This department was started in August 1987, with 2 Siemens X-Ray machines. The 500 mA machines with image intensifier is used for conventional Radiography and special procedures like barium studies. IVP, Meyelograms etc. And the other is a mobile X-Ray unit (60 MA) for the bed side conventional plain X-Rays. The second phase of the development of vascular and Interventional Radiology was started first ever in Central India by Dr. Shrikant Kothekar in Oct. 1990. Interventional Radiology has now became a part of treatment of difficult situations. It can be called pin hole surgery/radiology since the procedure involves percutaneous needle puncture followed by guide wire, catheter introduction and manipulation under x-ray control. Following is the list of indications wherein Interventional Radiology steps in to help relieve condition Non-surgically.

• To relieve obstruction drainage and stenting in obstructive Uropathy and Jaundice.
• Fallopian tube recanalization in tubal blocks.
• To dilate narrowing of stenosis – Renal carotid and peripheral angioplasty.
• To control bleeding by occluding abnormal communication as in arteriovenous malformations & fistulae. Embolization in Hemoptysis / hematuria / Bleeding PR/PV etc.
• Carotid stenting for preventing progression of ischemic stroke.
• IVC filter to prevent pulmonary embolism.
• Uterine artery embolization of fibroid.

Interventional radiology represents a mix of adventure, innovation and improvisation and has certainly contributed significantly to the patient care in Central India and CIIMS both. The well-done emobilization of prostatic, uterine, bronchial, coeliac arterial bleeds that have won accolades nationally and internationally, are a testimony to this spirit. Needless is to mention our contribution to hepatic, renal, and peripheral vascular disease. Since the beginning, interventional radiology has performed a large number of different procedures briefly given below –

• Diagnostic procedures – Cerebral angio, Aortogram and peripheral renal mesentric bronchial etc.
• Angioplasties/Stenting – Carotid, Renal and peripheral.
• Embolizations – Bronchial , Mesentric, Uterine, Pelvic, AVM, AVF, Neovascularization etc.
• Percutaneous drainage – Percutaneous Nephrostomy, Uterine stenting, Biliary drainage and Biliary stenting.
• Percutaneous nephrolithomy

The Department’s First  Many of these procedures have been done for the first time in Central India notably, Adrenal Transaxillary Angiograms, Embolization in superior mesenteric, Radial, Scalp and Renal artery and AVM. Bleeding uterine, Bronchial, Prostatic & mesentric vessels. Renal, subclavian, Peripheral, Angioplasties Percutaneous Nephrolithotomy, Ureteric/biliary stenting, IVC filters etc.