Gastrostomy Tube Placement

Gastrostomy refers to the surgical opening into the stomach with the help of the tube like structure. This opening can be used for nutritional support or gastrointestinal compression.This procedure is done in most of those cases who have stricture/obstruction in the oesophagus.

DJ Stenting

DJ stenting is done in the patient in which there is Ureteric obstruction.

DJ stent provide the path for the urine in the kidney to pass to the bladder.

Nephrostomy

A nephrostomy is an artificial opening created between the kidney and the skin which allows for the drainage of urine directly from the upper part of the urinary system (renal pelvis). A local anaesthesia is applied to the skin of the patient and catheter is pierced into it and push into the urinary tract under the guidance of fluoroscopy or ultrasound.

PICC line

PICC stand for Periperally inserted centeral Catheter.The PICC line is used to give you treatments such as chemotherapy, antibiotics and intravenous fluids and feeding. Mostly Basilic Vien is chosen for the insertion of this PICC line however it can be inserted into Cephalic or Median Cubital Vein.

Transcatheter Arterial Chemoembolization

This procedure involves the percutaneous access to hepatic artery through the femoral artery.

Road Map: Femoral Artery > Abdominal Aorta > Celiac Axis > Common Hepatic Artery > Proper Hepatic Artery.

Arteriogram of the liver is performed by injecting the contrast to see the braches of the hepatic artery supplying the tumour. When a blood vessel supplying the tumour has been approached the chemotherapy dose is injected into it with the help of the catheter. The gel foam or other embolic particles also injected into the vessel to cut down the blood supply of the tumour and to maximise the time of the chemotherapeutic dose to retain in the area of the tumour.

Digital Subtraction Angiography

Cerebral Four Vessel Angiography

Cerebral four Vessel Angiography is the procedure to visualize the vessels of the Brain. It is called "four vessel"because there are four main arteries suppling blood to the brain. i.e 2 Vertebral Arteries (Rt and Lt) and 2 Carotids (Left and Right)

To perform the cerebral angiography the femoral artery is punctured to introduce the catheter into it. Catheter is pushed forward from the femoral artery to the descending aorta > Arch of aorta > Brachiocephalic Artery > Rt Carotid artery CONTRAST is introduced into this vessel electronically or manually and high frames sequences of the flouroscopy are obtained. Catherter is pushed slightly backwards into the Brachiocephalic Artery and then moved into Rt.Subclavian artery. From the Rt.Subclavian artery Rt Vertebral artery is approaced and Hight flow rate contrast is injected. Most of the Radiologist give contrast only in one of the vertebral artery so that the contrast after going into Basillar artery also opacify the Lt.Vertebral Artery. High Frame Rate Flouroscopic images are obtained to visualise the posterior blood supply of the brain.

Catherter is puled backward to arch of aorta and then introduced into the Lt.Common Carotid Artery. High Speed contrast is injected and high frame flouroscopic Images are obtained. After Completing this catheter is pulled out side and sheath present in the femoral artery is removed



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