Hepatobilary Surgery
Pinhole minimally invasive image-guided therapeutic procedures for the treatment of Conditions of the Hepatobiliary system of the human body.
Portal hypertension is an increase in the pressure within the portal vein (the vein that carries blood from the digestive organs to the liver). The increase in pressure is caused by a blockage in the blood flow through the liver.
Increased pressure in the portal vein causes large veins (varices) to develop across the esophagus and stomach to get around the blockage. The varices become fragile and can bleed easily.
Interventional Procedures
- Transhepatic portosystemic shunt.
- Balloon retrograde transvenous occlusion of gastric varices(BRTO).
Budd-Chiari syndrome is a condition in which the hepatic veins (veins that drain the liver) are blocked or narrowed by a clot (mass of blood cells). This blockage causes blood to back up into the liver, and as a result, the liver grows larger. The spleen (an organ located on the upper left side of the abdomen that helps fight infection by filtering the blood) may also grow larger.
Budd-Chiari Syndrome may also cause other conditions, including:
- Portal hypertension (increased pressure in the portal vein, which carries blood from the intestines to the liver).
- Esophageal varices (twisted veins in the esophagus, or “food tube”).
- Ascites (a buildup of fluid in the abdomen).
- Cirrhosis (scarring of the liver).
- Varicose veins (abnormal, swollen blood vessels) in the abdomen and/or rectum.
Types of Aortic aneurisms & dissection
- Abdominal aortic aneurysm
- Thoracic aortic aneurysm
- Aortic dissection
Interventional Procedures
- Hepatic venous and IVC stenting
- Direct intrahepatic portocaval shunt(DIPS)
It is Chronic liver disease that involves a process of progressive destruction and regeneration of the liver parenchyma leading to fibrosis and cirrhosis.
Interventional Procedures
- Transjugular liver biopsy is used ofr the diagnosis of Parenchymal Liver disease
Obstructive jaundice is a condition in which there is blockage of the flow of bile out of the liver. This results in redirection of excess bile and its by-products into the blood, and bile excretion from the body is incomplete. Bile contains many by-products, one of which is bilirubin, a pigment derived from dead red blood cells. Bilirubin is yellow, and this gives the characteristic yellow appearance of jaundice in the skin, eyes, and mucous membranes. Symptoms of obstructive jaundice include yellow eyes and skin, abdominal pain, and fever.
Interventional Procedures
- Percutaneous biliary drainage(PTBD) and stenting
Direxion HI-FLO™ Torqueable Microcatheters
Experience the powerful combination of Direxion™ Microcatheter and Fathom™ Guidewire to save time, treat more patients, and deliver better outcomes.
Torcon NB® Advantage Catheter
Used in angiographic procedures by physicians trained and experienced in angiographic techniques.
Contour™ PVA Embolization Particles
The Contour PVA Embolization particles are small and irregular flakes of polyvinyl alcohol, which are used for permanent occlusion within a blood vessel. The Contour PVA Embolization Particles have been proven to be safe and effective in many clinical scenarios for decades.
Dr Charudutt Sambhaji
Endovascular & Interventional Radiologist
Dr Rohan Badave
Gastroenterology
