Dr Somsharan Shankerappa Betgeri

Interventional procedures done independently

Non vascular

1) Ultrasound guided drainage procedures: pigtail drainage of chest empyema, liver abscess, subdiaphragmatic abscess, psoas abscess, pancreatic pseudocyst, biloma etc Trans rectal and transvaginal drainage of deep pelvic abscess

2) Ultrasound guided FNAC / Biopsy : Breast mass, Thyroid, Lymph node, GB mass, Liver mass, Retroperitoneal mass, Mesenteric mass, Mediastinal mass, Renal Biopsy, Liver Biopsy, TRUS guided prostate biopsy, PAIR theraphy for liver hydatid cyst and lymphocele Fiducial implant in breast, prostate and liver SOL

3) Percutaneous cholecystostomy including cystic duct stenting, Cholangioscopy and stone retrieval

4) Percutaneous nephrostomy and antegrade DJ Stenting

5) CT guided FNAC and biopsy of vertebral, paravertebral, mediastinal, and retroperitoneal mass

6) Radiofrequency / Microwave / Cryoablation ablation of hepatocellular carcinoma, liver metastases, renal cell carcinoma ,lung nodule, Thyroid nodules, Osteoid osteoma, Osteoblastoma including bone metastases

7) Percutaneous transhepatic biliary drainage (PTBD), external drainage, internal drainage, rendezvous and stenting in malignant biliary obstruction due to carcinoma gall bladder and cholangiocarcinoma, balloon dilatation with stone clearance of hepaticojejunostomy stricture, biliary anastomotic stricture post liver transplant, Percutaneous hepatico gastrostomy, PEG tube insertion, Percutaneous cholangioscopy and CBD stone retrieval, Percutaneous repair of iatrogenic CBD transection

8) Percutaneous endobiliary radiofrequency ablation in cholangiocarcinoma

9) MSK interventions including barbotage in calcific tendinitis, percutaneous steroid and PRP injection

10) Pain management including nerve block, celiac plexus block, stellate ganglion block, trigeminal neuralgia, lumbar sympathetic plexus block in claudication pain in peripheral arterial disease

Vascular

1) Mechanical Thrombectomy in acute ischemic stroke including Carotid Stenting and Intracranial atherosclerotic disease (ICAD) Stenting Vertebro basilar thrombectomy Thrombectomy in cerebral venous thrombosis (CVT)

2) Intracranial aneurysm coiling including embolization in AVM and CCF Embolization in Carotid body tumor, bleeding nasopharyngeal carcinoma, carotid blow out and epistaxis

3) Bronchial artery embolisation in hemoptysis, Embolization of pulmonary AV malformation and aneurysm Mechanical thrombectomy with PENUMBRA and INARI device in acute pulmonary embolism

4) Transarterial chemo embolisation in hepatocellular carcinoma and liver metastases (TACE) including DEB TACE, Hepasphere and TARE (Radioembolization)

5) Angioplasty, stenting, thrombectomy in mesenteric ischemia

6) Embolisation in acute gastro intestinal bleed, liver, pancreas, spleen, mesenteric, colonic diverticula and renal bleed with gelfoam, PVA particles, coil and glue

7) Hemmoroidal artery Embolization in piles

8) Liver cirrhosis and portal hypertension related interventions including,Hepatic venous pressure gradient estimation (HVPG),Transjugular liver biopsy (TJLB), Transjugular intrahepatic porto systemic shunt creation (TIPS), Balloon occluded retrograde transvenous obliteration of gastric varices (BRTO), PVR TIPS in Portal vein thrombosis and EHPVO, Parallel TIPS in recureent refractory ascites Percutaneous transhepatic portal and splanchinc vein thrombolysis, Recanalisation of hepatic vein and IVC in Budd chiari syndrome Pre operative portal vein embolization before hepatectomy

9) IVC filter placement and retrieval, Aspiration Thrombectomy using PENUMBRA and INARI devices in lower limb DVT,May thurner,IVC thrombosis and acute pulmonary embolism

10) Angioplasty and thrombolysis of thrombosed dialysis AV fistula, Permacath insertion, Venoplasty and thrombectomy in central venous thrombosis and stenoses Percutaneous collateral vein ligation

11) Uterine artery embolisation in fibroid, PPH, adenomyosis Internal iliac artery balloon occlusion in placenta accreta Embolization in pelvic congestion syndrome

12) Prostatic artery embolization in BPH and Ca Prostate Varicocele embolisation in scrotal pain and infertility

13) Peripheral thrombectomy, thrombolysis, angioplasty and stenting including atherectomy in acute and chronic lower limb ischemia in patients with claudication pain and non healing ulcer Also pedal access interventions in infrapopliteal disease including pedal arch recnalization

14) Varicose vein ablation including sclerotheraphy

15) Lymphangiogram with Thoracic duct embolization in chylous leak including stenting

16) Interventions in post liver and renal transplant related complications

17) Endovascular repair of aortic aneurysm and dissection