Department of Interventional Radiology
About
Program Overview
Our team is an experienced and collaborative group that is ready to listen and provide the most advanced multidisciplinary care. Our inpatient service provides efficient consults and communication with patients, families and inpatient multispecialty teams. Our freestanding outpatient clinic provides easy access for referring patients and continuity of care with a dedicated clinical team.
Virginia Tech Carilion Partnership
Third- and fourth-year medical students spend time rotating through IR while on their core radiology rotation. Third- and fourth-year medical students interested in more hands-on experience have the opportunity for dedicated two-week and four-week rotations as well as a four-week acting internship. In collaboration with the Internal Medicine residency program, second- and third-year Internal Medicine residents can gain hands-on experience with paracentesis, thoracentesis and lumbar punctures with dedicated one- and two-week IR rotations.
Mission, Goals and Strengths
Our team is service focused and committed to providing multidisciplinary care to the same level found at urban academic medical centers. Our physicians take care of patients as a team, affording most patients the focus and dedication of not just one, but multiple IR physicians who can collaborate to provide the best care possible.
Message from Leadership
Department specs
Two single-plane angiography suites, two biplane angiography suites, one dedicated CT scanner, one multipurpose fluoroscopy suite for pain management, multiple ultrasounds, thermal ablation hardware, dedicated pre-procedure and post-procedure recovery space and dedicated outpatient clinic for continuity of care.
Services
- Interventional Oncology: chemoembolization, radioembolization (Y90), microwave and cryoablation
- Peripheral arterial disease management including arteriogram, angioplasty, stenting, atherectomy, recanalization, thrombolysis and thrombectomy
- Aortic endoleak embolization
- Deep venous thrombosis treatment, including angioplasty, stenting, recanalization, thrombolysis and thrombectomy
- Pulmonary artery embolism treatment, including catheter-directed pulmonary thrombolysis and thrombectomy
- Venous access
- Dialysis access interventions
- IVC filter placement
- IVC filter removal including complex IVC filter removal
- Pulmonary arterial venous malformation (AVM) embolization
- Gastrointestinal bleeding embolization
- Gastrostomy and gastrojejunal tube placement
- Transjugular intrahepatic portosystemic shunt (TIPS)
- Balloon-occluded retrograde transvenous obliteration of gastric varices (BRTO)
- Biliary and gallbladder drainage
- Nephrostomy tube placement and ureteral stenting
- Prostate artery embolization
- Varicocele embolization
- Uterine fibroid embolization
- Ovarian vein embolization
- Kyphoplasty and vertebral augmentation
- Angiography and embolization for traumatic bleeding, including liver, spleen, pelvis and other organs
- Longitudinal patient management in a dedicated outpatient IR clinic
- Pain management, including joint injections, epidural steroid injections, celiac and splanchnic nerve blocks and ablation
Clinical Interests
- Interventional Oncology
- Catheter-directed therapy and thermal ablation for cancer
- Pulmonary embolism
- Deep venous thrombosis
- Peripheral arterial disease
- Cirrhosis
- Portal hypertension
- Biliary disease
- Challenging venous access
- Kidney stones
- Uterine fibroids
- Prostate hypertrophy
Conditions Treated
- Cancer: liver, kidney, breast, lung and others
- Peripheral arterial disease
- Aneurysm
- Aortic aneurysm endoleak
- Deep venous thrombosis
- May-Thurner syndrome
- Paget-Schroetter syndrome
- Pulmonary embolism
- Challenging venous access
- Cirrhosis
- Portal hypertension
- Biliary obstruction
- Kidney stones and obstruction
- Uterine fibroids
- Pelvic congestion syndrome
- Testicular varicocele
- Osteoid osteoma
- Gastrointestinal bleeding
- Chronic and cancer-related pain
- Abscess
- Pleural effusion
- Ascites
Awards
- Tom Bishop, MD: 2019 Roanoker Magazine - Radiologist of the Year
- Sarah Thomas, MD: 2019 Carilion Clinic Shine Award - Power of Positivity, 2018 Roanoker Magazine - Best Radiologist Bedside Manner, 2017 Carilion Clinic - Radiology Educator of the Year
- Joseph Hughes, MD: 2018 Carilion Clinic Quality Award - Interventional Radiology Biopsy Orders Process Improvement team
- Amy Ostermann, PA-C.: 2016 Carilion Excellence Award
- Chris Allen, PA-C.: 2015 Best Preceptor to Jefferson College of Health Sciences
