Liver disease and portal hypertension

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We approach patient's with liver disease and complications from portal hypertension with individualized treatment plans. Multiple minimally invasive treatment options are available for patients suffering from ascites, gastroesophageal variceal bleeding and hepatic encephalopathy. These procedures include:

 

Image-guided Paracentesis

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Drainage of intraabdominal fluid collection.

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Denver-shunt placement

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Implanted device that returns the intraabdominal fluid directly into the patient's vein, allowing them to keep the fluid containing significant amounts of protein and other necessary electrolytes rather than discarding it.

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Balloon-Occluded Retrograde Transvenous Obliteration of Gastric Varices (BRTO) In appropriate patients, this image guided procedure provides treatment of gastric varices that may not be treated endoscopically or via TIPS, permanently reducing risk of bleeding.

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Transjugular intrahepatic Porto-systemi Shunt (TIPS)

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Once medical therapy fails in the management of liver failure, TIPS creates a bypass inside the liver using balloon angioplasty and stent-graft technology to relieve the high pressure within the liver veins and reduce significantly the risk of bleeding from varices and fluid accumulation. In very sick patients, TIPS may be a bridge to liver transplantation. 

 

Inpatient Treatments

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As an integral part of a multi-disciplinary team in the hospital setting, IR provides a multitude of minimally-invasive, image-guided procedures to the hospitalized patients. Whether recovering from surgery, to ill to undergo surgery or conditions refractory to medical management, IR's toolbox includes solutions for these problems.

 

• Image-guided abscess drainage

• Patients with difficult venous access

• Internal bleeding

• Thoracentesis/Paracentesis