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Diagnostic
Special Procedures
Arteriogram
- A study of all arteries, excluding the heart, by injection of
contrast media placed directly into the artery with a catheter.
Includes: cerebral (carotids & vertebrals), aorta (arch, thoracic,
abdominal), renals, hepatic, splenic, mesenteric (SMA, IMA, celiac),
arms and legs.
Arthrogram
The study of a joint space by injection of contrast media
directly into the joint space.
Biopsy
Is performed on almost any area of the body. A sampling of
cells is obtained with a hollow needle directed through the skin
under CT, Ultrasound or Fluoroscopy guidance to help establish a
diagnosis.
CO2
angiography Visualization of the blood vessels (primarily
the abdominal aorta), using carbon dioxide, when there is a contraindication
to the use of iodinated contrast media.
Cyst
Aspiration Removal of fluid or cells from a fluid filled
cavity for a diagnosis.
Fistulogram/Shuntogram
The study of a hemodialysis access to evaluate patency, by
injecting contrast through a catheter placed directly into the fistula/shunt.
Myelogram
Injection of contrast media directly into the cerebrospinal
fluid space to evaluate for ruptured discs, spinal cord abnormalities
and other injuries or diseases of the spinal cord.
Percutaneous
Transhepatic Choleangiogram (PTC) The study of the biliary
tree by injection of contrast through the skin and directly into
a bile duct. Used to diagnose the cause of biliary obstruction.
Pulmonary
angiography The study of the pulmonary arteries and to diagnose
pulmonary emboli.
Renal
Vein Renins Sampling of blood is obtained from the veins
around the kidney for the diagnosis of renal hypertension.
Spinal
Puncture Direct puncture into to the cerebrospinal fluid
space, to obtain spinal fluid for laboratory analysis to assist
in diagnosis of conditions related to the spine and nervous system.
Stereotactic
& Ultrasound Guided Breast Core Biopsy Cores of tissue
are taken from the breast for diagnosis of malignancy and other
conditions. An alternative to surgical excisional biopsy.
Venogram
(Includes: arms, legs, inferior and superior venacava) A
study of the veins by direct injection of contrast media into the
vein. Assists with the diagnosis of clots, blockages, malformations
and for obtaining pre surgical pictures of venous flow and anatomy.
Interventional/Therapeutic
Special Procedures
Aortic
Stent Graft - (Performed in the Operating Room by an Interventional
Radiologist) Placement of a graft in the area of an abdominal
aortic aneurysm through a percutaneous catheter instead of surgical
approach.
Blood
Patch - 10-20cc of the patients blood is placed into the epidural
space over the previous spinal puncture site, to relieve post myelogram/spinal
puncture headache related to suspected cerebrospinal fluid leakage.
Biliary
Stone Retrieval Retrieval of residual stones following gallbladder
surgery. Performed via percutaneous approach into the biliary system
with special basket catheters.
Embolization
- (Cerebral, renal, nasal, mesenteric) Introduction of a
substance (gelfoam, coils or particles) into a vessel to occlude
it and prevent further bleeding.
Epidural
Steroid Injection (ESI) Injection of a steroid and lidocaine
into the epidural space of the spine, to help relieve chronic back
pain.
Foreign
Body Retrieval The retrieval of foreign bodies (catheter
fragments, coins) accidentally lodged within the body, by use of
special snaring catheters and devices.
GDC
Coiling Introduction of coils into a cerebral aneurysm to
seal off the aneurysm and as an alternate to surgical clipping and
repair.
IVC
Filter Placement of a filter into the inferior vena cava
to catch emboli and prevent them from traveling to the
lungs.
Joint
Injections - Injection of lidocaine and/or a steroid into a joint
space for temporary relief of pain and inflammation.
PICC
(Peripherally Inserted Central Catheter) Placement of a catheter
into the central circulation from a puncture site in the arm, to
deliver long-term intravenous medications/fluids.
Percutaneous
Drainage Catheter Placement (nephrostomy, biliary, abscess)
Placement of a temporary or permanent catheter into a cavity to
drain a fluid collection.
Percutaneous
Feeding Tube Placement Placement of a feeding tube through
the skin and directly into the stomach or jejunum for liquid feedings
in adults and children, that are not able to eat.
Permcath
A double lumen tunneled catheter that is placed through a
vein in the neck and used for hemodialysis.
Pseudoaneurysm
Repair Repair of a groin pseudoaneurysm with the use of thrombin
and ultrasound guidance.
PTA
- (Percutaneous Transluminal Angioplasty) Direct repair of
a stenotic lesion in a blood vessel with the use of balloon catheters.
Stents
(Carotid, Iliac, Femoral, Renal, Fistula, Biliary) A mesh
like device that is placed into a stenotic area of a blood vessel
or duct to keep it open and flowing.
TIPS
(Transjugular Intraheptic Portocaval Shunt) An artificial
passage made from the hepatic venous system into the general circulation
to relieve hepatic congestion in patients with cirrhosis.
Uterine
Artery Embolization (UAE) Placement of particles into the
uterine arteries for the treatment of symptomatic uterine fibroids.
An alternative to surgical treatment.
Vascular
Access Devices (Groshong, Ports, Quinton) Catheters that
are placed into blood vessels either by direct, subcutaneous or
tunneled approach for the purpose of short or long term IV therapy.
Vascular
Infusions (Pitressin,Thrombolytics, Papaverine, Chemotherapy,)
Direct placement of arterial or venous catheters for continuous
or temporary infusion of drugs that stop bleeding, dissolve clots,
relieve spasm or to administer chemotherapy.
Vertebroplasty
Non-surgical treatment of painful vertebral compression fractures.
The diseased/fractured vertebrae are filled with a sterile cement
to help stabilize the area and relieve pain.
Marquette
General Hospital
580 W College Ave
Marquette MI 49855
906-225-4678
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