Venous Procedures

IVC filter placement

The IVC, or inferior vena cava, is the large vein that carries blood to the right atrium of the heart from the middle and lower body. IVC filters are replaced in order to prevent massive pulmonary embolisms. IVC filter placement is done by an interventional radiologist with the help of fluoroscopic guidance.

Symptoms

Symptoms of pulmonary embolisms can include chest pain, red or discolored skin on the leg, lightheadedness, clammy skin, increased heart rate, and coughing with or without bloody mucus.

Risk Factors

Risk factors of these embolisms include obesity, smoking, having recent trauma to a vein, having had severe injuries to the hips or thigh bone, high blood pressure, and being over 60.

Before Your Exam

Before IVC filter placement, discuss all medications you are currently taking, including vitamins and supplements. You may be asked to stop taking certain medications, like blood thinners, prior to the procedure. If you smoke, you will need to stop prior to the procedure. You may be asked to refrain from eating or drinking the night before your exam.

Time required for your exam

IVC filter placement typically takes 30 to 60 minutes.

Venous Procedures

Varicocele devascularization

This venous procedure treats varicose veins in the scrotum, called varicoceles. During the procedure, patients are lightly sedated and a catheter blocks the varicocele-causing veins, redirecting blood to healthy veins. This procedure helps to improve sperm quality and relieve pain in men.

Symptoms

Symptoms of varicoceles include a lump in one or more testicles, swelling in the scrotum, visibly large veins on the scrotum, and a dull, recurring pain in your scrotum.

Risk Factors

While there are no obvious risk factors for varicoceles, men commonly develop them during puberty. Being overweight may also be a risk factor.

Before Your Exam

To prepare for varicocele devascularization, talk to your radiologist about any medications you are taking and follow their advice on which to stop before the procedure. Be sure to bathe and shave the area prior to the procedure. Refrain from eating or drinking eight to 12 hours before. Arrange for someone to drive you home after.