IVIRA

Peripheral Arterial Disease (PAD) Interventions: A Patient Guide Peripheral Arterial Disease (PAD) is a condition in which the arteries that supply blood to the legs and feet become narrowed or blocked, reducing blood flow and leading to symptoms like leg pain and difficulty walking. This guide provides important information about PAD interventions, who benefits from them, and what to expect before, during, and after the procedure. What is Peripheral Arterial Disease (PAD)? PAD occurs when plaque (a buildup of fat, cholesterol, and other substances) forms in the arteries, causing them to narrow or become blocked. This reduced blood flow can cause pain, numbness, and in severe cases, lead to ulcers, infections, or even amputation. What are PAD Interventions? PAD interventions are minimally invasive procedures used to restore blood flow to the legs and feet by opening blocked or narrowed arteries. The goal of these procedures is to relieve symptoms, improve mobility, and prevent complications like limb loss. Common PAD interventions include: Angioplasty: A small balloon is inserted into the narrowed artery and inflated to widen the artery and restore blood flow. Stent Placement: A stent (a small mesh tube) is inserted into the artery to keep it open after angioplasty. Atherectomy: A small device is used to remove plaque from the artery walls. Thrombectomy: A procedure that removes blood clots from the arteries. Who Benefits from PAD Interventions? PAD interventions are ideal for patients who: Experience symptoms of PAD: Such as leg pain when walking (claudication), numbness, or cramping. Have non-healing wounds or ulcers: Caused by poor circulation in the legs and feet. Are at risk for limb loss: Due to severely reduced blood flow or gangrene. Haven’t responded to conservative treatments: Like lifestyle changes, medications, or supervised exercise therapy. What to Expect: The PAD Intervention Process Before the Procedure: Consultation: Your doctor will perform tests such as an ultrasound, angiogram, or CT scan to assess the severity and location of blockages in your arteries. Preparation: You may be asked to stop taking certain medications, such as blood thinners, before the procedure. Your doctor will provide specific instructions on fasting and medication adjustments before the procedure. During the Procedure: Setting: PAD interventions are minimally invasive and are usually performed in a hospital or outpatient setting by an interventional radiologist or vascular surgeon. Sedation: You will receive local anesthesia to numb the area, and you may be given mild sedation to keep you relaxed. Procedure Steps: A small incision is made in the groin or wrist to access the artery. A catheter is guided through the artery to the blocked or narrowed area using imaging guidance. Depending on the intervention, a balloon is inflated to widen the artery (angioplasty), or a stent is placed to keep it open. If plaque is causing the blockage, an atherectomy device may be used to remove it. The catheter is removed, and the incision is closed with a bandage. No stitches are needed. The entire procedure typically takes 1-2 hours. Discover If You're A Candidate For Our Procedure Contact us to complete a quick questionnaire to see if this treatment is right for you.

We offer high end interventions with cutting-edge technology At IVIRA, we are dedicated to delivering top-tier medical interventions using the latest advancements in technology, all centered around our commitment to exceptional patient care. Explore the full range of services we offer, designed to provide you with the most advanced treatment options available. Our skilled team is here to ensure you receive the best care possible, with a focus on your comfort and well-being every step of the way. Peripheral Arterial Angiogram Medical imaging technique used to visualize the blood vessels (arteries) in the arms, legs, and other peripheral areas of the body. Peripheral Venous Venograms A diagnostic imaging procedure that uses contrast dye and X-rays to visualize the veins in the arms or legs, identifying blockages or abnormalities. Percutaneous AV Fistula Creation Percutaneous AV Fistula Creation with Wavelinq involves a minimally invasive procedure to create a connection between an artery and a vein in the arm. High Frequency Spinal Stimulator Placements Spinal stimulator placement involves the surgical implantation of a device designed to alleviate chronic pain in the spine or extremities. Genicular Artery Embolization Genicular artery embolization is a minimally invasive procedure used to alleviate chronic knee pain caused by osteoarthritis. Uterine Fibroid Embolization Minimally invasive procedure used to treat symptomatic uterine fibroids, non-cancerous growths that develop within the uterus. Diagnostic AV Fistulogram for Dialysis Access A diagnostic AV fistulogram with intervention is a procedure used to evaluate and treat abnormalities or complications in an arteriovenous (AV) fistula or graft. Mediport Placement / Central Venous Acess Placement Mediport placement involves the surgical implantation of a small medical device under the skin, typically in the chest area. Vascular Ultrasonography (Arterial and Venous) Non-invasive technique that uses high-frequency sound waves to produce real-time images of the body’s blood vessels, including arteries and veins.

High-Frequency Spinal Stimulation: A Patient’s Guide If you’re suffering from chronic pain, high-frequency spinal stimulation may provide relief when other treatments have not worked. This guide will give you important information about the procedure, who can benefit from it, and what to expect before, during, and after treatment. What is High-Frequency Spinal Stimulation? High-frequency spinal stimulation is an advanced form of spinal cord stimulation (SCS) that uses electrical impulses to block pain signals before they reach the brain. Unlike traditional spinal cord stimulation, which uses low-frequency pulses, high-frequency spinal stimulation delivers pulses at a higher rate (10,000 Hz or more). This higher frequency provides pain relief without the tingling or buzzing sensation (paresthesia) often experienced with traditional SCS. A small device is implanted in the body to deliver these electrical pulses to the spinal cord, helping to manage chronic pain in the back, legs, and other areas. Who Benefits From High-Frequency Spinal Stimulation? High-frequency spinal stimulation is an option for patients who: Suffer from chronic pain: Especially in the back, legs, or arms, due to conditions like failed back surgery syndrome, complex regional pain syndrome (CRPS), or nerve damage. Have not found relief with other treatments: Such as medications, physical therapy, or traditional spinal cord stimulation. Wish to avoid further surgery: High-frequency spinal stimulation can be an alternative to more invasive surgeries aimed at treating chronic pain. Who May Not Be Ideal Candidates? Patients with untreated infections, blood clotting disorders, or severe psychiatric conditions. Patients who are not able to manage the maintenance of an implanted device. What to Expect: The High-Frequency Spinal Stimulation Process Before the Procedure: Consultation and Evaluation: You will meet with a pain specialist or interventional radiologist who will evaluate your pain and review your medical history. Imaging tests such as an MRI or CT scan may be done to ensure the spinal cord stimulation is right for you. Trial Period: Before the permanent device is implanted, a trial stimulation will be performed. During the trial, temporary leads (wires) will be placed near your spinal cord, and you will wear an external device for about a week to determine if the stimulation effectively reduces your pain. If the trial is successful and you experience significant pain relief, you will proceed with the permanent implantation. During the Procedure: Setting: The procedure to implant the permanent device is typically done in a hospital or outpatient setting by a specialist. Anesthesia: You will receive local anesthesia to numb the area where the device will be implanted, along with mild sedation to keep you comfortable during the procedure. Procedure Steps: A small incision is made near the spine to insert the permanent leads (thin wires) that will deliver the electrical pulses to the spinal cord. Another small incision is made, typically in the lower back or abdomen, where the pulse generator (a small, battery-powered device) will be implanted under the skin. The leads are connected to the pulse generator, and the system is programmed to deliver high-frequency electrical impulses tailored to your needs. The incisions are then closed with stitches or surgical glue. The entire procedure typically takes about 1-2 hours.

What is Percutaneous AV Fistula Creation? A percutaneous arteriovenous (AV) fistula is a connection between an artery and a vein created through a minimally invasive, image-guided procedure. This fistula is essential for patients undergoing hemodialysis, as it provides access to your blood vessels for the dialysis machine to clean your blood. Traditionally, AV fistulas were created surgically, but the percutaneous method offers a less invasive option with shorter recovery times. In this procedure, a catheter is inserted through a small puncture in the skin to connect the artery and vein using advanced imaging guidance. Once established, the fistula allows for the high blood flow necessary for effective dialysis. Who Benefits from Percutaneous AV Fistula Creation? Patients preparing for hemodialysis due to chronic kidney disease or kidney failure are candidates for AV fistula creation. The percutaneous method offers several advantages over traditional surgical approaches, including: Minimally Invasive: No large incisions or stitches required. Shorter Recovery Time: Faster healing with fewer complications compared to surgery. Outpatient Procedure: Often performed in an outpatient setting, meaning no need for a hospital stay. Who may not be ideal candidates? Patients with very small or poor-quality blood vessels. Patients who may require immediate dialysis may initially need a temporary catheter. Dialysis Access Interventions: What Are They? Dialysis access interventions include procedures to create or maintain the blood vessel access required for hemodialysis. These interventions can involve the creation of new access points (like AV fistulas or grafts) or fixing existing access that is blocked or malfunctioning. The primary types of dialysis access are: AV Fistula: The preferred method of access, created by connecting an artery and vein, allowing for high blood flow. AV Graft: Used if a patient’s veins aren’t suitable for a fistula; a synthetic tube is implanted to connect the artery and vein. Central Venous Catheter: A temporary access option where a catheter is placed in a large vein, typically in the neck. What to Expect: The Percutaneous AV Fistula Creation Process Before the Procedure: Consultation: Your doctor will evaluate your veins and arteries using ultrasound or other imaging to determine the best location for the fistula. Medical history and medications will also be reviewed. Preparation: You may need to stop certain medications, like blood thinners, prior to the procedure. Your doctor will give you specific instructions on eating, drinking, and medication adjustments before the procedure. During the Procedure: Setting: The procedure is typically performed in an outpatient setting by an interventional radiologist. Sedation: You will receive local anesthesia to numb the area, and you may be given mild sedation to keep you relaxed. Procedure Steps: A small puncture is made, usually in your arm, to access the blood vessels. Using X-ray or ultrasound guidance, a catheter is advanced to the artery and vein where the fistula will be created. The artery and vein are connected using a specialized device, allowing blood to flow between them. The catheter is removed, and a bandage is applied. No stitches are needed. The entire procedure usually takes about 1-2 hours. Percutaneous AV fistula creation offers a minimally invasive, effective solution for dialysis access with faster recovery times and fewer complications than traditional surgery. If you’re preparing for hemodialysis or experiencing issues with your existing dialysis access, talk to your doctor to see if this option is right for you.

What is Genicular Artery Embolization (GAE)? Genicular Artery Embolization (GAE) is a minimally invasive procedure that helps relieve chronic knee pain, particularly pain caused by osteoarthritis (OA). In this procedure, tiny particles are injected into the blood vessels (genicular arteries) supplying the knee joint. These particles block abnormal blood flow to areas of inflammation, reducing the pain and discomfort associated with OA. GAE is an alternative to more invasive treatments, such as knee replacement surgery, and is primarily used to reduce pain and improve mobility in patients who haven’t responded to conventional therapies. Who Would Benefit from GAE? GAE is particularly beneficial for: Patients with osteoarthritis: Especially those suffering from moderate to severe knee pain due to osteoarthritis who are not yet ready for knee replacement surgery. Patients who haven’t responded to conservative treatments: Such as physical therapy, medications, or steroid injections. Patients seeking to delay surgery: GAE can provide pain relief and improve quality of life, often helping individuals delay or avoid more invasive surgeries like knee replacement. Who May Not Be Ideal Candidates? Patients with other causes of knee pain (like infections or ligament tears) that aren’t related to osteoarthritis. Patients with severe knee damage or deformity that may require surgical intervention. What to Expect: The Genicular Artery Embolization Process Before the Procedure: Consultation: You will meet with an interventional radiologist who will review your medical history, examine your knee pain, and perform imaging studies like X-rays or MRIs to ensure GAE is a good option for you. Preparation: Your doctor may ask you to stop taking certain medications, such as blood thinners, before the procedure. You will also receive instructions on how to prepare, such as fasting for a few hours before the procedure. During the Procedure: Setting: GAE is performed in an outpatient setting by an interventional radiologist. The procedure is minimally invasive and typically takes about 1-2 hours. Anesthesia: You will be awake during the procedure but given a local anesthetic to numb the area where the catheter will be inserted. Procedure Steps: A small incision is made, usually in the groin or wrist. A catheter is guided into the arteries supplying the knee (genicular arteries) using X-ray imaging. Tiny particles (called embolic agents) are injected through the catheter to block the abnormal blood flow causing inflammation and pain in the knee joint. The catheter is then removed, and the incision is bandaged. After the Procedure: Monitoring: You will be observed for a few hours after the procedure to ensure you’re recovering well and to manage any initial discomfort. Going Home: Most patients go home the same day. Recovery and Follow-Up Post-Procedure Expectations: Pain Relief: Some patients may experience noticeable pain relief within days, while for others, it may take weeks to feel the full benefits. Recovery Time: GAE requires minimal downtime. Most people can resume normal activities within a few days, with a complete recovery taking 1-2 weeks. Symptom Improvement: Patients often report reduced knee pain, increased mobility, and less reliance on pain medications within a few weeks to months. Follow-Up Care: You will have follow-up appointments with your doctor to monitor your progress and pain relief. Imaging may be used to assess how well the embolization is working.

Fibroid Embolization: A Comprehensive Guide for Patients Welcome to our guide on fibroid embolization! Fibroid embolization is a minimally invasive procedure that provides relief from symptoms caused by uterine fibroids, without the need for major surgery. This guide will walk you through what fibroid embolization is, who it benefits, and what to expect before, during, and after the procedure. Who can Benefit from Fibroid Embolization? Uterine Fibroid Embolization (UFE) is suitable for many women who have symptomatic uterine fibroids, especially those who: Experience heavy menstrual bleeding, prolonged periods, or severe pain. Have large or multiple fibroids causing pressure symptoms like frequent urination or constipation. Want to avoid surgery, such as hysterectomy or myomectomy. Are looking for a minimally invasive option with a shorter recovery time. Wish to preserve their uterus, whether for personal or reproductive reasons. Who May Not Be Ideal Candidates? Women planning pregnancy: While UFE preserves the uterus, its effect on fertility is still being studied, and it may not be ideal for those who hope to become pregnant. Patients with significant pelvic infection or malignancy. Women with very large fibroids that may not respond well to embolization. What to Expect: The Fibroid Embolization Process Before the Procedure: Consultation: You will meet with an interventional radiologist who will review your medical history, symptoms, and perform necessary imaging studies like an MRI or ultrasound to evaluate your fibroids. Preparation: Prior to the procedure, your doctor will give you specific instructions, which may include fasting and stopping certain medications. Medication: You may receive medications to manage pain and anxiety during the procedure. During the Procedure: Setting: UFE is performed in a hospital or outpatient setting by an interventional radiologist. Sedation: Local anesthesia is used to numb the area, and you may be given light sedation to help you relax. Procedure Steps: A small incision is made in the groin or wrist. A catheter is inserted into the blood vessels supplying the uterus.