1.Biopsy: Interventional Radiology could be a simple procedure like taking a biopsy. This is done with the ultrasound or CT scanner so that the expert can see the needle. The needle is set perfectly in the tumor and the risk of biopsy is very subdued. The identical procedure can be used to remove pus or blood that has collected in the chest or abdomen. Following CT or US guidance a catheter can be put into the collection. A simple procedure that protects the patient from major surgery.

2.Angioplasty: On the Digital subtraction angiography, the catheter is introduced inside the blood vessel to do the angiogram and can be used to manage many diseases. A blocked vessel can be opened with a catheter with a balloon.

3.Embolization: There are some situations where a vessel must be blocked as part of the treatment. When there are critical bleeding and blood exchange does not support, preventing the blood vessel from the center will save a life. This method is described Embolisation and is the chosen way of using GI bleeds due to Psuedoanerysms.

4.Chemoembolization: This is a way where the cancer medicine is injected right into the blood vessel going into the tumor. The common consequences of using cancer medicines can be avoided and specialists can guarantee that the tumor gets a high dose. This treatment choice is now being given to patients with liver cancer who cannot have surgery.

5.Radiofrequency Ablation: A likely new method for handling small (<4cm) hepatocellular carcinomas and metastasis from colorectal cancer. Radiofrequency Ablation means placing a 16G needle into the lesion under US or CT administration and allowing tumor ablation by heating.

Interventional radiology gives excellent benefits to patients who require diagnosis and therapy of disease and pain of all kinds. First, interventional radiology may be used to decide if a patient requires surgery while reducing the demand for exploratory surgery.

Additionally, interventional radiologists use the most diminutive invasive techniques possible, offering only small incisions when needed. This usually happens in more reliable and more efficient results than conventional surgery. And, because it is minimally invasive, patients typically experience less pain and some risks with a quicker improvement.

1.Less Pain:

With only small holes, interventional radiology permits patients to get diagnostic and therapeutic methods with considerably fewer pain than traditional surgery. This also indicates you won’t require stitches or long bandages as you heal.

2.Reduced Risk:

small incisions require only Interventional radiology procedures, It’s decreasing the uncertainty of disease or other difficulties. And, unlike conventional surgery, most methods do not need the patient to bear common anesthesia. Preferably, patients help from local anesthetics and sedation that prevents pain and gives them warm during their quick procedure. Also, interventional radiologists can lead to specific therapy straight to infected organs, arteries, and veins, decreasing the chance of damage to encompassing healthy body parts.

3.Faster Recovery:

Related to conventional surgery, patients who experience interventional radiology practice a quicker healing time, since most maximum systems need only a single, small hole. Most maximum interventional radiology procedures are performed in the outpatient setting, providing our patients to return home the same day they get treatment.

What are Varicose Veins?

Varicose veins are twisty protruding veins on the legs made by a raised in the whole venous pressure. They manage to get bigger and more violent with time and are usually worn typically making tired legs, itching, throbbing, anxiety, and aching. They can suffer particularly in the old after almost minor trauma.

The raised pressure usually makes skin loss and in many patients, actual ulceration of the skin happens which takes months to recover without appropriate treatment.

Dr. Yadav Munde is the best Interventional Radiology Consultant in Pune and is attached to almost all major hospitals in Pune i.e Ruby Hall, Jehangir Hospital, Aditya Birla Hospital, Niramaya Hospital, Lokmanya Hospital etc.Dr. Yadav Munde has performed over 5000 Interventional Radiological (Vascular and Non-Vascular) procedures to date. He is the best Vascular & Interventional Radiologist in Pune.

Dr. Yadav Munde, Consultant Interventional Radiologist recommends the following 2 types of non-surgical procedures for varicose or spider veins.

1) Laser Ablation Treatment (Non-surgical)/ Radiofrequency Ablation

Endovenous (or vein) ablation is a minimally invasive outpatient procedure for venous insufficiency that is made using ultrasound guidance. After using a local anesthetic to the skin above the vein, an interventional radiologist injects a thin tube called a catheter, about the size of a strand of spaghetti, into the abnormal saphenous vein. Through this catheter, laser or radiofrequency energy is used to the inside of the vein to seal it closed.

2) Sclerotherapy

To eliminate varicose veins and spider veins the medical procedure is used called Sclerotherapy. Sclerotherapy includes an injection of a salt solution directly into the vein. The solution burns the lining of the blood vessel, making it swell and hold together, and the blood to clot.

Varicose veins are enlarged, swollen veins that usually develop on the legs and feet. They occur when the valves in the veins do not work accurately, so the blood does not move efficiently.

The veins infrequently require treatment for health reasons, but if inflammation, aching, and sore legs result, and if there is significant discomfort, treatment is possible.

Oncology is a branch of medicine that deals with tumors. Oncology is concerned with the diagnosis of any cancer in a person (pathology), therapy (e.g. surgery, chemotherapy, radiotherapy, and other modalities), follow-up of cancer patients after successful treatment and palliative care of patients with terminal malignancies. Dr. Yadav Munde Provides awesome Non-Surgical Treatments for cancer in Pune.

Types of Minimally Invasive Onco Interventions:

1) Percutaneous interventions
2) Radiofrequency (RF) ablation
3) Cryoablation
4) Percutaneous ethanol injection (PEI)
5) Microwave ablation
6) Transarterial interventions
7) Transarterial chemoembolization (TACE)

Cancer patients often have to deal with severe side effects and psychological distress during cancer treatment, which has a substantial impact on their quality of life. Among psychosocial interventions for reducing treatment‐related side effects, relaxation and imagery were most investigated in controlled trials. In this study, meta‐analytic methods were used to synthesize published, randomized intervention–control studies aiming to improve patients’ treatment‐related symptoms and emotional adjustment by relaxation training. Mean weighted effect sizes were calculated for 12 categories, treatment‐related symptoms (nausea, pain, blood pressure, pulse rate) and emotional adjustment (anxiety, depression, hostility, tension, fatigue, confusion, vigor, overall mood). Significant positive effects were found for the treatment‐related symptoms. Relaxation training also proved to have a significant effect on the emotional adjustment variables depression, anxiety and hostility.

Additionally, two studies point to a significant effect of relaxation on the reduction of tension and amelioration of the overall mood. Intervention features of the relaxation training, the time the professional spent with the patient overall (intervention intensity) and the schedule of the intervention (offered in conjunction with or independent of medical treatment to the cancer patient) were relevant to the effect of relaxation on anxiety.

The interventions offered independently of medical treatment proved to be significantly more effective for the outcome variable anxiety. Relaxation seems to be equally effective for patients undergoing different medical procedures (chemotherapy, radiotherapy, bone marrow transplantation, hyperthermia). According to these results, relaxation training should be implemented into clinical routine for cancer patients in acute medical treatment. Palliative care is the care given to recover the quality of life of patients who have severe or life-threatening diseases, such as cancer. Palliative care is an advance to care that addresses the person as a complete, not just their disease. The aim is to prevent or treat, as early as likely, the symptoms and side effects of the disease and its treatment, in addition to any connected psychological, social, and spiritual problems.

Purpose of Central Venous Access Device

1. To infuse fluids (allows for large volume boluses)
2. No peripheral access
3. To infuse TPN
4. To infuse medications
5. To sample venous blood (when no peripheral access is available)
6. To provide a method for hemodynamic monitoring i.e.: right atrial and PA pressures(acute care setting)

Blood Vessels involved in Central Venous Therapy

1. basilic
2. cephalic
3. axillary
4. jugular
5. subclavian
6. innominate
7. These veins all lead
8. to superior vena cava

Central Venous Access Devices

1.Port-a-Cath

2.Hickmann Line

3.Short term central catheter

4.Peripherally Inserted Central Catheter

Dr. Yadav Munde is among a handful of Vascular Surgeon in Pune, who possess an additional qualification in Interventional Radiology and practice Interventional Radiology exclusively.

Known for his concise speak among colleagues and co-workers, Dr. Munde never hesitates to explain the MINIMALLY invasive procedures to patients.

Silent sinus syndrome (SSS) is a rare condition that can pose a diagnostic challenge. The patient may present with unilateral ptosis or retraction, a deep superior sulcus or orbital asymmetry. The medical history is often noncontributory. This condition is characterized by unilateral spontaneous enophthalmos and hypogeous due to increased orbital volume and retraction of the orbital floor. This occurs because of atelectasis of the ipsilateral maxillary sinus and when the condition is left untreated, it may result in complete obliteration of the sinus with worsening enophthalmos and hypogeous. The first two cases were reported in 1964, but the term “SSS” was coined 30 years later by Soparkar et al. Since that time, several case series have been published in both the ophthalmology and otolaryngology literature. To our knowledge, a number of these case reports in radiology literature are less and many radiologists remain unfamiliar with the syndrome and its characteristic radiological findings. In this article, we discuss the presentation, diagnosis, pathogenesis, and treatment of SSS.MRI of the patient was carried out for further evaluation and to rule out the underlying mass lesions. The T1- and T2-weighted images [Figures 2–4] showed downward displacement of the right orbital floor with a resulting increase in orbital volume. Right maxillary sinus was seen to be reduced in volume. However, it was completely opacified. There was also noted inward retraction of posterior and medial walls of the maxillary sinus which was causing a reduction in its volume [Figure 5]. So in view of clinical and imaging findings, the diagnosis of SSS was given. Computed tomography (CT) was not performed as MRI was sufficient as a diagnostic tool. The patient did not have any other complaints other than orbital asymmetry, so he refused to undergo functional endoscopic sinus surgery (FESS) or other therapeutic procedures.

Figure 2: Axial T2-weighted images MRI image showing fluid level in
right maxillary sinus with a reduction in its volume

Figure 4: Coronal fluid-attenuated inversion recovery (FLAIR) image
showing a reduction in the volume of the right maxillary sinus with inward
retraction of its walls

Figure 3: Sagittal T2-weighted images MRI image shows a reduction
in the volume of the right maxillary sinus with inward retraction of its walls

Figure 5: T1-weighted fat-saturated post-contrast MR image obtained
in the coronal plane displays inward retraction of posterior and medial walls
of the right maxillary sinus. There is also downward retraction of the orbital
floor into sinus lumen