Liver/Stomach/Urinary Tract West Houston Radiology Interventional Radiology and Vascular Services and Procedures Biliary Interventions Dialysis and Access Interventions Gastrostomy Genitourinary Interventions Liver Biopsy Transjugular Intrahepatic Portosystemic Shunt (TIPS) Interventional radiology offers a multitude of image-guided, minimally invasive procedures encompassing many different organ systems and disease processes. Many of the procedures can be comfortably performed in an outpatient setting with moderate sedation, and eliminate the need for more invasive, open surgeries with general anesthesia. Biliary Interventions – Stents or draina can be placed under x-ray and ultrasound guidance across blockages within the biliary tract. Dialysis and Venous Access Interventions – Dialysis catheters along with all methods of venous access can be placed under ultrasound and x-ray guidance. Gastrostomy – Feeding tubes and drainage tubes can be placed into the stomach with x-ray guidance. Genitourinary Interventions – Drainage catheters and stents can be placed within the kidneys and bladder under x-ray and ultraound guidance. Liver/Solid Organ Biopsy – Utilizing CT or x-ray guidance, liver and solid organ biopsies can be performed safely. Transjugular Intrahepatice Portosystemic Shunt (TIPS) – In cases of advanced liver disease, fibrosis can prevent the normal passage of blood from the portal vein to the heart, leading to dilated veins- varices, or fluid build-up in the abdomen- ascites. A bypass stent can be placed through the liver using catheters advanced from the jugularving in the neck under x-ray guidance.