Group Florence Nightingale Hospitals Center for Interventional Radiology was awarded the “TheraSphere Center of Excellence” certificate in May 2016 with in the field of treatment with TheraSphere Yt-90 Radioembolization in liver tumors, an important application in interventional radiology.
Versatile and rigorous work of the expert team in radioembolization applications was awarded with ‘’Center of Excellence’’ certificate which is granted for only few centers in the world. In previous years, Northwestern Memorial Hospital/Chicago USA, Mount Sinai Hospital/New York-USA, University of Essen/Germany, Istituto Tumori/Milano-Italy and Centre Eugene Marquis/Rennes-France hospitals have been also entitled to receive this certificate. Thus, the superior service quality of our Interventional Radiology Center has been registered worldwide.
This certificate allows us to grant certificates to the physicians participating the domestic and international education and training programs at Center for Interventional Radiology.
Diagnosis of vascular obstruction such as vascular stiffness (atherosclerosis) and vasculitis (vein inflammation) by angiography and treatment with balloon angioplasty and/or stent is provided.
At our Center, it is possible to treat hemangioma (vascular ball) and vascular malformations (AVM) with angiography by embolization. Also, aneurysms of the brain (bubbles), aneurysms of the limbs (limb), aneurysms of the vessels of the internal organs (visceral aneurysms) and the main artery, aortic aneurysms, without the need for surgery, can be treated with embolization or special stents (endograft, cover stent, current-leading stent, etc.) accompanied by angiography.
At our Center, where leg varicose veins can be treated with laser, without surgery, other methods of diagnosis and treatment are listed as follows:
Treatment of life-threatening hemorrhages by endovascular (intravenous) embolization is among the important methods of interventional radiology.
Immediate treatment of hemorrhages in the gastrointestinal tract, lungs, vaginal, brain and internal organs, traumatic and post-operative bleeding is also life-saving. In this context;
• Hemorrhages in organs such as liver, kidney and spleen are precisely diagnosed and successfully treated.
Ultrasonography (USG), computed tomography (CT) or nephrostomy under scopy in urinary tract obstruction is of great importance for maintaining kidney health, especially in children and infants. It is more important for the patients with kidney transplant story. In this context;
In uterine fibroids, treatment with embolization, RF ablation and HIFU ablation is possible as an alternative to the surgery. Treatment methods of uterine fibroids without surgery is listed as follows;
Bone cement is injected into the collapsed vertebrae under computed tomography (CT) and/or scopy in the spine (vertebrae) collapses due to bone meltdown, trauma, and tumor. Thus, it is aimed at strengthening the spine, preventing the possible pressure on the spinal cord. In this context;
In recent years, problems such as having difficulty urinating due to prostate growth (benign prostatic hyperplasia) and thamuria at night may be cured without a surgery. By angiography, embolization (prostate artery embolization) is performed, the prostate is reduced and pressure on the lower urinary tract is prevented. Nonsurgical methods include;
Bile ducts obstructed due to cancer, postoperative complication or stones, disrupt liver function and damage the brain and kidney. Elevation of bile in the blood leads to a disruption of chemotherapy.
Within the scope of interventional radiology applications, a plastic inserted into the biliary tract and bile duct is removed with a thin catheter and the level of bile in the blood is lowered. In this method of treatment called “percutaneous biliary drainage”, the clogged segment can be opened with a balloon and/or stent apart from drainage,.
For the treatment of biliary obstruction, the following methods are applied:
Taking a sample from the thyroid nodule with a very thin needle under ultrasound (USG), and examining the sample histopathologically determines 95% whether the nodule has cancer. Non-cancer nodules can also be burned with a thin needle using the “Thyroid Nodule RF Ablation” method. RF Ablation, which refers to non-surgical intervention, leaves no traces on the neck and prevents the patient from being dependent on thyroid medicine afterwards.
Embolization of the fundus artery of the stomach instead of surgery in patients with a certain degree of obese (bariatric embolization); reduces the release of the appetite hormone “ghrelin” and helps the patient to lose weight. Minimal complications compared to gastric surgery is considered the primary advantage of this method of treatment.
• Embolization of the stomach artery may be performed with this method.
Abscesses in the abdomen and lung membranes, kidney cysts and hydatid liver cyst (dog cyst) treatment can be treated with aspiration-irrigation or catheter drainage.
“Locoregional cancer treatment”, targeted treatment, comes to the fore every day.
In the modern approach to oncological treatment, interventional oncology occupies an important place. With targeted chemoembolization, radioembolization and tumoral ablation, the chances of destroying cancerous tissue are increasing.
Interventional oncology is the focus of new technological treatment methods that can be used to reach cancerous tissue and carry out targeted treatment.
Applications in the field of diagnosis and treatment of interventional oncology are listed as follows:
Chemoembolization, which is being successfully applied at the Center for Interventional Radiology of the Group Florence Nightingale Hospitals, is a special embolization method performed with microspheres charged with chemotherapy drugs expresses. With this treatment, it is aimed to block the vessels that feed cancer (embolization) and to give chemotherapy drugs directly into the cancerous tissue.
Microspheres loaded with chemotherapy drugs remain in the cancerous tissue, gradually releasing the drugs. The procedure helps the cancerous tissue to remain under the influence of high doses of chemotherapy for a long time. Thus, chemotherapy drugs do not spread throughout the body, but remain only in the tumor.
Tumor ablation under general anesthesia is applied in the form of energizing by entering cancer tissue with a special needle accompanied by computed tomography (CT) and/or ultrasonography (USG). By the heat exchange of hot or cold heat generated with this energy, cancer tissue thermally damaged. Thus, the death of cancer cells occurs by burning or freezing. Tumor ablation, which does not require an incision, is done by entering through the skin as it is not a surgical method.
The main types of ablation therapy at our center are:
Group Florence Nightingale Hospitals Center for Interventional Radiology, stands out for the fact that it is among the 6 hospitals in the world by generating solution with radioembolization in patients with liver cancer and liver metastases that can not be cured with surgical treatment and chemotherapy.
This treatment, which uses high technology, is carried out with a disciplinary approach by experts, experienced interventional radiology and nuclear medicine experts working at our center. Our experts are also giving hope to our international patients with their knowledge and experience.
Radioembolization is carried out by injecting microspheres with radioactive substances into the cancer tissue through the vessels feeding cancer. Locoregional-local treatment method does not have systemic effects that spread throughout the body, as chemotherapy does. Therefore, the lack of side effects associated with radioembolization is noted as its most important superiority while using the radioactive substances to cure liver cancer and liver metastases.
Radioembolization therapy, successfully applied in the world for inoperable advanced liver cancers and metastases, does not delay the systemic treatment and chemotherapy of the patient, as well as some can be administered simultaneously with systemic therapy and chemotherapy.
Radioembolization therapy previously performed with radionuclide “Yitrium 90”, is now carried out with a new agent “Holmium 166” in our country for the first time after the Netherlands, Germany and Italy, with a joint study of the departments of Interventional Radiology and Nuclear Medicine
“Interventional oncology”, which has entered our lives as a result of the development of new technological methods of treatment of cancer in recent years, is the subgroup of interventional radiology that deals only with cancer.
Diagnostic biopsies and current targeted treatment methods of many cancers such as kidney, lungs, pancreas, liver cancers and liver metastases may be performed through interventional oncology.
In the multidisciplinary tumor board consisted by specialist doctors from different branches, targeted treatment protocols are set with a personalized treatment approach for the patients to be cured through interventional oncology.
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Group Florence Nightingale Hospitals Ltd UK 2020, all rights reserved.
Group Florence Nightingale Hospitals Ltd UK 2020, all rights reserved.