Centres of Excellence

Neuro interventions

• Diagnostic cerebral angiography (femoral / radial)
• Stroke mechanical thrombectomy - aspiration and stent retriever
• Intracranial aneurysm (Coiling - simple/stent or balloon-assisted/ flow diverter)
• Intracranial atherosclerotic disease - angioplasty and stenting
• Cerebral venous thrombosis - Mechanical thrombectomy/thrombolytic infusion
• Dural Arteriovenous Fistula (DAVF)
• Symptomatic Arteriovenous Malformation (AVM)
• Carotico-cavernous fistula embolization
• Dural venous sinus stenting
• Inferior Petrosal Sinus sampling
• Pre-op embolisation for meningioma / intracranial tumours
• Chronic Subdural haemorrhage - middle meningeal artery embolisation.

Head and neck interventions

• Carotid artery stenosis - angioplasty and stenting
• Carotid blow-out syndrome - covered stenting
• Juvenile nasopharyngeal angiofibroma (JNA) pre-op / therapeutic embolisation.
• Carotid body tumour embolisation
• Epistaxis - Internal maxillary artery embolisation
• Hemangioma / venolymphatic malformation sclerotherapy
• Tumor bleed embolization (ECA branch source)
• CT Cisternogram for CSF leak

Spinal interventions

• Diagnostic Spinal angiography
• Spinal AVM/AVF embolisation
• Vertebral haemangioma embolisation
• Pre-operative embolisation of spinal tumours
• Osteoid osteoma RFA/Microwave ablation
• Exiting Nerve root blocks
• Percutaneous Laser Disc Decompression for disc herniation
• Vertebroplasty and kyphoplasty
• CT Myelogram

Image-guided pain management

• Trigeminal neuralgia - Nerve RFA/Block
• Celiac plexus neurolysis
• Lumbar plexus sympathectomy
• Superior hypogastric plexus block
• Stellate ganglion block
• Carpal tunnel syndrome - steroid injection
• Exiting nerve root block

Breast interventions

• Breast biopsies - USG
• Marker clip deployment / Wire localization
• Breast abscess drainage

Liver tumours

• Trans-arterial chemoembolisation (TACE) for liver tumours (HCC, cholangiocarcinoma, metastasis & other tumours)
• RFA / Microwave ablation for liver tumours (HCC, metastasis, cholangiocarcinoma)
• Liver haemangioma embolisation

Portal vein interventions

• Trans Jugular Intra Hepatic Porto Systemic Shunt-stent (TIPSS) - portal hypertension complications.
• Portal vein embolisation
• Portal vein thrombectomy/thrombolysis
• Portal vein stenting

Hepatic outflow interventions

• Budd-Chiari syndrome - Hepatic vein angioplasty + stenting
• Inferior vena cava angioplasty + stenting
• Hepatic venous pressure gradient measurement
• Direct intrahepatic Porto systemic stent (DIPS)

Biliary system interventions

• Percutaneous trans biliary drainage
• Biliary stricturoplasty + Metallic stenting
• Percutaneous cholangiogram
• Biliary stone retrieval
• Percutaneous cholecystostomy

Miscellaneous

• Post-liver transplant complication management
• Transjugular Liver biopsy
• PAIR procedure for hydatid cyst
• Pigtail insertion for abscess/ collections
• Pancreatitis complications management

Arterial bleed

• GI bleed embolisation
• Pseudoaneurysm management

Variceal bleeding

• Balloon-occluded / Plug-assisted / Coil assisted
• Retrograde Transvenous Obliteration (BRTO / PARTO / CARTO) - Fundal gastric varices
• Antegrade Variceal Obliteration (transvenous / percutaneous)
• Splenic artery embolisation

Mesenteric ischemia

• Superior mesenteric artery stenting
• Superior mesenteric vein thrombolysis

Oncological GI Interventions

• Pre-operative embolisation for gastrointestinal tumours
• Tumour bleed embolisation
• Percutaneous gastrostomy/jejunostomy

Obstetrics and Gynaecology interventions

• Uterine artery embolization - Fibroid, uterine AVM, PPH, Hypervascular RPOC
• Fallopian tube recanalisation

Chest interventions

• Bronchial artery embolisation for hemoptysis
• Selective MAPCA embolization for haemoptysis
• Pulmonary artery pseudoaneurysm/AVM embolization
• Lung nodule ablation
• Pleurodesis
• Pleural pigtail drainge for effusion/pneumothorax
• CT/USG guided biopsies

Kidney

• Renal bleed superselective embolisation
• Pre-op embolisation of angiomyolipoma (AML)
• Renal tumour RFA / Microwave ablation
• Renal artery angioplasty + stenting for hypertension & transplant related vascular complications

Percutaneous procedures

• Percutaneous renal biopsy
• Percutaneous nephrostomy (PCN)
• Percutaneous antegrade DJ stenting
• Suprapubic cystostomy
• USG guided pigtail insertion for urinoma/lymphocele - post kidney transplant

CKD related interventions

• Permcath / Tunnelled dialysis catheters - Jugular, femoral , transhepatic, translumbar
• Permcath troubleshooting - Fibrin sheath stripping / repositioning
• Temporary catheter / Central line insertion
• AV Fistula salvage - angioplasty/thrombolysis
• Central vein recanalisation - angioplasty / stenting

Arterial

• Diagnostic angiograms
• Peripheral arterial angioplasty + stenting - peripheral arterial disease, Takayasu disease / Vasculitis
• Peripheral AVM embolization

Venous

• Acute Deep venous thrombosis interventions-thrombectomy / thrombolysis
• IVC filter placement and retrieval
• Venous stenting - left iliac vein
• Varicose vein treatment - Laser / RFA / Venaseal
• Recanalization of chronic venous occlusion

Miscellaneous

• Venous / Venolymphatic malformations
• Intravascular foreign body retrieval
• Vascular access complications – stenting, embolisation and thrombin injection

Endocrinology related Interventions

• Benign Thyroid nodule ablation
• Adrenal vein sampling
• Inferior petrosal sinus sampling

Aortic interventions

• TEVAR Thoracic endovascular aneurysm repair
• Abdominal aortic aneurysm repair
• Endoleak management

Lymphatic interventions

• Lymphangiography
• Lymphatic leak embolisation
• Thoracic duct embolisation - Chylothorax

Male reproductive system interventions

• Prostate artery embolization - Benign prostatic hypertrophy
• Varicocele embolisation
• Penile AVM/ AVF embolisation

Musculoskeletal interventions

• Preoperative embolisation of bone tumours, invasive hemangioma, haemophilic pseudotumors
• Chronic knee osteoarthritis - genicular/geniculate artery embolisation, genicular nerve ablation
• Osteoid osteoma ablation
• Frozen shoulder embolisation
• Intra-articular Steroid injections for pain
• PRP injections - Joint / tendon
• Bone biopsy
• Botox injection

Trauma-related interventions

• Splenic artery embolization - splenic injury
• Selective hepatic / renal artery embolization - hepatic and renal lacerations
• Covered stenting for active vascular leak

Lines

• Chemoport insertion/removal
• Hickman's line insertion
• PICC line insertion
• PleurX drainage catheter - malignant pleural effusion
• PeritX drainage catheter - malignant ascites

Embolization

• Pre-op embolisation of tumours
• Tumour bleed embolisation
• Trans arterial embolisation (TAE)/chemoembolisation (TACE) for liver tumours

Ablation

• Tumours in liver, lung, kidney, bone, breast

Stenting procedures

• Superior vena cava stenting for SVC syndrome
• Biliary decompression & metallic stenting for malignant hilar / CBD stricture

Fetal Interventions

• Amniocentesis / Chorionic villus sampling
• Intrauterine Fetal transfusion
• Selective Fetal reduction