Interventional radiology is an exciting and evolving subspecialty of Radiology. Interventional radiologists Brian Johnson, MD and Christopher Rothstein, MD use fluoroscopy, ultrasound and CT to perform minimally invasive surgical procedures in order to treat a wide variety of conditions, including osteoporosis, pain management, uterine fibroids, cardiovascular disease including varicose veins and cancer.
Interventional procedures are generally performed on an outpatient basis, produce good results and considerably reduce pain and recovery time compared with conventional surgical procedures.
Some procedures performed in Interventional Radiology include:
This procedure is used to treat compression fractures of the spine usually associated with bone loss from osteoporosis. The bone becomes so thin and fragile that the spine collapses. The fractures that often occur result in continuous pain, height loss and abnormal curvature of the spine.
A local anesthetic is administered and a needle is inserted in the fractured part of the spine. Bone cement is then injected into the collapsed vertebra. When the cement hardens, it stabilizes and strengthens the disintegrated bone like an "internal cast".
Vertebroplasty is also used as a palliative treatment for patients with compression fractures due to metastasized cancer. Cancer patients treated with vertebroplasty report tremendous reduction in pain when the spine is stabilized.
Uterine Artery Embolization
This procedure is performed to treat uterine fibroids. Using fluoroscopic guidance, the interventional radiologist introduces a delicate catheter into the arteries supplying the uterus, and then injects small, harmless embolic particles no larger than a grain of sand into those arteries, effectively reducing the blood supply to the fibroids. Deprived of blood, the fibroids shrink, resulting in a reduction or complete elimination of symptoms.
Varicose Vein and Spider Vein Treatments
Sibley is proud to offer the VNUS® Closure® procedure for the treatment of varicose veins. Performed as an alternative to traditional "vein stripping", VNUS® Closure® allows Dr. Rothstein to "close" varicose veins effectively eliminating these painful blood vessels. This procedure is performed on an outpatient basis in our office. The patient is able to walk immediately after the procedure and usually has dramatic relief of symptoms within several days.
Angioplasty is performed to open clogged arteries. A thin wire is inserted through a needle into the artery. The needle is removed and the wire is steered to the narrowed or blocked area. A fine, flexible catheter with a balloon on the tip is slipped over the wire and inflated. As an additional step, a spring-loaded mesh tube, called a stent, can be placed to hold the constricted area open and increase blood flow.
To schedule an exam or consultation, call 202.537.4795.