Image-guided surgery
Minimally invasive surgery
guided by imaging
Image-guided procedures across endovascular surgery, embolisation therapy and non-vascular care.
Ultrasound, fluoroscopy and CT allow instruments to be directed to the area being assessed or treated. The procedure directory below is organised by clinical area.
Endovascular surgery
- Diagnostic angiography
- Catheter-based imaging of the arterial circulation.
- Peripheral arterial angioplasty and stenting
- Balloon dilatation and stent placement for peripheral arterial disease.
- Aortic and iliac aneurysm repair (EVAR)
- Endovascular stent-graft procedures for selected aortic and iliac aneurysms.
- Arterial thrombectomy and catheter-directed thrombolysis
- Catheter-based clot removal or thrombolysis for arterial occlusion.
- Visceral artery angioplasty and stenting
- Endovascular procedures involving renal and mesenteric arteries.
- Diagnostic venography
- Imaging to assess venous anatomy, obstruction and collateral pathways.
- Catheter-directed thrombolysis for DVT
- Targeted delivery of thrombolytic medication within a thrombosed vein.
- Mechanical venous thrombectomy
- Catheter-based removal of clot in selected cases of venous thrombosis.
- Iliocaval and deep venous recanalisation and stenting
- Procedures to restore flow through narrowed or obstructed deep veins.
- Inferior vena cava (IVC) filters
- Insertion and retrieval of vena cava filters.
- Pulmonary embolism intervention
- Catheter-directed thrombolysis and mechanical thrombectomy for selected pulmonary emboli.
- Tunnelled central venous catheters
- Long-term venous access for treatment and supportive care.
- Implantable venous access ports
- Placement of implanted ports for repeated intravenous treatment.
- Complex PICC placement
- Image-guided peripherally inserted central catheter placement when access is difficult.
- Haemodialysis catheter placement
- Tunnelled and non-tunnelled venous catheters for haemodialysis access.
- Central venous recanalisation for access
- Restoring access through selected narrowed or occluded central veins.
- Catheter revision and intravascular foreign-body retrieval
- Exchange, repositioning and retrieval of selected retained catheter fragments.
- Fistulography
- Contrast assessment of arteriovenous fistulas and dialysis grafts.
- Fistuloplasty
- Balloon dilatation of stenoses affecting fistula or graft function.
- Dialysis-access thrombectomy and thrombolysis
- Clot removal and thrombolysis for selected thrombosed fistulas or grafts.
- Stent and stent-graft interventions
- Stent placement for selected dialysis-access stenoses or complications.
- Central venous outflow intervention
- Angioplasty and stenting for selected central venous obstruction affecting access.
Embolisation therapy
- Gastrointestinal haemorrhage embolisation
- Targeted arterial embolisation for gastrointestinal bleeding.
- Traumatic and post-operative bleeding
- Embolisation of selected bleeding vessels following injury or surgery.
- Uterine artery embolisation (UAE)
- Embolisation for selected patients with fibroids or adenomyosis.
- Prostatic artery embolisation (PAE)
- Embolisation for selected patients with benign prostatic enlargement.
- Pelvic vein embolisation
- Embolisation of selected abnormal pelvic venous pathways.
- Varicocele embolisation
- Catheter-based occlusion of veins contributing to a varicocele.
- Bronchial artery embolisation
- Embolisation for selected cases of bleeding from the bronchial circulation.
- Visceral aneurysm and pseudoaneurysm embolisation
- Targeted occlusion of selected aneurysms and pseudoaneurysms.
- Endoleak embolisation
- Embolisation of selected persistent aneurysm-sac perfusion following EVAR.
- Accessory vein embolisation
- Embolisation of selected accessory veins affecting fistula maturation or function.
Non-vascular interventions
- Image-guided tissue biopsy
- Ultrasound- or CT-guided tissue sampling of selected lesions.
- Abscess and fluid collection drainage
- Image-guided percutaneous drainage of selected abscesses and fluid collections.
- Percutaneous transhepatic cholangiography (PTC)
- Image-guided access and contrast imaging of the bile ducts.
- Percutaneous biliary drainage (PTBD)
- Internal or external drainage for selected biliary obstruction or leaks.
- Biliary stent placement
- Placement of stents across selected bile duct strictures or obstruction.
- Biliary stricture dilatation (cholangioplasty)
- Balloon dilatation of selected narrowed bile ducts.
- Percutaneous cholecystostomy
- Image-guided drainage of the gallbladder.
- Percutaneous biliary stone intervention
- Image-guided approaches to selected bile duct stones.
- Biliary drain exchange and leak management
- Drain assessment, exchange and image-guided management of biliary leaks.
- Image-guided liver biopsy
- Percutaneous or transjugular approaches to liver tissue sampling.
- Percutaneous nephrostomy
- Image-guided placement of a drainage catheter into the kidney collecting system to relieve urinary obstruction.
- Antegrade ureteric stenting
- Placement of a ureteric stent through percutaneous kidney access to bypass selected ureteric obstruction.
- Nephrostomy exchange and replacement
- Assessment, planned exchange and replacement of existing nephrostomy catheters.
- Antegrade nephrostography
- Contrast imaging through a nephrostomy to assess the collecting system, ureter and urinary drainage.
Clinical enquiries
Discuss a procedure
or referral
Suitability depends on the clinical assessment, imaging and available alternatives. Private practice locations and referral arrangements are being developed.