Interventional Radiology

Interventional Radiology
Interventional Radiology — Minimally Invasive

Image-Guided Precision.
No Large Incisions. Faster Recovery.

KG Hospital's Interventional Radiology unit deploys state-of-the-art flat-panel angiography suites and real-time imaging to perform complex vascular and non-vascular procedures through needle-sized access points — offering surgical-quality outcomes with day-care convenience.

Why Choose KG IR
1
24/7 Emergency IR Suite
Round-the-clock trauma & bleed interventions
2
Biplane Flat-Panel Angiography
High-definition real-time vascular imaging
3
Multidisciplinary Tumour Board
IR integrated into oncology decision-making
4
Day-Care IR Procedures
Most procedures same-day discharge
Volume
2,000+Vascular &Nonvascular IR procedures Annually
Technology
BiplaneFlat-panel angiography suite
Recovery
1–2 DaysAverage post-procedure stay
Experience
10+ YrsDedicated IR practice

What is Interventional Radiology?

Interventional Radiology (IR) is a medical subspecialty where highly trained physicians use live imaging — including fluoroscopy (X-ray), ultrasound, CT, and MRI — to guide instruments through the body's natural pathways. Instead of large surgical incisions, IR uses access points no bigger than a pen tip, typically through a small nick in the skin or a natural body opening.

This approach results in less pain, minimal blood loss, shorter hospital stays, and faster return to daily life. At KG Hospital, our IR suite is integrated with Cardiology, Oncology, Vascular Surgery, Neurology, Neurosurgery, Obstetrics, gynecology and Gastroenterology — ensuring you receive a coordinated, multidisciplinary care plan.

Parameter Interventional Radiology Laparoscopic Surgery Open Surgery
Incision Size2–3 mm10–15 mm6–20 cm
AnaesthesiaLocal / SedationGeneralGeneral
Hospital StayDay care–1 day2–3 days5–7 days
Blood LossMinimalLowSignificant
Recovery3–7 days2–3 weeks4–6 weeks
ScarNone / TinySmallVisible

Vascular Procedures

Our vascular IR team treats arterial and venous diseases affecting the Brain, kidneys, legs, Liver, Stomach, colon, lungs, uterus, prostate and brain — restoring blood flow / stopping bleeding without the need for open bypass surgery.

01
Peripheral Angioplasty & Stenting
Restoring blood flow in blocked peripheral arteries
High Volume +

Peripheral artery disease (PAD) causes narrowing or blockage in arteries supplying the legs, kidneys, or intestines. Our IR team uses balloon angioplasty to open the blocked artery and, where needed, places a metal stent to keep it open — all through a 2 mm puncture in the groin or wrist.

Suitable for: PAD, renal artery stenosis, mesenteric ischaemia
Procedure time: 45–90 minutes
Anaesthesia: Local with mild sedation
Discharge: Same day to next morning
Imaging guidance: Digital subtraction angiography (DSA)
02
Embolisation for Internal Bleeding
Emergency and elective vascular occlusion
Emergency +

Transcatheter embolisation delivers embolic agents (coils, particles, glue) directly into bleeding vessels to stop haemorrhage from trauma, GI bleeds, post-partum haemorrhage, or tumour vascularity — often within minutes, without surgery.

Trauma haemorrhage — liver, spleen, pelvis
GI bleeding — duodenal ulcer, diverticular bleed
Post-partum haemorrhage (PPH) — uterine artery embolisation
Bronchial artery embolisation for haemoptysis
prostate artery embolization
03
TIPS — Transjugular Intrahepatic Portosystemic Shunt
Life-saving portal hypertension management
Specialty Procedure +

TIPS creates an artificial channel within the liver connecting the portal vein to the hepatic vein, reducing portal blood pressure. It is a critical procedure for patients with liver cirrhosis suffering from oesophageal varices or refractory ascites — avoiding high-risk surgical shunts.

Indications: Variceal bleeding, refractory ascites, Budd-Chiari syndrome
Approach: Through jugular vein — no abdominal surgery
Performed under general anaesthesia or deep sedation
ICU monitoring post-procedure for 24–48 hours
04
Varicose Vein Treatment — EVLA & RFA, Venaseal ablation
Endovenous laser ablation & radiofrequency ablation
Walk-In Walk-Out +

EVLA and RFA use heat energy delivered via a thin fibre or catheter inside the varicose vein to seal it shut permanently.Venaseal uses N-butyl cyanoacrylate glue to obliterate varicose vein. Unlike traditional surgical stripping, patients walk in for the procedure and walk out the same day with no general anaesthesia and minimal bruising.

No surgical stripping — laser or RF energy seals veins
Day procedure — 60–90 minutes total time
Resume walking immediately
Excellent cosmetic outcome — no visible scarring
05
AV Fistula Creation & Maintenance for Dialysis
Essential vascular access for haemodialysis patients
Nephrology Partner +

For patients on long-term haemodialysis, a functioning AV fistula is vital. Our IR team creates and maintains fistulas through percutaneous techniques — balloon dilation of stenosed segments, thrombolysis for clotted fistulas, and stent placement — prolonging functional life of dialysis access.

Fistuloplasty for stenosis — balloon dilation
Thrombolysis — clot lysis for thrombosed fistulas
Stent-graft placement for aneurysmal fistulas
Closely coordinated with KG Kidney Centre team
Brain Aneurysm coiling/ Stent balloon assisted / flow diverter
Mechanical thrombectomy for acute stroke
Brain AVM / Dural Embolisation (AVM = Arteriovenous Malformation)
Carotid Stenting
Endovascular Aortic repair
06
Brain Aneurysm Treatment
Coiling, Stent-Assisted, and Flow Diversion
+

Advanced endovascular management of intracranial aneurysms. We utilize precise navigation to place platinum coils or use flow-diverting stents to reconstruct the vessel wall, minimizing the risk of rupture.

Platinum coil embolisation
Stent/Balloon-assisted coiling
Flow diverter technology
Minimally invasive neuro-intervention
07
Mechanical Thrombectomy
Life-saving acute stroke intervention
Emergency Care +

Immediate mechanical removal of clots blocking large cerebral arteries. By restoring blood flow to the brain rapidly, we significantly improve neurological outcomes and reduce disability.

Rapid reperfusion therapy
Advanced stent-retriever technology
Critical for acute ischemic stroke
Image-guided precision
08
Brain AVM / Dural Embolisation
Targeted treatment for vascular malformations
+

Endovascular obliteration of Arteriovenous Malformations (AVM) and dural fistulas using embolic agents. This stops abnormal blood flow patterns and protects the brain from hemorrhage.

Safe occlusion of AVMs
Liquid embolic agents/glues
Reduced risk of brain bleed
High-definition fluoroscopic guidance
09
Carotid Stenting
Preventing stroke by clearing neck arteries
+

A minimally invasive procedure to open narrowed carotid arteries. By placing a stent, we restore proper blood flow to the brain, effectively preventing future stroke events.

Treatment for carotid stenosis
Distal protection filter usage
Restores cerebral blood supply
Minimally invasive alternative to surgery
10
Endovascular Aortic Repair
Minimally invasive treatment for aortic aneurysms
Complex Vascular +

Repairing aortic aneurysms using stent-grafts delivered through small groin incisions. This reinforces the aorta from the inside, preventing potential rupture without major open surgery.

EVAR / TEVAR procedures
Reinforces weak aortic walls
Reduces recovery time significantly
Suitable for abdominal and thoracic aneurysms

Non-Vascular Procedures

Beyond the blood vessels, our IR team performs a wide range of image-guided drainages, biopsies, and decompression procedures that replace the need for open surgical exploration.

01

CT / Ultrasound-Guided Biopsy

Precise needle biopsy of liver, lung, kidney, lymph node, or bone lesions for histopathological diagnosis — replacing open surgical biopsy in most cases.

02

Percutaneous Abscess & Fluid Drainage

Image-guided catheter placement to drain infected collections in the abdomen, pelvis, chest, or liver — avoiding emergency surgery for septic patients.

03

PTBD — Biliary Drainage

Percutaneous transhepatic biliary drainage relieves obstructive jaundice from bile duct blockages due to cancer or stones when endoscopic access is not possible.

Oncology Collaboration
04

Nephrostomy & Ureteric Stenting

Percutaneous nephrostomy tube insertion or antegrade ureteric stent placement decompresses an obstructed kidney — a critical procedure in urosepsis.

05

Vertebroplasty & Kyphoplasty

Bone cement injection into a collapsed vertebra (from osteoporosis or tumour) to stabilise fractures and relieve severe back pain — same-day procedure.

Pain Relief Focus
06

Central Venous Port Insertion (Port-a-Cath)

Image-guided insertion of subcutaneous venous ports for chemotherapy patients, avoiding repeated painful cannulation — placed under local anaesthesia.

Tumour Ablation & Oncology IR

Our interventional oncology programme offers curative and palliative tumour treatments guided by CT or ultrasound — often for patients who are not candidates for open surgery due to advanced age, comorbidities, or tumour location.

01
Radiofrequency Ablation (RFA), Cryoablation — Liver & Kidney Tumours
Heat-based tumour destruction under CT guidance
Curative Intent +

RFA uses radiofrequency energy delivered through a needle electrode to heat and destroy tumour tissue to temperatures that kill cancer cells. It is a first-line treatment for early hepatocellular carcinoma (HCC) and renal cell carcinoma tumours ≤5 cm — comparable to surgery in selected patients.

Liver HCC: Curative for tumours ≤5 cm (Child-Pugh A/B)
Renal cell carcinoma: Nephron-sparing option
Lung metastases: Palliative ablation for oligometastatic disease
Procedure: 30–60 minutes under CT guidance, local + sedation
🏥 Multidisciplinary Tumour Board Review
  • All cases reviewed by hepatology, oncology, surgery, and IR jointly
  • Curative ablation vs. TACE vs. surgery decision made collectively
  • Follow-up imaging at 1 month and 3 months post-ablation
02
TACE — Transarterial Chemoembolisation
Delivering chemotherapy directly to liver tumours
Hepatocellular Ca. +

TACE combines targeted chemotherapy delivery with arterial embolisation — selectively injecting chemotherapy-loaded microspheres into the hepatic artery feeding the tumour, then blocking the artery to trap the drug and starve the tumour of blood simultaneously. Drug-eluting bead TACE (DEB-TACE) maximises tumour drug concentration while minimising systemic toxicity.

Standard of care for intermediate-stage HCC (BCLC B)
Bridges patients to liver transplantation
DEB-TACE: Lower systemic side effects vs conventional TACE
1–2 day hospitalisation; may be repeated every 4–6 weeks
03
Microwave Ablation (MWA)
Faster, larger ablation zones than RFA
Advanced Technique +

Microwave ablation generates electromagnetic energy producing larger and more uniform ablation zones than RFA — ideal for tumours 3–6 cm or near blood vessels where heat-sink effect may limit RFA efficacy. KG Hospital was among the early adopters of MWA in South India.

Larger ablation volume — covers bigger tumours in single session
Less affected by heat-sink from adjacent blood vessels
Faster procedure time — 5–10 minutes per ablation
Applicable in liver, kidney, lung, adrenal, and bone tumours
04
Neuro Interventions
Minimally invasive cerebral vessel treatment
Specialized +

Advanced neuro-interventional procedures to treat aneurysms, AVMs, and acute strokes using high-resolution imaging and catheter-based techniques.

IVC Filter for DVT
Catheter Directed Thrombolysis
Mechanical Thrombectomy

Women's Health Interventions

Interventional radiology offers women uterus-preserving, fertility-sparing alternatives for common gynaecological conditions — without hysterectomy.

Uterine Fibroid Embolisation (UFE)

UFE is a minimally invasive alternative to hysterectomy for symptomatic uterine fibroids. Tiny embolic particles are injected into the uterine arteries to cut blood supply to fibroids — causing them to shrink by 40–60% within 3–6 months. Heavy menstrual bleeding improves dramatically in over 85% of patients.

✓ Good Candidates
Symptomatic fibroids (heavy bleeding, pelvic pain, pressure)
Prefer uterus-preserving treatment
Multiple or large fibroids not ideal for myomectomy
→ Consider Alternatives
Desire future pregnancy (relative contraindication)
Pedunculated subserosal fibroids
Active pelvic infection

Pelvic Congestion Syndrome (PCS) Embolisation

PCS causes chronic pelvic pain in women due to dilated ovarian and pelvic veins. Embolisation of the incompetent ovarian veins relieves this under-diagnosed condition — often mistaken for gynaecological or orthopaedic causes of pain.

Procedure Details

Day procedure · Local anaesthesia · Coil or glue embolisation · 70–80% pain relief · Return home same day

Men's Health Interventions

Interventional radiology provides a non-surgical, minimally invasive approach to treating male reproductive conditions, ensuring quick recovery and no general anaesthesia.

Varicocele Embolisation

Varicocele embolisation is the gold-standard minimally invasive treatment for varicoceles (enlarged veins in the scrotum). By using micro-coils or sclerosing agents, we block the reflux of blood in the incompetent testicular vein. This improves blood flow, relieves scrotal pain, and can significantly improve sperm parameters for men struggling with infertility.

✓ Good Candidates
Symptomatic varicoceles (dull ache or heaviness)
Male factor infertility/abnormal semen analysis
Prefer non-surgical, scarless approach
→ Consider Alternatives
Asymptomatic cases not affecting fertility
Anatomical variations preventing catheter access
Active systemic infection

Prostatic Artery Embolisation (PAE)

PAE is a revolutionary treatment for Benign Prostatic Hyperplasia (BPH). By blocking the blood supply to the prostate gland, the prostate shrinks, alleviating urinary obstruction symptoms without the risks associated with traditional prostate surgery (TURP).

Procedure Details

Day procedure · No general anaesthesia · No sexual side effects · Rapid symptom relief · Same-day discharge

Your IR Patient Journey

1
Referral & Consultation
Your treating doctor (cardiologist, oncologist, gynaecologist, or GP) refers you to our IR team, or you may self-refer. The IR physician reviews your imaging and clinical reports.
Day 1
2
Pre-Procedure Assessment
Blood tests (coagulation, kidney function), allergy screening for contrast dye, and anaesthesia review. Fasting instructions provided. Most can be done as outpatient.
1–3 days before procedure
3
The Procedure
Performed in our dedicated angiography suite under real-time imaging. A small skin nick (2–3 mm) provides access. Most procedures take 45–120 minutes. You'll be awake with sedation or under general anaesthesia depending on the procedure.
Procedure day
4
Recovery & Observation
Post-procedure monitoring for 4–6 hours. Vital signs, access site check, and pain management. Most patients go home the same day or next morning.
Same day / next morning
5
Follow-Up Imaging
Scheduled follow-up at 1 week, 1 month, and 3 months depending on procedure type to confirm technical success and monitor outcome.
1 week – 3 months post-procedure

Interventional Radiology Doctor
H2 line

What is interventional radiology and how is it different from diagnostic radiology? +
Diagnostic radiology reads and interprets images; interventional radiology uses those same images as live guidance to perform treatments. While a diagnostic radiologist tells your doctor "there is a blocked artery," an interventional radiologist opens that blocked artery using a catheter — all through a tiny skin puncture.
Will I feel pain during the procedure? +
Most IR procedures are performed under local anaesthesia with intravenous sedation, meaning you will be comfortable and drowsy but not fully unconscious. You may feel mild pressure but should not feel sharp pain. Complex procedures like TIPS are done under general anaesthesia. Our team discusses the anaesthesia plan with you beforehand.
Is there radiation exposure during IR procedures? +
IR procedures use X-ray (fluoroscopy) which does involve radiation. However, our team uses the lowest dose possible (ALARA principle), lead shielding, and modern dose-reduction technology on our biplane flat-panel system. The diagnostic and therapeutic benefit far outweighs the small radiation risk in all indicated procedures.
Can I eat or drink before an IR procedure? +
In most cases, you should fast (nothing to eat or drink) for at least 4–6 hours before the procedure if sedation is planned. Your IR nurse coordinator will give you specific written fasting and medication instructions when your appointment is confirmed.
How do I know if I need an IR procedure or surgery? +
This decision is made jointly by your referring specialist and our IR team, often in a multidisciplinary meeting. Factors like tumour size, vessel anatomy, bleeding source, and your overall health status determine the best approach. In many cases, IR is preferred because it achieves equivalent results with significantly less risk.

Emergency Vascular or Bleeding Intervention?

Our 24/7 IR suite handles emergencies including acute stroke intervention, post-trauma haemorrhage, GI bleeds, and acute limb ischaemia. Every minute matters — call immediately.