BY MAYFAIR DIAGNOSTICS

Minimally Invasive Interventional Management

In selected patients—especially those with large (extending into the pelvis), acute (< 14 days old), or symptomatic clots (not getting better with medical therapy)—interventional management may be recommended to rapidly restore blood flow. Our goals are primarily to reduce the risk of long-term complications such as moderate to severe post-thrombotic syndrome, limb threatening ischemia and reduce acute pain

During the procedure, an interventional radiologist advances needles through the back muscles and into the broken bone under Xray guidance. They then gently lift the collapsed part of the vertebra with a tiny balloon and then fills the space created with a special medical cement to stabilize the bone and restore some height. It usually takes less than an hour, uses local or light general anesthesia, and most patients go home the same day.

These treatments are performed through a small puncture in the neck, groin or behind the knee and are guided by advanced imaging, completely avoiding major surgery.

Interventional options may include:

  • Catheter-directed thrombolysis: delivering clot-dissolving medication directly into the clot
  • Mechanical thrombectomy: using specialized devices to remove the clot
  • Venous stenting: when vein narrowing or compression contributes to clot formation
  • IVC filter placement (in select situations): to reduce the risk of clots traveling to the lungs when anticoagulation is not possible
  • People with long-term knee pain from osteoarthritis who haven’t had enough relief from medicines, injections, physical therapy, or other non-surgical treatments
  • Patients who want to avoid or delay knee replacement surgery
  • Those with recurrent knee pain caused by persistent bleeding into the joint.

Related in Women's Health

Pelvic Congestion Syndrome Treatment

  • Evaluation and treatment of symptomatic pelvic varicosities through a multidisciplinary pathway.

Uterine Artery Embolization

  • Catheter-based embolization reduces fibroid blood supply, helping shrink fibroids and improve symptoms over time.

Book or inquire about this procedure

Mayfair’s interventional radiologists perform general IR procedures at Rockyview General Hospital and interventional vascular procedures at the Peter Lougheed Centre in Calgary.