Interventional Radiology-Operated Endoscopy as an Adjunct to Image-Guided Interventions

Publication date: Available online 20 March 2018
Source:Current Problems in Diagnostic Radiology
Author(s): Rajiv N. Srinivasa, Jeffrey Forris Beecham Chick, Kyle Cooper, Ravi N. Srinivasa
Interventional radiology-operated endoscopy is an underutilized technique which may have a significant impact on the ability to treat patients with a variety of conditions. Interventional radiologists are in a unique position to implement endoscopy into routine practice given the manual dexterity and hand-eye coordination already required to perform other image-guided interventions. When used in combination, endoscopy adds an entirely new dimension to the fluoroscopic-guided procedures of which interventional radiologists are accustomed. A number of new and innovative interventions may be performed in the biliary, genitourinary, and gastrointestinal systems through percutaneous access that interventional radiologists already create. Although other specialists traditionally have performed endoscopic interventions and local politics often dictate referral patterns, a collaborative relationship amongst these specialists and interventional radiology will allow for improved patient care. A concerted effort is needed by interventional radiologists to learn the techniques and equipment required in order to successfully incorporate endoscopy into practice. The article presents the setup, equipment, and potential clinical uses of interventional radiology-operated endoscopy.



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