Information for Patients

Vascular Interventional Radiology

Malcolm K. Sydnor Jr., M.D.Many conditions that once required surgery can now be treated nonsurgically by an Interventional Radiologist. An Interventional Radiologist is a physician who sub-specializes in minimally invasive procedures using imaging guidance with x-ray, ultrasound, and CT.

The minimally invasive procedures offered by Interventional Radiology have less risk, less pain and less recovery time compared to open surgery.

Our interventional radiologists evaluate patients in their own clinics, work in conjunction with referring physicians to determine the optimal care for patients and, in instances, admit patients to an interventional radiology service in the hospital.

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We perform a variety of challenging vascular and non-vascular procedures. The IR section currently performs:

Peripheral vascular

  • Diagnostic peripheral and visceral angiograms
  • Arterial percutaneous transluminal angioplasty and stents for peripheral vascular disease, mesenteric ischemia, renal artery stenosis, and carotid artery stenosis.
  • Arterial thrombolysis
  • Arterial embolization for GI bleeding, trauma, and vascular injury
  • Intravascular foreign body removal

Cancer treatment and pain palliation

  • Liver tumor chemoembolizations (TACE)
  • Liver tumor Yttrium-90 radioembolization
  • Liver, kidney, and lung tumor radiofrequency ablation (RFA) and cryoablation
  • Ganglion ablation for visceral cancer pain
  • Cryoablation and RFA for painful bony metastases
  • Vertebroplasty and kyphoplasty for bone metastases

Liver disease

  • Percutaneous transhepatic biliary tube placement and stenting
  • Transjugular intrahepatic portosystemic shunt (TIPS)
  • Hepatocellular carcinoma and metastatic disease locoregional treatment with chemoembolization (TACE), Yttrium-90 glass beads (radioembolization), and thermal ablation (RFA and cryoablation)

Kidney Disease

  • Renal cell carcinoma radiofrequency ablation (RFA) and cryoablation
  • Angioplasty and stenting for renal artery stenosis
  • Percutaneous nephrostomy and nephroureteral stents
  • Angiomyelolipoma (AML) embolization

Venous Disease

  • Venous access including PortACath placement
  • Iliofemoral DVT thrombolysis
  • Permanent and retrievable IVC filter placement
  • Varicocele and pelvic varices embolization
  • Endovenous ablation of varicose veins
  • Ambulatory phlebectomy
  • Venograms
  • Venous percutaneous transluminal angioplasty and stents
  • Dialysis access including permacaths and AVF/AVG declots

Women’s health

Other treatments

  • Gastrostomy tube placement
  • Vertebroplasty and kyphoplasty for insufficiency fractures
  • Bronchial artery embolization for hemoptysis
  • Soft tissue ateriovenous malformation (AVM) embolization
  • Osteoid osteoma radiofrequency ablation
VCU Department of Radiology Virginia Commonwealth University VCU Medical Center