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Madison Radiologists has a highly skilled team of Board Certified Vascular and Interventional Radiologists with extensive experience in the field of interventional radiology. Fellowship training, previous academic experience and private practice experience, as well as Certifications in Vascular and Interventional Radiology and Neuroradiology by the American Board of Radiology ensure the highest quality cutting edge patient care. Our physicians have a combined average experience of over fifteen years in the performance of minimally invasive procedures. Our skills combine expertise in imaging and intervention.

Our Interventional staff offers the full range of state of the art vascular and interventional procedures including angiography, vascular stents, angioplasty, carotid stents, cerebral angiography, aneurysm treatment, TIPS procedures, therapeutic and emergent arterial embolization, uterine fibroid embolization, foreign body retrieval, vertebroplasty, percutaneous gastric and gastrojejunal feeding tubes, diagnostic and therapeutic nerve blocks, biliary and hepatic interventions, celiac plexus ablation, pain management, nephrostomy tubes, all types of percutaneous biopsies and abscess drainages. These procedures are all offered at St. Mary’s Hospital Medical Center and at the Monroe Clinic.


Image reprinted with permission of The Society of Vascular and Interventional Radiology © 2003, www.sirweb.org.

The Vascular and Interventional Radiology Team

Dr. Timothy Crummy
Dr. Michael Cullenward
Dr. Todd Denholm
Dr. Richard Baker
Dr. Daniel Hoefer
Dr. Eric Monat
Dr. Christopher Wedding

Common Interventional Procedures

Angiography

An X-ray exam of the arteries and veins to diagnose blockages and other blood vessel problems; uses a catheter to enter the blood vessel and a contrast agent (X-ray dye) to make the artery or vein visible on the X-ray. Click here for details.

Balloon angioplasty

Opens blocked or narrowed blood vessels by inserting a very small balloon into the vessel and inflating it. Used by IRs to unblock clogged arteries in the legs or arms (called peripheral vascular disease or PVD), kidneys (called portal hypertension), brain or elsewhere in the body. Click here for details.

Biliary drainage and stenting

Uses a stent (small mesh tube) to open up blocked ducts and allow bile to drain from the liver. Click here for details.

Central venous access

Insertion of a tube beneath the skin and into the blood vessels so that patients can receive medication or nutrients directly into the blood stream or so blood can be drawn. Click here for details.

Chemoembolization

Delivery of cancer-fighting agents directly to the site of a cancer tumor; currently being used mostly to treat cancers of the endocrine system, including melanoma and liver cancers. Click here for details.

Embolization

Delivery of clotting agents (coils, plastic particles, gel, foam, etc.) directly to an area that is bleeding or to block blood flow to a problem area, such as an aneurysm or a fibroid tumor in the uterus. Click here for details.

Fallopian tube catheterization

Uses a catheter to open blocked fallopian tubes without surgery; a treatment for infertility. Click here for details.

Gastrostomy tube

Feeding tube inserted into the stomach for patients who are unable to take sufficient food by mouth. Click here for details.

Hemodialysis access maintenance

Use of angioplasty or thrombolysis to open blocked grafts for hemodialysis, which treats kidney failure. Click here for details.

Needle biopsy

Diagnostic test for breast, lung and other cancers; an alternative to surgical biopsy. Click here for details.

Radiofrequency (RF) ablation

Use of radiofrequency (RF) energy to Acook@ and kill cancerous tumors. Click here for details.

Stent

A small flexible tube made of plastic or wire mesh, used to treat a variety of medical conditions (e.g., to hold open clogged blood vessels or other pathways that have been narrowed or blocked by tumors or obstructions). Click here for details.

Stent-graft

Reinforces a ruptured or ballooning section of an artery (an aneurysm) with a fabric-wrapped stent C a small, flexible mesh tube used to "patch" the blood vessel. Also known as an endograph. Click here for details.

Thrombolysis

Dissolves blood clots by injecting clot-busting drugs at the site of the clot. Click here for details.

TIPS (transjugular intrahepatic portosystemic shunt)

A life-saving procedure to improve blood flow and prevent hemorrhage in patients with severe liver dysfunction. Click here for details.

Uterine artery embolization

An embolization procedure of uterine arteries to stop life- threatening postpartum bleeding, potentially preventing hysterectomy. The same procedure is used to treat fibroid tumors and is then called UFE (Uterine Fibroid Embolization). Click here for details.

Uterine fibroid embolization

An embolization procedure of uterine arteries to shrink painful, enlarged, benign tumors in the uterus, also called UAE (Uterine Artery Embolization). Click here for details.

Common Interventional Procedures section reprinted with permission of the Society of Interventional Radiology © 2003, www.sirweb.org.

Links to Additional Interventional Radiologic Procedures

Leg pain
Liver disease
Vascular disease

Resources

The Society of Interventional Radiology


 
Peripheral Angiography and Angioplasty
Diagnostic angiography and therpeutic angioplasty and stenting for treatment of peripheral vascular disease
 

 
Cardiac MRI
Rapidly advancing method to evaluate ischemic heart disease and for the detection of hibernating myocardium
 

 
Uterine Artery Embolization
A non-surgical alternative to hysterectomy for the treatment of fibroid tumors of the uterus
 

 
Percutaneous Vertebroplasty
Method to treat painful spinal compression fractures
 

 
Carotid and Vertebral Artery Stenting
A new technique as an alternative to surgical endarterectomy in specific circumstances
 

 
Aneurysm Coiling
Alternative to surgical treatment of cerebral aneurysms in specific circumstances
 

 
Aorta and Great Vessels
MRI and CT can beautifully demonstrate abnormalities previously requiring catheter angiography
 

 
Renal Artery Stenosis Screening
For the evaluation of medically resistant high blood pressure
 

 
Peripheral MRA of the Extremities
MRI technique for patients with claudication, rest pain or extremity ulcer without the need for catheter angiography