Interventional Radiologist Treatment in Delhi

  Interventional radiologists perform a wide range or procedures, including: Prostate Embolization treatment, Uterine fibroid treatment, Uterine artery embolization treatment, Thyroid ablation treatment, Pin hole surgery, BPH Treatment, TARE Treatment, Lymphangiography Treatment, PAE Treatment in Delhi, India.  

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Get more information about Percutaneous Transhepatic Biliary Drainage (Ptbd). Book an Appointment online now with Interventional Radiologist.

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Percutaneous Transhepatic Biliary Drainage (Ptbd) Treatment Done by Dr. Ajit yadav

What is it?

Procedure in which the bile duct punctured through skin and liver by a needle under ultrasound guidance. Wire is placed followed by catheter. This procedure is done under local anesthesia or mild sedation.

Biliary externalization: In cases where wire can’t go beyond obstruction or patients with active infection

Biliary internalization: Bile is to be drained within only; no external bag. For malignancy metallic stent is placed

Why (Indications)?

To relieve the jaundice or itching.

Why Not (Contraindication)?

Advanced cirrhosis, coagulopathy, and moderate to massive ascites

What you are to do before procedure (Preparation)?

Book prior appointment

Lab investigation (*PT/INR, CBC, LFTs, Viral markers), Imaging and previous records

4-6 Hours fasting.

If you are on blood thinner like Aspirin inform during appointment.

One accompanying person

Need to sign a consent form for procedure

Approx. Stay in hospital?

We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 1-2 Days.

Complications:

Fever or pain

Tags - Interventional Radiologist in Delhi

For more information link - www.interventionalradiologyindia.com

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Get more information about Varicocele Embolization, Varicocele Treatment in Delhi. Book an Appointment online now with Interventional Radiologist.

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Varicocele Embolization Treatment in Delhi by Dr. Ajit Yadav

Varicocele Embolization

What is it?

Varicocele is a condition in which the swelling of testicular veins occurs due to venous leakage that leads to increment in scrotal temperature and infertility in long term.

It is a minimally invasive procedure to treat the varicoceles by embolizing the testicular vein.

Why (Indications)?

Symptomatic varicocele

Infertility/subfertility

Failed surgical ligation

For military/police recruitment fitness purpose

Main advantage is it is a minimally invasive and day procedure.

Why Not (Contraindication)?

Relative contraindications include:

intravenous contrast allergy

renal impairment

coagulopathy

What you are to do before procedure(Preparation)?

Visit us in OPD for assessment of varicocele with ultrasound. Get lab investigation (*PT/INR, Serum Creatinine, Viral markers) done and book your appointment

Get admission in day care on scheduled time and date with 4-6 Hours fasting

If you are on blood thinner like Aspirin inform during appointment.

One accompanying person

Need to sign a consent form for procedure

Approx. Stay in hospital?

We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around One day only.

Complications:

venous perforation: generally subclinical and self-limiting

misplacement of coil (e.g. into renal vein): usually retrievable with snare

embolization of coil into pulmonary circulation (if coil undersized): usually retrievable with snare

failed embolization: usually due to patent collaterals

Resume to work?

You can resume your work after 2-3 days.

Results?

outcome almost identical for embolotherapy and surgical ligation

technical success rate close to 100%

Tags - Interventional Radiologist in Delhi

For more information link - www.interventionalradiologyindia.com

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Interventional Radiologist in Delhi - Dr. Ajit Yadav

Dr. Ajit Yadav

MBBS,DNB (Radiodiagnosis)

Dr. Ajit K Yadav is consultant at Department of Interventional radiology, Sir Gangaram Hospital, New Delhi. After receiving a medical degree at the Pt BDS PGIMS, Rohtak, he served as medical officer at rural government hospital for 6 months. He completed residency training in radiodiagnosis at Sir Gangaram Hospital. He was national board certified in 2011, and went on to complete a fellowship in Interventional Radiology at GRIPMER, Delhi. He also visited MD Anderson cancer center, Houston, Texas, USA for short term fellowship in 2013. He attended short training programme on TACE at Seoul National University Hospital, South Korea in 2014. Dr. Yadav’s clinical interests include uterine artery embolization for minimally invasive treatment of uterine fibroids and post-partum hemorrhage, Bronchial artery embolization for hemoptysis, minimally invasive oncologic interventions (including transarterial chemoembolization, radioembolization and radiofrequency tumor ablation), and percutaneous interventions. In addition, he offers minimal invasive procedures for various diseases like Benign prostatic hyperplasia, Varicose veins, Liver diseases and traumatic bleeding.

His research interests include interventional treatment of liver malignancy, a topic in which he has written peer reviewed publications. He has authored more than 15 papers in the field of interventional radiology. He has also presented his work in numerous national and International meetings. In addition to clinical activities, he is an active teacher of residents including Interventional Radiology fellows.

He is a member of several professional organizations, Indian Radiological and Imaging Association (IRIA), Indian Society of Vascular and Interventional Radiology (ISVIR), and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE). He is actively involved in Delhi chapter of ISVIR.

Tags -  Interventional Radiologist in Delhi

For more information link - www.interventionalradiologyindia.com

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Prostatic artery embolization (PAE) is a minimally invasive treatment to improve lower urinary tract symptoms caused by benign prostatic hyperplasia (BPH). BPH is a non-cancerous enlargement of the prostate gland and is the most common benign tumor found in men.

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Uterine Fibroid Treatment in Delhi by Dr. Ajit Yadav

Uterine Artery Embolisation (UAE) And Ablation

It is a minimally invasive treatment for uterine fibroids, noncancerous growths in the uterus. It uses a common femoral artery puncture. Super selective embolisation of Uterine arteries is done to block the fibroid blood vessels, starving the fibroids and causing them to shrink and die.

Why (Indications)?

Large fibroids with bulky uterus causing increased frequency of urine, pain , increased and heavy menstruation.

Adenomyosis

Uterine AVM

RPOC (retained products of conception)

Why Not (Contraindications)?

Avoid uterine artery embolization if you:

Are pregnant

Have possible pelvic cancer

Have an active, recent or chronic pelvic infection

Are allergic to contrast material containing iodine

What you are to do before procedure (Preparation)?

Book prior appointment if elective or get admission in causality if emergency

Lab investigation (*PT/INR, CBC, Serum Creatinine, Viral markers) and previous records. An MRI or ultrasound of the prostate gland.

Urine test (urinalysis)

4-6 Hours fasting.

If you are on blood thinner like Aspirin inform during appointment.

One accompanying person

Need to sign a consent form for procedure

Approx. Stay in hospital?

We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 1 day.

Complications

Mild Pain (usually ends within a day or two). In some patients pain may last for few weeks.

Vaginal discharge.

Post-embolization syndrome — characterized by low-grade fever, pain, fatigue, nausea and vomiting — about 48 hours after the procedure and usually resolve on its own within a week.

Resume to work?

You can resume your work after 2-3 days if existing disease allows.

Results?

Symptoms such as heavy bleeding, urinary incontinence and abdominal enlargement are relieved  in the first three months after treatment. These results appear to be comparable to that of myomectomy, in which the fibroids are surgically removed and the uterus repaired.

Your menstrual period may continue on its normal schedule. If you miss any periods, they will probably resume within a few months.

There is low risk of  subtle ovarian damage which may make getting pregnant more difficult. Despite these risks, many women have had successful pregnancies after uterine artery embolization.

Tags - Uterine fibroid treatment in Delhi, Interventional Radiologist in Delhi

For more information link - www.interventionalradiologyindia.com

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Dr. Arun Gupta is a renowned Interventional Radiologist in Delhi. In 2006, he joined Sir Ganga Ram Hospital as a Consultant and established Department of Interventional Radiology and presently is the Chairperson of the Department at the hospital.

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Dr. Ajit Yadav Provides BPH Treatment in Delhi

What is it?

Prostatic artery embolization (PAE) is a minimally invasive treatment to improve lower urinary tract symptoms caused by benign prostatic hyperplasia (BPH). BPH is a non-cancerous enlargement of the prostate gland and is the most common benign tumor found in men.

The PAE procedure is performed by an interventional radiologist (IR), a doctor who uses X-rays and other advanced imaging to see inside the body and treat conditions without surgery.

Why (Indications)?

As the prostate enlarges, it may partly block the urethra, causing symptoms such as:

Urinary incontinence, which can range from some leaking to complete loss of bladder control

Irritative voiding symptoms

Increased urinary frequency, urgency, and pain upon urination

How do I know if PAE is right for me?

The PAE procedure is for candidates who are either ineligible or not interested in traditional surgery. An exam with an interventional radiologist can determine if you are a candidate for PAE. At this appointment, you may be asked how often you have urinary symptoms of BPH, how severe they are, and how much they affect your quality of life.

Why not (Contraindications)?

Patients are excluded from treatment if they have malignancy, renal insufficiency, bladder stones, a neurogenic bladder (a neurologic disorder that may affect bladder function), urethral stricture, an active urinary tract infection, or prostatitis.

What you are to do before procedure (Preparation)?

Book prior appointment if elective or get admission in causality if emergency

Lab investigation (*PT/INR, CBC, Serum Creatinine, Viral markers)and previous records.An MRI or ultrasound of the prostate gland.

Urine test (urinalysis)

In some cases, a PSA (prostate specific antigen) test is done to rule out prostate cancer.

4-6 Hours fasting.

If you are on blood thinner like Aspirin inform during appointment.

One accompanying person

Need to sign a consent form for procedure

What happens during PAE?

PAE is performed through a small catheter inserted by your interventional radiologist into the artery in your groin.

The interventional radiologist will then guide the catheter into the vessels that supply blood to your prostate.

An arteriogram (an X-ray in which dye is injected into the blood vessels) is done to map the blood vessels feeding your prostate.

The agent (glue/particles)is injected through the catheter and into the blood vessels that feed your prostate to reduce its blood supply.

The interventional radiologist will move the catheter in order to treat the other side of your prostate, repeating the steps above.

Following this procedure the prostate will begin to shrink, relieving and improving symptoms usually within days of the procedure.

Approx. Stay in hospital?

We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 1 day.

Complications

Minor complications include dysuria (9%), urinary tract infection (7.6%), microscopic hematuria (5.6%), acute urinary retention (2.5%), and rectal bleeding (2.5%)

Resume to work?

You can resume your work after 1 day if existing disease allows.

Tags - BPH Treatment in Delhi, PAE Treatment in Delhi, Interventional Radiologist in Delhi

For more information link- www.interventionalradiologyindia.com

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Get more information about Liver Tumour Treatment, Transarterial chemoembolization, Transarterial Radioembolization ( Tare ). Book an Appointment online now with Interventional Radiologist.

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Interventional Radiologist in Delhi Dr. Arun Gupta

Dr. Arun Gupta (Chairperson Department of Interventional Radiologist)

Dr Arun Gupta did his Masters in Radio Diagnosis from Ganesh Shanker Vidyarthi Medical (GSVM) College, Kanpur in 2002. He pursued super-specialization training during his Senior Residency (SR) in Interventional Radiology from Sanjay Gandhi Post Graduate Institute (SGPGI), Lucknow till 2005.

In 2006, he joined Sir Ganga Ram Hospital as a Consultant and established Department of Interventional Radiology and presently is the Chairperson of the Department at the hospital. Under the capable leadership of Dr. Arun Gupta, the Department of Interventional Radiology, Sir Ganga Ram Hospital has reached new heights and continuously working for advancement and meteoric rise of the department.

Dr. Gupta is an international figure and a key opinion leader in the country in field of Interventional Radiology with numerous International and National paper publications, paper presentations and has taken national as well as international guest lectures. He is the Vice-President of the Indian Society of Vascular and Interventional Radiology and Member of Asia Pacific Society of Cardio-Vascular Interventional Radiology.

Dr. Arun Gupta has special academic interest in the Management of Hepatocellular Carcinoma and has one of the largest experiences in the country on Trans-arterial Chemo Embolization and has done a lot of research in this field. He also has one of the largest series of embolization for management of Hepatic Artery Pseudo-aneurysms. He is the First to perform Percutaneous Hepatico-gastrostomy in case of Portal Biliopathy all over the world.

He has excellent organisational skills and is involved in all academic and clinical activities of the department. He is a vision oriented person with the highest professional standards and has contributed largely to the development and recognition of Interventional Radiology in India. He also has established a comprehensive training program for Interventional Radiologists which can be implemented across the country to enhance patient care. He also wants to create an environment where healthcare costs can be reduced and treatment for diseases can be made more affordable to the masses.

Tags -  Interventional Radiologist in Delhi

For more information link - www.interventionalradiologyindia.com

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Lymphangiography and Lymphatic Interventions.

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TARE Treatment in Delhi done by Dr. Arun gupta - Interventional Radiology

                 Transarterial Radioembolization (TARE)

What is it?

Radioembolization is a minimally invasive procedure that combines embolization and radiation therapy to treat liver cancer. Tiny glass or resin beads filled with the radioactive isotope yttrium Y-90 are placed inside the blood vessels that feed a tumor. This blocks the supply of blood to the cancer cells and delivers a high dose of radiation to the tumor while sparing normal tissue. It can help extend the lives of patients with inoperable tumors and improve their quality of life.

The radiation from yttrium-90 continually decreases over a two-week period and disappears after 30 days. The tiny microspheres remain in the liver without causing any problems.

It is two step process

STEP 1: Assessment of lung shunt fraction

STEP 2: Radioembolization after 7-10 days

Why (Indications)?

Primary infiltrative / multifocal HCC

It is a palliative treatment, which means it does not provide a cure but instead helps slow down the growth of the disease and alleviate symptoms.

Patients who are unfit for surgery or liver transplantation.

Why Not (Contraindication)?

Severe liver or kidney dysfunction, abnormal blood clotting or a blockage of the bile ducts.

What you are to do before procedure (Preparation)?

Visit us in OPD (9-5) with previous lab results (*CBC, LFT, Serum Creatinine, PT/INR), imagingetc. for proper planning and schedule date. We may require fresh CT angiogram for this.

If you are on blood thinner like Aspirin inform during appointment.

You will receive specific instructions on how to prepare, including any changes that need to be made to your regular medication schedule.

You will be given a sedative during the procedure. You will receive specific instructions on eating and drinking before the procedure and will need to have a relative or friend accompany you and drive you home afterward.

Get admission one day prior to scheduled procedure.

One accompanying person

Need to sign a consent form for procedure

What are the benefits vs. risks?

Benefits

For patients with inoperable tumors, radio-embolization can extend lives from months to years and improve quality of life. In some cases, it may allow for more curative options such as surgery or liver transplantation.

Radioembolization produces fewer side effects compared to standard radiation therapy.

No surgical incision is needed—only a small nick in the skin that does not have to be stitched closed.

A higher dose of radiation to the tumor is given during radio-embolization than with standard external beam therapy.

Risks

Infection, contrast allergy

Radiation induced lung or bowel injury.

Approx. Stay in hospital?

We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 2-3 Days.

Complications

Post embolization syndrome (Pain, nausea, vomiting and low grade fever can last for 3 days).

Resume to work?

You can resume your work after 2-3 days if existing disease allows.

Results: When and How?

After Two-month follow-up CT Scan to be done.

Tags - TARE Treatment in Delhi, Interventional Radiologist in Delhi

For more information link- www.interventionalradiologyindia.com

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Get more information about Thyroid Cancer, Para Thyroid Adenoma and Thyroid Ablation Treatment in Delhi. Book an Appointment online now with Interventional Radiologist.

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Lymphangiography Treatment in Delhi - Interventional Radiology

Lymphangiography And Lymphatic Interventions

A lymphangiogram is a special x-ray of the lymph nodes and lymph vessels.

The lymph nodes and vessels are not seen on a normal x-ray, so a dye is injected into the body to highlight the area being studied.

The skin over your groin will be numbed and then a thin needle is inserted under ultrasound guidance into a lymph node in your groin. Contrast will be injected through the needle and into the lymph node.

A type of x-ray machine, called a fluoroscope, projects the images on a TV monitor. The provider uses the images to follow the dye as it spreads through the lymphatic system up your legs, groin, and along the back of the abdominal cavity to identify the site of lymphatic leak. Then, embolizing agent (blocking agent) is used to block the site of leak.

Why (Indications)?

Provides structural and functionalinformation regarding the lymphatic system.

Primarily indicated in patients with chylous leaks.

Also helps in identifying site of lymphatic obstruction, abnormal lympho-lymphatic, or lymphovenous connections.

Why Not (Contraindication)?

These include pulmonary insufficiency and a right to left cardiac shunt.

What you are to do before procedure(Preparation)?

Visit us in OPD for assessment of varicocele with ultrasound. Get lab investigation (*PT/INR, Serum Creatinine, Viral markers) done and book your appointment

Get admission in day care on scheduled time and date with 4-6 Hours fasting

If you are on blood thinner like Aspirin inform during appointment.

One accompanying person

Need to sign a consent form for procedure

Approx. Stay in hospital?

We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 2-3 days.

Complications:

Mild pain/burning sensation

Infection

Failure of therapy

Resume to work?

You can resume your work after 5-7 days, if the existing disease allows.

Results?

Success rate is approx. 80-90 %

Tags - Lymphangiography Treatment in Delhi, Interventional Radiologist in Delhi

For more information link - www.interventionalradiologyindia.com

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Thyroid Cancer, Para Thyroid Adenoma and Thyroid Ablation Treatment in Delhi - Interventional Radiology

Thyroid Ablation

Thyroid Nodules/Cyst

Thyroid nodules are common and occur in up to 50% of the adult population. Although most thyroid nodules are benign, some nodules require treatment for cosmetic reasons, subjective symptoms or anxiety about a malignant change. Furthermore, if large compressive thyroid nodules are untreated, they may result in life-threatening conditions because of the potential acute onset of respiratory crisis.

The conventional treatments for thyroid nodules are levothyroxine medication and thyroid surgery. However, both surgery and medication have drawbacks. Although surgery is good option, it can cause some problems such as upper airway obstruction, non-esthetic scars, injuries to the laryngeal nerves, iatrogenic hypothyroidism and so on. Moreover, the efficacy of thyroid hormone suppressive therapy is still controversial.

Microwave ablation is a safe and effective technique for the treatment of benign thyroid nodules. It ablation can achieve shrinkage of nodule size and relief of clinical symptoms. Side effects and failures are few.

What you are to do before procedure (Preparation)?

Book prior appointment

Visit us in OPD (9am-5pm) after breakfast, take prescribed medicine and with empty bladder(*No need to hold urine)

Referring Doctor prescription, previous lab results (*PT/INR), imaging etc.

If you are on blood thinner like Aspirin or warfarin inform during appointment.

One accompanying person

Need to sign a consent form for procedure

Approx. Stay in hospital?

We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 6 hours.

Complications:

These are very safe procedures with minor (<1%) complication done under local anaesthesia.

Mild pain can occur for which pain-killer medicines will be prescribed.

Resume to work?

You can resume your work after 1day if existing disease allows.

Para Thyroid Adenoma

Primary hyperparathyroidism is the third most common endocrine disorder, with its highest incidence being in postmenopausal women. In hyperparathyroidism, in the absence of a known or recognized stimulus, one or more of the four parathyroid glands secrete excess parathyroid hormone (PTH), resulting in hypercalcemia. Single-gland adenoma is the most common, cause (75%–85%), multigland adenoma arises in a substantial proportion (two glands in 2%–12% of cases)

The standard therapy for hyperparathyroidism is surgical removal of a parathyroid adenoma or adenomas. Newer treatment modality like Microwave ablation is a safe and effective technique for the treatment of hyperparathyroidism with parathyroid nodules. It can reduce adenoma size, decrease serum PTH and calcium levels, and relieve nodule-related symptoms with minimal hospital stay and morbidity.

Thyroid Cancer

Thyroid cancer is the most common endocrine malignancy. Papillary thyroid carcinoma (PTC) is the most common subtype of the thyroid cancer and it has a clinically silent course and a relatively low mortality rate. Although it frequently spreads locally and recurs by metastasising to local cervical lymph nodes. The overall recurrence and mortality rates for well-differentiated thyroid cancers (papillary and follicular thyroid carcinomas) are 20.5% and 8.4%, respectively, at a mean follow-up of 11.3 years.

If a minimally invasive technique could eradicate these small nodules, then it may become a potential therapeutic approach in these patients. Ultrasound guided percutaneous microwave ablation appears to be safe and effective for inducing complete necrosis of solitary papillary carcinoma( less then 10mm).

Tags - Thyroid ablation treatment in Delhi

For more information link - www.interventionalradiologyindia.com

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Get more information about Prostatic artery embolisation (PAE) Treatment in Delhi. Book an Appointment online now with Interventional Radiologist.