AAR’s interventional radiologists are board-certified physicians who specialize in image guided, minimally invasive targeted treatments for vascular disease, cancer, aneurisms, uterine fibroids, infertility, pain management and many other complex medical conditions that once could only be treated with conventional surgery.

Treatments with interventional radiology involve the use of imaging technology to guide small devices, such as micro catheters, through arteries, blood vessels or other pathways inside the body to deliver targeted treatment or therapy at the source of the disease.

Our Interventional radiologists perform thousands of procedures annually at our partner hospitals, and many have consistently been voted by their peers to be ‘Top Doctors’ in Northern Virginia and Washingtonian Magazines.

First in the field

Our nationally recognized interventional radiologists have often been first in the field to offer new cutting edge treatments and technologies.  We were the first to perform peripheral and renal angioplasty, stent placement, and abdominal aortic stent graft. Additionally, we were first in the mid-Atlantic area to perform uterine fibroid embolization. Most recently, our team in partnership with Inova Alexandria Hospital was the first in the U.S. to enroll a patient in the SEATTLE II trial – a national tril involving 25 hospitals. The trial uses the EKOS EkoSonic® Endovascular Device which employs high-frequency, low-power ultrasound to deliver the clot-busting medication tPA to the arteries at the time of an embolism – it is truly revolutionary in the treatment of pulmonary embolism.

These minimally invasive procedures provide our patients the following advantages over conventional surgery:

  • Less risk
  • Less pain
  • Less recovery time
  • Less costly than traditional surgery

Meet our team of Interventional Radiologists

Vascular

  • Abdominal Aortic Aneurysm
  • Deep Vein Thrombosis(DVT) & Pulmonary Embolism (PE)
  • Peripheral Arterial Disease (PAD)
  • Stroke Prevention and Treatment
  • Varicose & Spider Veins

 

Women's Health:

  • Pelvic Congestion Syndrome
  • Fallopian Tube Blockage - Infertility
  • Uterine Fibroids

 

Men's Health:

  • Urology – Enlarged Prostate
  • Male Infertility

 

Cancer:

  • NanoKnife (Inova Alexandria Hospital)
  •  Radioembolization
  •  Chemoembolization
  •  Cryoablation
  •  Radiofrequency ablation
  •  Microwave ablation

 

Pain Management:

  • Kyphoplasty
  • Vertebroplasty
  • Joint, Epidural & Facet Injections

AAR’s interventional radiologists use aortic stent-graft repair for the non-emergency treatment of abdominal aortic aneurysm (AAA), a weakened area in the wall of the aorta. As blood flows through the aorta, the weak area bulges like a balloon and can cause a hemorrhage. Large aneurysms are life threatening and need to be repaired as soon as possible.

Through small punctures in the groin arteries, our  Interventional Radiologist will use tiny catheters and special wires to navigate through the inside of the arterial network and into the abdominal aorta. From the inside of the artery and under the guidance of x-rays, a special conduit called a stent graft is placed. The stent graft bypasses and depressurizes the aneurysm, thus eliminating the risk of rupture  Compared to open surgical repair, patients who undergo this procedure experience significantly less surgical complications, have significantly less post-operative pain, and undergo a significantly shorter hospital stayDuring aortic stent-graft repair, the interventional radiologist inserts a combination metal stent and surgical graft material into the aneurysm and expands it against the blood vessel wall. Blood then flows through the stent-graft, avoiding the weakened part of the vessel, and the aneurysm typically shrinks over time. This procedure requires only two small incisions, significantly less risk and a shorter and more comfortable recovery.

DVT (Deep Vein Thrombosis) is a serious medical condition that occurs when a blood clot forms in the deep veins, usually in the legs or pelvis, leading to either partially or completely blocked venous circulation. The condition can result in serious health complications, such as a pulmonary embolism (PE), which can even result in death. A PE occurs when a clot breaks loose and moves into the lungs, where it blocks the arteries.

Until recently, DVT was only treated by administering blood thinning drugs. As a result, patients were at risk for developing post-thrombotic syndrome, which can lead to years of leg discomfort.

Inova Alexandria Hospital was one of 25 facilities in the country participating in SEATTLE II, an FDA-approved clinical trial using the EkoSonic Endovascular System to treat pulmonary embolism. This high-tech, revolutionary minimally invasive treatment which allows the safe delivery of thrombolytics, such as tPA, to dissolve the clot is available and the procedure is performed by our vascular and interventional radiologists physicians at Inova Alexandria Hospital.

This non-surgical procedure has been clinically proven to be much safer and offer less risk of possible bleeding complications associated with the traditional use of clot-buster medications

Within a single setting, and in addition to anticoagulation therapy, our Interventional Radiologists are often able to remove the immediate threat and take a significant step in preventing the chronic consequences associated with DVT and PE.

Peripheral Arterial Disease (PAD) is a condition in which the arteries that carry blood to the arms or legs become narrowed or clogged with plaque, interfering with normal blood flow. Interventional radiologists can evaluate and treat the condition using angiography, ball angioplasty and stent placement, and thrombolytic therapy.

Carotid artery disease (CAD) is a condition where arteries that carry blood to the head and brain become narrow or clogged with plaque, increasing the risk of stroke. AAR’s vascular and interventional radiologists evaluate and treat the condition using the following techniques

Carotid angiography

Carotid angiography is an  exam to diagnose blockages, narrowing or other defects of the carotid artery,the large blood vessel in the neck that supplies blood to the brain. If a narrowing or blockage is found, we usually open it with angioplasty or thrombolysis.

Carotid artery stenting

An interventional radiologist uses a combination of balloon angioplasty and a stent implant to unblock and re-open the carotid artery, a major supplier of blood to the brain. While the lesion is stented during the procedure, an embolic protection system is used to collect plaque that could become dislodged and potentially cause a stroke. Carotid artery stenting may provide a preventive measure against stroke for patients with carotid artery disease who are ineligible for the current method of care.

Stroke thrombolysis

Although we usually use thrombolytic therapy for PVD or deep-vein thrombosis, we occasionally use this in treating patients having an acute ischemic stroke, restoring blood flow to the brain before incurring permanent damage.

Varicose veins are swollen veins which protrude in a rope-like manner under the skin. Veins return blood back to your heart and have one-way valves that prevent the blood from flowing backwards due to gravity. If the valves do not close properly, the blood will pool in that area of the vein. This abnormal collection of blood will push the vein walls outward, causing the vein to enlarge and bulge, commonly called a varicose vein.

Varicose veins affect one out of two people age 50 and older, additionally; approximately half of the U.S. has venous disease – 50 to 55% of women, and 40 to 45% of men. Of these, about 40% of women and men will have visible varicose veins.  People without visible varicose veins can still have symptoms.20 to women and men suffer from varicose veins.

While unsightly varicose veins create a cosmetic concern for patients, they also can cause legs to ache or swell. Legs may feel tired, heavy, or may develop a burning sensation as the day goes on. In more severe cases, varicose veins may cause the skin to change, resulting in eczema, ulceration or bleeding, and/or pigmentation changes

At our Advanced Interventional Vein and Vascular Center

we offer several office based minimally invasive treatment options for varicose veins and spider veins. – Please Call 703.824.3228 to schedule a free consultation.

Please click here  for more information on our interventional oncology services

Pelvic Congestion Syndrome

Varicose veins in the pelvis can produce constant, dull pain and pressure in the abdomen and back. We refer to this as pelvic congestion syndrome. Traditionally difficult to diagnose and treat, we can now do so using ovarian vein embolization— a new and highly effective minimally invasive procedure that shrinks the veins by blocking blood flow.

The interventional radiologist inserts a thin catheter through the neck, threading it into the swollen pelvic veins using X-ray guidance. They insert tiny coils to block the veins, cutting blood flow to the affected area and relieving painful pressure. The procedure takes about an hour and patients return to normal activities within two to three days.

Uterine Fibroids

Uterine Fibroid Embolization (UFE) is a minimally invasive procedure to treat fibroids, a uterine tumor. Our teams of interventional radiologists were among the first in the mid-Atlantic region to perform this targeted procedure for uterine Fibroids, and we have performed many thousands since then. Fibroids are the most common uterine tumor in the female reproductive system. These benign muscular tumors are found in 25-40% of all women and can cause significant symptoms, such as pelvic pain, heavy menstrual bleeding, cramping, and pressure on pelvic organs such as the urinary bladder and intestines.

Until recently, fibroids were typically treated by performing a hysterectomy (removal of the uterus). Today, one option of treatment involves our interventional radiologist guiding a small catheter through the femoral artery to the uterine arteries. Our physician then injects small inert particles to block the supply of blood to the uterine fibroids, ultimately causing them to shrink. The procedure has been performed on many thousands of women over the past 15 years with well documented success rates in medical literature.

Fallopian tube blockage – Infertility

Fallopian tube recanalization (FTR) is an innovative, non-surgical procedure to diagnose and treat blockages in the fallopian tubes. FTR requires no anesthesia or incisions and is highly successful in resolving a wide range of fertility problems.

In FTR, the interventional radiologist places a catheter in the uterus and injects X-ray dye to view the uterine cavity. If the physician detects a blockage, he or she will thread another catheter into the fallopian tube to open it. FTR typically takes less than an hour and most patients return to their normal activities the next day

Urology – Enlarged prostate gland

New - Prostate artery embolization (PAE) is a new treatment option for men with benign prostatic hyperplasia (BPH), also known as an enlarged prostate gland. This minimally invasive procedure can greatly reduce BPH symptoms, without the side effects of traditional prostate surgery.

During the procedure, a small, spaghetti-like catheter is placed via an artery in the right groin into the arteries that supply the prostate. Very small particles are injected into the prostate arteries to decrease blood supply to the prostate, thus reducing its size and symptoms

Most often, patients are discharged from the hospital 3 hours after the procedure, but sometimes it may be necessary to stay overnight.

For more information about this procedure, click here

Infertility

Varicocele embolization

Varicoceles, tangled blood vessels or varicose veins in the scrotum, are a major cause of male infertility. We treat varicoceles non-surgically with a procedure called varicocele embolization.

Your physician threads a catheter through a small skin incision and into the affected vein. They inject either a drug, a small balloon, or tiny metal coils, through the catheter to block off the varicocele. The swollen veins shrink, often resolving the infertility problem. In addition, varicocele embolization can be helpful when surgery has been unsuccessful.

Compression fractures – back pain and osteoporotic vertebral fractures

Our interventional radiologists can treat back pain and fractures in a number of ways, including stabilizing the bone through techniques like kyphoplasty, vertebroplasty, sacroplasty and through pain-relieving epidural steroid injections.

Kyphoplasty

AAR interventional radiologists use this minimally invasive image guided procedure to treat vertebral compression fractures.

Patients are given mild sedation through an IV inserted in the arm during the procedure. An interventional radiologist makes an incision near the compression fracture. A tube is placed into the vertebral body. A balloon tamp is then passed down the tube and then the balloon is inflated to restore the height of the vertebral body. Once the vertebrae has regained height a special cement injected into the space and the tube removed creating permanent support for the vertebrae.

Vertebroplasty

Our interventional radiologists uses vertebroplasty to stabilize compression fractures in the spine caused by osteoporosis.

Patients are given mild sedation through an IV. The physician inserts a needle about the size of a cocktail straw through the skin and into the fractured vertebra, using X-ray imaging to guide it to the correct spot. Special bone cement called poly-methylmethacrylate is injected into the bone to stabilize the fracture and prevent further collapse. This stops the pain caused by bone rubbing against bone. Vertebroplasty is most effective for acute fractures, some bone cancers and can often treat more than one vertebra at a time. The outpatient procedure takes one to two hours, depending on the number of bones treated.

Joint, epidural and facet injections

A facet injection is a minimally invasive procedure used as a therapeutic tool to relieve back pain. It also will help to determine the source of your pain - if it is coming from facet joints. Facet joints are small joints on the back of the spine that may be a major source of pain in some people. The period of pain relief following your injection is variable and unpredictable in each individual

An epidural or selective nerve root block is a minimally invasive procedure used as a therapeutic tool to relieve the pain you are experiencing in your lower back or leg. It also will help determine the source of your pain. A selective nerve block is performed when symptoms seem related to a single abnormality and when there is a need to assess which nerve is specifically responsible for your symptoms. The period of pain relief following injection is variable and unpredictable in each individual

Typically, your physician or health care provider will call directly to schedule an appointment or consultation for you.  If you have been asked to make your own appointment, please call the hospital you prefer to be seen by our physicians.  Please be sure you have your physician’s order and insurance information readily available to expedite the call. AAR’s interventional radiologists specialized in oncology or cancer care perform procedures at the following hospitals:

Inova Alexandria Hospital
4320 Seminary Road Alexandria,VA 22304
Map and interactive directions link
To schedule a consultation, please call 703.504.7950

Inova Mount Vernon Hospital
2501 Parker’s Lane
Alexandria, VA 22306
Map and interactive directions link
To schedule a consultation, please call 703.664.7171

Sentara Northern Virginia Medical Center
2300 Optiz Boulevard
Woodbridge, VA 22191
Map and interactive directons link
To schedule a consultation, please call 703.523.1980