The Interventional Radiology Center at St. John’s Riverside Hospital provides an alternative to surgery which will enhance your overall quality-of-life by significantly reducing the risk, pain and recovery time of certain procedures.

Dr. Gebrael, the Medical Director of the Interventional Radiology Center, specializes in these potentially lifesaving procedures that are performed under imaging guidance without the need for major surgery.

By using catheter-based embolization, ablation, and angiography techniques in many cases Interventional Radiologists are able to forgo the need for surgery. The inventors of angioplasty and the catheter-delivered stent, first used in the legs to treat peripheral arterial disease, Interventional Radiologists are the pioneers of minimally invasive modern medicine. In many cases, they can open blocked or narrowed blood vessels using angioplasty, stenting, or thrombolytic techniques.

Advancements in Interventional Radiology include:

• ONCOLOGY | CANCER TREATMENTS
• WOMEN’S HEALTH | FIBROID TREATMENTS
• CARDIOVASCULAR | ARTERY AND VENOUS DISEASE
• ORTHOPEDIC | CHRONIC BACK PAIN

Additional procedures include using heat and ice ablations to destroy lung, renal cell, liver and bone cancers. Other advancements include minimally invasive pain management techniques for chronic back pain.

Interventional radiology is a series of medical breakthrough treatments that offer less risk, less pain and less recovery time for your patient compared to open surgery.
 
For more information about Interventional Radiology Services, please contact:
(914) 964-4325

ONCOLOGY | USING INTERVENTIONAL RADIOLOGY TO TREAT CANCER

Interventional Radiology uses a highly localized technique that addresses challenges commonly associated with other cancer treatments by delivering a chemotherapy agent or radiation specifically where it is needed.

Radioembolization is an outpatient procedure that delivers radiation beads directly to the tumor site.
Interventional radiologists use a catheter to place thousands of microspheres—minute particles that emit radiation—into the blood vessels or capillaries, which feed the tumors. The microspheres become trapped, cutting off of the tumor’s blood supply and destroying malignant cells that are inaccessible by other techniques.

Chemoembolization delivers chemotherapy through a catheter directly into the artery feeding the tumor. This allows patients to avoid side effects caused by chemotherapy circulating through the patient’s blood.

Radiofrequency Ablation and Cryoablation offers a nonsurgical, localized treatment that kills the tumor cells with heat or freezing respectively, while sparing nearby healthy tissue. As a result, RFA and
CRYO are much easier on the patient than surgery.

The Interventional Radiology Center at St. John’s Riverside Hospital provides an alternative to surgery which will enhance your overall quality-of-life. Interventional Radiology is a series of medical breakthrough treatments that utilizes catheter-based techniques that will significantly reducing the risk, pain and recovery time of procedures compared to open surgery.

Dr. Gebrael, the Medical Director of the Interventional Radiology Center, specializes in these potentially lifesaving procedures that are performed under imaging guidance without the need for major surgery.

IR PROCEDURES AVAILABLE:
RENAL BILIARY DRAINAGE AND STENTING | CHEMOEMBOLIZATION | GASTRONOMY
NEEDLE BIOPSY | RADIOEMBOLIZATION | RADIO-FREQUENCY ABLATION (RFA)
THERASPHERE® BRACHYTHERAPY (PRIMARY AND METASTATIC LIVER CANCER)
TRANSCATHETER CHEMOEMBOLIZATION (PRIMARY AND METASTATIC LIVER CANCER)
VENOUS ACCESS (PERIPHERALLY INSERTED CENTRAL CATHETER (PICC), TUNNEL CATHETER)

WOMEN’S HEALTH | USING INTERVENTIONAL RADIOLOGY TO TREAT FIBROIDS

Interventional Radiology offers women a new option over having a hysterectomy or the prescribing of medications to relieve fibroid symptoms. Dr. Gebrael performs a less invasive treatment that aims to preserve fertility.

Uterine Fibroid Embolization (UFE) is the minimally invasive answer to life-disrupting fibroids. Through a small nick in the groin, interventional radiologists guide a thin catheter into the uterine arteries that supply blood to the fibroid tumor. Tiny particles are injected to block the flow of blood to the fibroid. With no blood supply, the fibroids shrink and die.

Uterine Artery Embolization is for women experiencing heavy bleeding following delivery or caesarean section. The procedure follows the same principles and techniques as UFE.

Pelvic Congestion Syndrome: Many women spend years trying to get an answer to why they have chronic pelvic pain. Varicose veins in the pelvis can cause pain and affect the uterus, ovaries and vulva. An embolization procedure is performed to close the vein and patients can return to normal activities immediately.

The Interventional Radiology Center at St. John’s Riverside Hospital provides an alternative to surgery which will enhance your overall quality-of-life. Interventional Radiology is a series of medical breakthrough treatments that utilizes catheter-based techniques that will significantly reducing the risk, pain and recovery time of procedures compared to open surgery.

Dr. Gebrael, the Medical Director of the Interventional Radiology Center, specializes in these potentially lifesaving procedures that are performed under imaging guidance without the need for major surgery.

IR PROCEDURES AVAILABLE:
UTERINE FIBROID EMBOLIZATION | FALLOPIAN TUBE RECANALIZATION
BILATERAL ILIAC ARTERY BALLOON OCCLUSION | PELVIC CONGESTION SYNDROME
ENDOVENOUS LASER TREATMENT (VARICOSE VEINS)
MULTIPLE TECHNIQUES TO ASSIST IN HIGH RISK DELIVERIES

CARDIOVASCULAR | USING INTERVENTIONAL RADIOLOGY TO TREAT
ARTERY AND VENOUS DISEASE

Interventional Radiology has a myriad of tools and procedures available to remove vascular blockages, including small balloons that stretch open the vessels, devices which extract plaque, and lasers and stents to open blocked arteries and veins.

Thrombolysis is a procedure that delivers medication through the catheter and works quickly to dissolve the clot—often within one to two days.

Balloon Angioplasty is used to open the blood vessel where it is narrowed or blocked. In some cases the reopened artery requires a stent or an atherectomy to open the blocked artery or veins.


Vein Ablation By closing the great saphenous or other Superficial Veins, the twisted and varicosed branch veins which are close to the skin, shrink and improve in appearance. Once the diseased vein is closed, other healthy veins take over to carry blood from the leg, re-establishing normal flow.

The Interventional Radiology Center at St. John’s Riverside Hospital provides an alternative to surgery which will enhance your overall quality-of-life. Interventional Radiology is a series of medical breakthrough treatments that utilizes catheter-based techniques that will significantly reducing the risk, pain and recovery time of procedures compared to open surgery.

Dr. Gebrael, the Medical Director of the Interventional Radiology Center, specializes in these potentially lifesaving procedures that are performed under imaging guidance without the need for major surgery.

IR PROCEDURES AVAILABLE:
THROMBOLYSIS | ANGIOGRAPHY | BALLOON ANGIOGRAPHY
DEEP VEIN THROMBOSIS | ENDOVENOUS LASER TREATMENT (VARICOSE VEINS)
STENTING AND STENT-GRAFT | ACUTE AND CHRONIC CATHETER-DIRECTED
THROMBOLYSIS (CDT) | PULMONARY EMBOLISM
IVC FILTER AND REPLACEMENT

ORTHOPEDIC | USING INTERVENTIONAL RADIOLOGY TO TREAT CHRONIC BACK PAIN

Interventional Radiology offers safe, nonsurgical treatments that have proven to be extremely effective in reducing or eliminating the pain caused by Vertebral Body Fractures, Osteoporosis, Herniated Disk or Spinal Tendonitis.

Kyphoplasty is a treatment for collapsed vertebra to return it to its normal position. A balloon is inserted into the vertebra to create a cavity within the vertebral body which is filled with cement to stabilize the fracture. The cement forms an internal cast that holds the vertebra in place.

Vertebroplasty a non-surgical treatment performed using imaging guidance by interventional radiologists, stabilizes the collapsed vertebra with the injection of medical-grade bone cement into the spine. This lessens or reduces pain, and can prevent further collapse of the vertebra, thereby preventing the height loss and spinal curvature commonly seen as a result of osteoporosis and vertebral fractures.

The Interventional Radiology Center at St. John’s Riverside Hospital provides an alternative to surgery which will enhance your overall quality-of-life. Interventional Radiology is a series of medical breakthrough treatments that utilizes catheter-based techniques that will significantly reducing the risk, pain and recovery time of procedures compared to open surgery.

Dr. Gebrael, the Medical Director of the Interventional Radiology Center, specializes in these potentially lifesaving procedures that are performed under imaging guidance without the need for major surgery.

IR PROCEDURES AVAILABLE:
ABLATION OF PAINFUL BONE LESION | KYPHOPLASTY | VERTEBROPLASTY
EPIDURAL INJECTIONS | FACET JOINT BLOCKAGE AND/OR ABLATION
BONE BIOPSY | SPINAL CORD STIMULATOR