain Management including Vertebroplastym, Nephrostomy, and SI Joint Injections Nephrostomy Paracentesis Percutaneous Gastrostomy and Feeding Jejunostomy Tube Placement Peripheral Vascular Angiography, Angioplasty & Stenting PICC Line/CVP Line Placement Thrombolysis & Angioplasty of AVF, grafts, and catheters Uterine Fibroid Embolization Varicose Vein treatment Venogram Venous Access Port Implantation (chest & arm)

As medical technology continues to increase our ability to diagnose

and treat many complex medical conditions, patients are

increasingly opting to go the way of interventional radiology for the

treatment of many chronic diseases and health conditions. This

relatively new and dynamic medical field utilizes minimally invasive

techniques that are often an effective alternative to traditional

inpatient surgery. Interventional radiology procedures are usually

performed under local anesthesia with some form of imaging

guidance by a surgical specialist or interventional radiologist.

Dupont Hospital offers a Special Procedures Suite specializing in

interventional radiology services. The area features one procedure

suite and a four-bed pre- and post-procedure area.

What types of special procedures can be done at Dupont Hospital?

The Special Procedures Suite is equipped to handle a variety of diagnostic and interventional procedures with state-of-

the-art equipment that features a Philips Allura FD-20 machine. Experienced physicians perform arteriograms,

venograms, fistulagrams, fistula declots, vertebroplasties, epidural injections, angioplasty, stent and many other non-

cardiac procedures with this equipment.

Experience the Dupont Difference in the Special Procedures

Suite

While most interventional radiology procedures are done on an

outpatient basis, they sometimes require up to a 23-hour hospital

stay. Dupont Hospital guests (patients) can enjoy the convenience

of close proximity to the special procedures suite. Registration,

finalizing lab work, preparing for the procedure and recovering all

take place in the same comfortable room just steps away from the

procedure room. As is customary with all Dupont Hospital guests,

special procedures guests have a private room with full access to

24-hour room service.

In addition to a quiet, comforting environment, the Special

Procedures area at Dupont Hospital offers patients the services of a professional and experienced medical staff. The

same physicians who serve other Lutheran Health Network facilities also have privileges in Dupont’s Special

Procedures Suite. Patients can rest assured, knowing that they are in good hands.

Some common procedures performed in the Dupont Hospital Special Procedures Suite

Arteriography—cerebral, carotid, pelvic, pulmonary, renal, visceral, upper extremities, lower extremities, aorta

Transcatheter treatment (above mentioned vessels) using atherectomy, angio-jet, angioplasty, stent,

embolization

IV retrieval of foreign body

Biliary duct dilation/drain insertion

Cholangiogram

Central venous catheter placement, Infusaport placement

Permanent catheter placement/removal

Fistulagrams, fistula declots, fistula angioplasty

Abscess drainage

IVC filter placement

Pain management procedures—facet injections, nerve blocks, diskograms

TIPS (Transjugular Intrahepatic Portosystemic Shunt) evaluation, insertion, revision transhepatic biliary drain

Nephrostomy tube placement and removal, ureteral catheter/stent placement, gastric tube placement,

percutaneous cholecystostomy

Venograms—adrenal, inferior vena cava, lower extremities, upper extremities, renal, superior vena cava

Vertebroplasty

Interventional Radiology

Interventional radiologists (IRs) use their expertise in reading X-rays, ultrasound and other medical images to guide small instruments such as catheters (tubes that measure just a few millimeters in diameter) through the blood vessels or other pathways to treat disease percutaneously (through the skin). These procedures are typically much less invasive and much less costly than traditional surgery.

Interventional radiologists are medical doctors who have specialized in doing medical procedures that involve radiology. Radiologists use imaging equipment such as X-rays, magnetic resonance (MR) imaging, ultrasound and computed tomography (CT) to diagnose disease. IRs are board certified radiologists that are fellowship trained in percutaneous interventions using guided imaging. Their specialized training is certified by the America Board of Medical Specialties.

Common Interventional Procedures

ChemoembolizationDelivery of cancer-fighting agents directly to the site of a cancer tumor; currently being used mostly to treat cancers of the endocrine system, including melanoma and liver cancers.

Biliary drainage and stentingUses a stent (small mesh tube) to open up blocked ducts and allow bile to drain from the liver.

Radio frequency (RF) ablationUse of radio frequency (RF) energy to kill cancerous tumors.

Fallopian tube catheterizationUses a catheter to open blocked fallopian tubes without surgery; a treatment for infertility.

Stent-graftReinforces a ruptured or ballooning section of an artery (an aneurysm) with a fabric-wrapped stent, a small, flexible mesh tube used to "patch" the blood vessel. Also known as an endograph

Hemodialysis access maintenanceUse of angioplasty or thrombolysis to open blocked grafts for hemodialysis, which treats kidney failure.

TIPS (transjugular intrahepatic portosystemic shunt)A life-saving procedure to improve blood flow and prevent hemorrhage in patients with severe liver dysfunction.

Uterine fibroid embolization An embolization procedure of uterine arteries to shrink painful, enlarged, benign tumors in the uterus, also called UAE (Uterine Artery Embolization).

Angiography An X-ray exam of the arteries and veins to diagnose blockages and other blood vessel problems; uses a catheter to enter the blood vessel and a contrast agent (X-ray dye) to make the artery or vein visible on the X-ray.