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Department of Invasive Radiology

Invasive radiology is a branch of medicine using X-Ray radiation and contrast agents, as well as ultrasonography, to perform diagnostic examinations and endovasal surgeries.

Patients of in-patient department or day patient facility with a referral from a specialist, general practitioner or after invasive radiologist’s consultation may undergo angiographies. Registration by phone 67000610 or 67042667. Invasive surgeries are carried out for patients of the in-patient department, as well as for patients of the day patient facility in certain cases.

Examinations:

  • Examination of the aorta and its branches (aortography);
  • Examination of arteries of arms, legs, stomach, and head (angiography);
  • Invasive examination of veins (phlebography);
  • Invasive examination of bile ducts (percutaneous transcatheter cholangiography – PTCC);
  • Punctures of neoplasms and organs under ultrasound control;
  • Punctures of neoplasms and organs by using a special programme of the angiography equipment.

Surgeries:

  • Endovasal treatment of uterine myomas.
  • Endovascular therapy of pelvic congestion syndrome.
  • Minimally invasive endovascular treatment of critical metrorrhagia.
  • Expansion of blood vessels (arteries or veins) by using a specialized ball-shaped catheter and a blood vessel prosthesis – placing a stent in a damaged blood vessel (percutaneous transluminal angioplasty – PTA, stenting) – for patients with the following conditions:
  • Significant narrowing of arteries of the head or neck, delamination of the arterial wall, as well as for patients with the narrowing of these arteries over 80%;
  • Significant narrowing of arteries of the stomach, arms, and legs; delamination of the arterial wall or complete occlusion of the artery;
  • Diabetes mellitus related and non-healing leg ulcers with significant narrowing of fine leg arteries or complete occlusion of the artery;
  • Non-compensated chronic renal failure and low dialysis result caused by the narrowing, occlusion of the dialysis fistula.

Blood vessel occlusion (embolization) with a special, non-allergic material (EVE) for patients with the following conditions:

  • Mass expansion of arteries of arms, legs, abdominal cavity, and head (aneurism);
  • Arteriovenous malformations or fistulas of arteries of arms, legs, abdominal cavity, and head;
  • In case of tumours or prior to the surgery;
  • Chemo-embolization of malignant tumours of the liver and metastases in the liver;
  • Bleeding from genital ducts, for patients with a uterine myoma or in case of uncontrolled bleeding after childbirth;
  • Bleeding from urinary tracts;
  • Acute bleeding of the stomach or intestinal tract;
  • In case of massive bleeding as a result of trauma;
  • In case of bleeding from the respiratory tract (nose, bronchi, lungs).

Dissolution of blood vessel clots (intra-arterial thrombolysis) for patients with sudden occlusion of the blood vessel or blood vessel prosthesis by a clot.
Placement of a clot filter in the vena cava for patients with the following conditions:

  • Deep vein thrombosis and high risk of pulmonary arterial thromboembolism (PATE);
  • Repeated pulmonary arterial thromboembolism (PATE) and ineffective and insufficient medicinal treatment;
  • In case of serious trauma with long bed rest.

Correction of narrowing or occlusion of the bile duct system through skin (percutaneous transhepatic cholangioplasty) for patients with the following conditions:

  • Benign jaundice (postoperative adhesion of bile ducts, strictures);
  • Malignant jaundice (in case of neoplasms of the bile ducts, liver, pancreas).

Correction of portal hypertension in case of liver cirrhosis (transjugular intrahepatic portosystemic shunts – TIPS) for patients with the following conditions:

  • Decompensated liver cirrhosis and repeated bleeding from the oesophagus or stomach veins;
  • Decompensated liver cirrhosis and drug-resistant ascites or hydrothorax.

Specialists:

Head of the Department: Svetlana Rudņicka

Responsible nurse: Aija Lazdāne

Radiologists/diagnosticians:

Svetlana Rudņicka, chief physician in invasive radiology, specializes in invasive radiology, invasive neuroradiology and blood vessel pathologies, as well as invasive ultrasonography. CompletedCompleted trainingin France, Germany, Sweden, Denmark, and Czech Republic;

Andrejs Bernšteins, specializes in invasive radiology and blood vessel pathologies, completed completed trainingin Russia.

Aina Kratovska, invasive radiologist;

Vascular surgeon Patrīcija Ivanova, specializes in blood vessel pathologies and invasive radiology. CompletedCompleted trainingin Spain, Italy, Portugal, and Germany.


FOR INFORMATIVE BOOKLET “HOW TO TREAT UTERINE MYOMA” SEE HERE (latvian language).


The specialists of the department participate in the training of students and residents of the Faculty of Medicine of Riga Stradiņš University in the field of radiology. All employees participate in the sessions of the professional association and international congresses and workshops. International cooperation with the following organisations:

  • Limoges University Hospital, France
  • HMB, University Hospital, Reims, France
  • Odense Universitetshospital, Denmark
  • Park-krankenhaus, Leipzig, Germany
  • SRH Zentralklinikum Suhl, Germany
  • University Hospital Hradec Kralove, Chech Republic
  • Hospital de Bellvitge, Barcelona, Spain
  • Hospital de Vall d’Hebron, Barcelona, Spain.

  • Head of the Department Svetlana Rudņicka
  • Andrejs Bernšteins, specializes in invasive radiology and blood vessel pathologies, completed completed trainingin Russia
  • Aina Kratovska invasive radiologist
  • Tarun Kakkar radiologist/diagnostician
  • Līga Alksne, radiologist assistant
  • Head nurse Aija Lazdāne
  • Vera Matule, radiologist assistant
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Last update: 2014.09.12 - 17:10