Interventional Radiology and Fluroscopy Service - Oldham - Royal Oldham

Interventional radiology is based on the management of various diseases and conditions using image guidance for patients with cancers, vascular, gastrointestinal, urological, gynaecological, and respiratory diseases as well as other conditions.

Our interventional radiologists specialise in minimally invasive image guided treatments that have proven to be less risky, less painful with better recovery time compared to open surgery.

Our team includes Interventional radiologists, radiology nurses, specialist radiographers and health care assistants whose prime objective is to support patients and address their concerns holistically.

Our aim is to provide high quality care and individualised treatment using minimal invasive image guided procedures. We are dedicated to the continuous improvement of our interventional techniques and skills, as well as, the medical management of patients with cardiovascular, gastroenterology, urology, gynaecology and respiratory diseases. We also aspire to become successful trainers for future trainees.

We provide a 24-hour, non-residential, consultant led interventional radiology on-call service at Royal Oldham and North Manchester General Hospitals.

At Royal Oldham we have a dedicated interventional room with a GE Innova 4100, as well as, a state of the art hybrid suite (GE Discovery IGS 740) that facilitates complex endovascular procedures, which are undertaken in collaboration with vascular surgeons. We also have a new dedicated Fluoroscopy room with a Canon Ultimax-i.

Our interventional radiologists perform innovative treatments using state-of-the-art techniques in a variety of imaging modalities including fluoroscopy, computed tomography, and ultrasound.

Vascular disease

Arteriography
Angioplasty
Stenting
Arterial thrombolysis
Fistulograms

Vascular embolisation

Gastroenterology bleeding
Preoperative vessel occlusion (e.g. bony metastases prior to ORIF)
Fibroid embolisation
Testicular vein embolisation
Pelvic vein embolisation
Vascular malformation sclerotherapy and embolization

Venous Access and Thromboembolic Disease

Venous thrombolysis, angioplasty and stenting
Permanent and temporary vena caval filtration
Placement of PICCs, chest ports and tunnelled venous catheters

Percutaneous Biopsy

Image guided soft tissue biopsy
Percutaneous liver and renal biopsy
Trans jugular liver biopsy

Gastrointestinal

Placement and maintenance of gastrostomy and gastrojejunostomy feeding tubes
Paracentesis
Percutaneous drainage of abscesses and fluid collections
Stenting of malignant strictures: bile duct, oesophageal and intestinal
Barium Swallow/Meal and Contrast Swallow
Defaecating Proctogram
Water Soluble Enema

Urology

Nephrostomy insertion/exchange and Nephrostograms
Ureteral stents
Suprapubic drainage
Infertility – Varicocele embolisation
Percutaneous dialysis fistula and graft treatments
Urethrogram
Micturating Cystograms

Gynaecology

Uterine fibroid embolization
Pelvic pain (chronic)
Postpartum haemorrhage
Hysterosalpingogram

Respiratory

Percutaneous lung biopsy
Placement of chest drains
Superior Vena Cava Stenting

Paediatrics

Micturating Cystogram
Barium Swallow/meal

Musculoskeletal

Shoulder/Elbow/Wrist/Hip/Knee/Ankle Arthrogram

Speech & Language Therapy

Video Swallows

Head & Neck

Sialogram

Pain Management

Hydro-distentions

Supporting Endoscopy

Endoscopic Retrograde Cholangiopancreatography (ERCP)
Colonic Stents
Oesophageal Stents

Outpatient Procedures: What you need to know

On the day of your appointment you will report to the at the main x-ray reception and will be asked to take a seat in the waiting area until a member of staff comes to collect you. Depending on what type of procedure you are having done you may be required to get changed in to one of our hospital gowns. You will then enter our X-ray room where one of our consultants or advanced practitioners will explain the procedure to you. They may also ask you to sign a consent form and ask you a series of safety questions depending on the procedure. It is also important for you to mention at this stage if there is any possibility you may be pregnant.

After the procedure you may be given after care instructions with an information leaflet to take away with you. Our procedures are done using sterile techniques, however, you will also be advised that if you are having any invasive procedures there is a small risk that you may get an infection. Our staff will explain to you what symptoms to look out for and advise you to attend A&E if you feel concerned.

Day Case Procedures: What you need to know

Your radiology procedure will involve you being in the IR Day Case Unit for a number of hours and there are no facilities for your relatives or visitors to stay with you.

If you know that you will have difficulty communicating with the nurses and doctors, an interpreter will be booked and will attend the unit with you on the day. The elective access clerks will arrange the interpreter when your appointment is made. As per Trust policy, we cannot use a family member to interpret.

On the morning of your admission you may have a light breakfast with plenty of fluids to keep you hydrated. If sedation has already been discussed with you, you must not eat anything for six hours before your procedure. You may drink water up to two hours before your procedure. You will have been given instructions prior to your admission.

If you normally take any medication in the mornings please continue to take them unless you have been instructed not to take them. Your tablets and medications will be discussed with you during your pre-procedure telephone assessment and you may be asked to stop taking certain blood thinning tablets and diabetes medication.

What to bring with you

If you normally wear glasses, please make sure that you bring them with you so that you see and read the legal paperwork which must be signed on the day before you can have your procedure.
a paper or book to read whilst you are in the unit as there is no television facility.
all your medications including times that you take them and the dosage. Ensure all medications are in their original package/box.
any inhalers that you may be using.

On Arrival

On arrival you must report to the radiology main reception desk. A nurse will then be allocated to look after you and plan your care during your stay. The nurse will explain more about the unit, prepare you for your procedure, ensure all the relevant information is correct and answer any questions you may have.

Prior to your procedure you will meet the Consultant Interventional Radiologist and if you have not already done so, you will be asked to sign a consent form. You will also have a small plastic cannula (tube) placed in a vein in the back of your hand. This cannula is placed so that we have access to one of your veins should we need to administer any intravenous fluids in the event of any bleeding during or after the procedure. You will be asked to change into a hospital gown and paper pants prior to your procedure.

Please be aware that your admission time is not your procedure time. Once seen by the radiology nurse and radiologist on the day of your procedure, you may then have a wait of one to two hours before your procedure.

Your procedure will take place in the interventional x-ray room next to the IR Day Case Unit. You may be asked to walk into the room with the nurse that will be looking after you during your procedure. You will be assisted onto the x-ray bed where you will lie for the duration of the procedure. You will have a nurse looking after you throughout the procedure as well as the team of doctors, nurses and radiographers involved in the actual procedure.

After the Procedure

When your procedure is over you will be transferred straight on to your trolley in the intervention room and taken back to the radiology IR day case unit where you started your journey. You will then spend a period of recovery resting on the trolley whilst a nurse monitors your recovery from the procedure. You will spend between one and five hours in the IR day case unit depending on the procedure that you have had.

Before you are discharged home, you must feel well enough to go home and you must have completed the specified recovery period. You will have been offered a snack and hot/cold drink whilst you are recovering.

Discharge

When we are happy to allow you to go home, you may arrange for someone to come and collect you. It is essential that a responsible adult accompanies you home. You will be given some instructions to follow for the next 24 hours.

Hospital/Community Site: The Royal Oldham Hospital
Building name: Main Building
Ward/Department location: Ground Floor: X-Ray Department/Interventional Radiology Day Case Unit
Directions:

The Royal Oldham Hospital
Rochdale Road
Oldham
OL1 2JH

The Royal Oldham Hospital is located close to Oldham town centre, 8 miles north east of Manchester.

The car parks nearest the Main Entrance are 1 & 2

Your GP will refer you to a consultant with the relevant speciality for your issue. You will then have an appointment with your consultant who may refer you to have a series of tests done. Once all the results are gathered your consultant will then look at all the information and refer you to the Interventional Radiology Department to undertake a procedure. Your referral will be reviewed by a Consultant Interventional Radiologist who will decide if this procedure is an appropriate pathway for your treatment.