Interventional Angiographic Radiology

The mission of the Departmental Unit of Interventional Angiographic Radiology is to provide interventional angiographic radiology treatment, primarily in oncology, in combination with or instead of surgery. The Unit also provides interventional angiographic radiology treatment in support of the orthopedic operational units (postoperative hemorrhage). The staff consists of two senior radio-diagnostic doctors (including the Unit Director), 2 radiology technicians, 2 nurses and a senior anesthetist during surgery.

Clinical practice

Giuseppe Rossi, MDClinical work in the field of oncology consists of arterial embolization - a method of interventional radiology whose purpose it is to suppress the blood supply of a tumour by causing the occlusion of the nearby vessels, thus causing ischemic necrosis of the lesion. The procedure is performed in local anesthesia (in general anesthesia in pediatric patients).

After puncturing the common femoral artery at the groin (alternative approaches: humeral or axillary) the catheter is inserted under fluoroscopic control by retrograde approach to embolize the lesion. Then, the diagnostic examination (angiography) is performed by introducing contrast through the catheter, for the precise evaluation of the type and degree of vascularization of the lesion.

If the exam shows the procedure is feasible, an embolizing material is inserted to obstruct the diseased vessels. The procedure can be repeated several times over a long period of time. In the absence of complications a hospitalization of 24-48 hours is enough.

In recent years, arterial embolization, primarily used in non-orthopedic diseases, has been applied in the scope of oncology of the musculoskeletal system, particularly in patients affected by tumoral lesions of the musculoskeletal system:

  • benign;
  • malignant primary not operable (where radical surgery is not possible);
  • malignant secondary (metastasis).

For further information see the webpage on arterial Embolization in bone tumors.

Content updated 19/06/2012 - 13:34
Content edited by: Dr. Giuseppe Rossi (giuseppe.rossi@ior.it)
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