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日本語Interventional radiology in Karlsruhe
Image-guided Diagnostic imaging and minimally invasive therapy with PD Dr. med. Jonathan Nadjiri at the Municipal Clinic Karlsruhe.
In interventional procedures, instruments are directed through small access points to the site of a disease. Ultrasound X-RAY or Computed tomography support planning and control. Whether such a procedure comes into question, we discuss on the basis of your findings and together with the participating disciplines.
Detailed information on individual Treatments
Treatment areas and procedures
A broad overview of 22 organ and treatment areas. PD Dr. med. Jonathan Nadjiri has extensive experience with the procedures listed, including specialised interventions.
Thyroid
For selected benign thyroid nodules, image-guided procedures are considered as an alternative or complement to others Treatments.
- Ultrasound-guided fine-needle aspiration and core biopsy
- Radiofrequency or microwave ablation
- Ethanol ablation of predominantly cystic nodes
Ports and venous access
Permanent vascular access can facilitate repeated infusions and longer-term ones Treatments.
- Venous port insertion and removal
- PICC and midline catheters
- Tunnelled central venous catheters
- Catheter change and functional control
- Recanalization before establishing access
- Retrieval of fractured catheter fragments
Lungs and chest
Precise diagnosis and local treatment in the chest.
- CT-guided lung and mediastinal biopsy
- Microwave ablation, radiofrequency ablation and cryoablation
- Preoperative marking of pulmonary foci
- Pleural drainage and tunneled pleural catheter
- Drainage of thoracic abscesses
- Bronchial artery embolization For Coughing up blood
- Pleurodesis and airway stents: specialised multidisciplinary procedures
Breast
Image-guided tissue retrieval and marking support the clarification and treatment of conspicuous breast findings.
- Ultrasound-guided core biopsy
- Stereotactic vacuum-assisted biopsy
- MRI-guided vacuum-assisted biopsy
- Wire and clip marking
- abscess puncture and Drainage
- Cryoablation: Selected study and special indications
Pulmonary vessels
Vascular interventions in the chest include selected treatments for pulmonary embolism, abnormal vascular connections or bleeding.
- Catheter thrombectomy at selected Pulmonary embolism
- Local catheter-assisted Thrombolysis
- Embolization pulmonary AV malformations
- Bronchial artery embolization For Haemoptysis
Paediatric interventions
Image-guided interventions can also be useful in childhood. They require pediatric radiological expertise and age-appropriate care.
- Image controlled Biopsies and Drainage procedures
- Vessel access points
- Therapy of Vascular malformations
- Selected Embolization procedures
- Selected hepatobiliary and urological Interventions
Aorta and major arteries
We perform aortic interventions together with vascular surgery. Consultations take place with Prof. Dr. med. Martin Storck.
- EVAR in abdominal aortic aneurysm
- TEVAR in thoracic aortic diseases
- Complex fenestrated or branched endoprostheses
- Endoleak embolization
- Stent grafts for vascular injuries
- Visceral and peripheral aneurysms
Liver and biliary tract
Image-guided therapies for Liver tumours and diseases of Biliary tract.
- Microwave ablation, radiofrequency ablation and cryoablation
- TACE / TAE
- SIRT / Radioembolization
- Percutaneous liver biopsy
- Transjugular liver biopsy
- Portal vein embolization before surgery
- Combined portal and hepatic vein embolization (LVD)
- PTCD / PTBD and biliary stents
- Balloon dilation of biliary tract stenoses
- Percutaneous gallbladder drainage
- Drainage Of liver abscesses
- Selected interventions for bile duct stones
- CT-Brachytherapy: special oncological indications
Portal vein and spleen
Interventional possibilities in portal vein hypertension and diseases of the portal vascular system.
- TIPS placement and TIPS revision
- Portal vein recanalization and stenting
- Variceal embolization including BRTO/PARTO
- Partial spleen embolisation
- Embolization for spleen hemorrhage
- Treatment of spleen artery aneurysms
- Transjugular pressure measurement
- Selected procedures for Budd Chiari syndrome
Pancreas and retroperitoneum
In diseases of the pancreas and posterior abdomen, radiology Image-guided can diagnose or drain fluid.
- Image controlled Biopsies if appropriately indicated
- Drainage of abscesses and fluid accumulations
- Embolization of pseudoaneurysms and Bleeding
- Coeliac plexus block or Neurolysis
Kidneys and urinary tract
Image-controlled procedures in kidney tumors, Bleeding and drainage disorders.
- Image-guided percutaneous kidney biopsy
- Transjugular kidney biopsy
- Cryoablation, microwave ablation or radiofrequency ablation
- Embolization for Bleeding and angiomyolipoma
- Nephrostomy
- Recanalization of selected ureteric strictures
- Drainage and Sclerotherapy selected cysts
- Renal artery dilation and stenting
- Renal denervation: Special indication test
Adrenal glands
Special diagnostic and local procedures at the Adrenal glands are planned with endocrinology, urology and oncology.
- Selective adrenal venous sampling
- Biopsy When carefully tested indication
- Thermal ablation Selected lesions
- Embolization For Bleeding
Gastrointestinal tract and bleeding
vascular treatments for hemostasis and selected procedures in the abdomen.
- EmergencyEmbolization with gastrointestinal Bleeding
- Embolization in case of trauma and postoperative Bleeding
- Percutaneous Abscess drainage
- Radiological Gastrostomy / Gastrojejunostomy
- Selected Jejunostomy procedures
- Esophageal and intestinal stents in interdisciplinary care
- Recanalization Mesenterial vessels
- Treatment of visceral aneurysms
- Hemorrhoidal artery embolization: selected indications
Lymphatic system
Image-guided lymph interventions can help locate and treat selected lymph drainage disorders or lymph leakage.
- Intranodal lymphangiography
- Embolization of lymph leakage
- Thoracic duct embolization
- Drainage and Sclerotherapy of lymphoceles
- Specialised treatment for chylothorax or chylous ascites
Pelvis and uterus
Organ-preserving vascular treatments in the female and male pelvis.
- Uterine fibroid embolization
- Embolization for selected adenomyosis
- Pelvic vein embolization for venous congestion
- Embolization for postpartum or gynecological Bleeding
- Image controlled pelvic biopsy and Drainage
- Selective fallopian tube catheterization and recanalization
- Interventions for pelvic varicose veins
Prostate and men’s health
Image controlled Diagnostic imaging and vascular treatments complement the urological care.
- MRI-targeted prostate biopsy
- Prostatic artery embolization for benign enlargement
- Varicocele embolization
- Bleeding embolization in the pelvis
- Focal tumor therapies: separate special indications
Spine and pain management
Targeted punctures, injections and stabilizing procedures can be used in selected diseases of the spine.
- CT-guided periradicular therapy (PRT)
- Facet joint and sacroiliac joint injections
- Vertebroplasty and Kyphoplasty
- Sacroplasty and Cement augmentation
- Image-controlled vertebral biopsy
- Tumour ablation and neurolysis for pain relief
- Selected radiofrequency methods on nerves
Dialysis shunts and access
Interventional procedures can restore or maintain the function of a dialysis access.
- Shuntangiography
- Balloon dilatation of shunt stenoses
- Thrombectomy and, where applicable, local lysis
- Stent grafts for selected shunt problems
- Treatment of central vein constrictions
- Tunnelled dialysis catheters
- Endovascular AV fistula creation: a specialised procedure
Blood vessels and limbs
Improve circulation, treat vascular occlusions and gain access.
- PTA / Balloon angioplasty
- Drug-coated balloons and stents
- Recanalization Chronic vascular closures
- Mechanical Thrombectomy
- Catheter-assisted Thrombolysis
- Atherectomy and Intravascular lithotripsy for selected indication
- Stent grafts for aneurysms and vascular injuries
- Interventions to visceral and Renal arteries
- Embolization for peripheral Bleeding
Veins and thrombosis
Selected venous closures, constrictions and drainage disturbances can be treated with catheter procedures.
- Venous Thrombectomy and catheter-assisted lysis
- Recanalization Chronic closures
- Pelvic vein and vena cava stenting
- Vena-cava filter: selected indication and removal
- Endovenous treatment of superficial varicose veins
- Foreign body recovery from the vascular system
Bones and soft tissues
Targeted Diagnostic imaging and selected procedures for tumors and pain.
- Image-controlled bone and soft tissue biopsy
- Ablation of osteoidosteomas
- Ablation of selected bone and soft tissue tumors
- Cementoplasty and combined stabilization
- Abscess drainage
- Preoperative tumor embolization
- Joint embolization / TAPE / GAE
- Embolization for tendon complaints: special indication test
- Image-controlled joint puncture
- Selected percutaneous screw stabilization
Vascular malformations
Congenital or acquired vascular malformations can cause pain, swelling, Bleeding or functional limitations.
- Sclerotherapy venous and lymphatic malformations
- Embolization Arteriovenous malformations
- Direct puncture and transarterial accesses
- Treatment of selected vascular tumors
- Combined interventional-surgical concepts
This overview focuses on interventional radiology. Heart valve and coronary interventions and purely endoscopic procedures belong to separate specialties. New, rare and experimental procedures require a separate specialist assessment.
Technical framework: CIRSE Curricula and CIRSEProcedural overview.