I need a procedure

Who to call

Imaging-guided interventions are provided by several sections in radiology (VIR, Body, GI/GU, Peds, Neuro, MSK, Chest) the details and appropriate contacts for which are below (and also on this spreadsheet). Consider using the search function to find the procedure (and associated team) below. Please note that while placing an imaging-guided procedure order will be needed (the most common of which are here), this order alone will NOT generate a page to the appropriate radiology section; you'll need to follow the section-specific steps below to make sure the appropriate team is aware of the request

VIR (Vascular and Interventional Radiology)

You can contact VIR via the Vascular Radiology pager (970-7930) or by placing a 'Consult to Interventional Radiology' order to generate a page. VIR uses a home-call system and is available for emergent procedures 24/7; for non-emergent procedure requests, non-urgent questions, and FYI pages, please contact us between 6:30am and 9:30pm, as the home-call fellow will otherwise be asleep overnight. VIR procedures include:

• Tunneled central line placement and bedside removals
• Arteriograms +/- intervention (e.g., arterially extravasating GI bleed requiring embolization)
• Pulmonary arteriograms and PE suction thrombectomy
• IVC filter placements and removals
• AVF / AVG fistulagrams +/- intervention
• Percutaneous GTube / GJ Tube / J Tube placements, replacements, and checks in adults
• Percutaneous nephrostomy / biliary / cholecystostomy tube placements, replacements, and checks (PCNs, PBDs, PercCholes)
• Intravascular solid organ biopsies (e.g, transjugular liver biopsies, transcaval biopsies)
• Solid organ tumor ablations and embolizations (e.g., hepatic Y-90 treatment, hepatic bland embolization and microwave ablation, renal cryoablation, etc)
• Vertebral kyphoplasty and sacroplasty
• Venous and arterial malformation percutaneous treatment
• Additional procedures not covered below

Of note, VIR does not place PICC lines (contact PICC team), and generally does not place or pull inpatient non-tunneled central lines (contact medical procedure team), though is available in complicated cases.

Body Interventions

The Body Interventions pager (206-3465) is held from 7:30 am to 5:00 pm Monday-Friday. If urgent or emergent intervention is required between 5:00 pm and 10:00 pm Monday-Friday, or 7:30 am to 12:00 pm on weekends/holidays, please call the Body reading room (684-7224). If emergent intervention is required outside of these hours (ie, overnight), please call the Radiology Senior Call phone (681-4422). Body intervention procedures include:

• Intraabdominal collection drain placement and aspiration (U/S and CT-guided)
• Superficial soft-tissue collection aspiration and drains (U/S and CT-guided)
• Percutaneous solid organ and other intraabdominal biopsies, both targeted and random (U/S and CT-guided)
• See 'GI / GU Fluoroscopy' for information on Dobhoff tubes, esophograms, upper GI exams, contrast enemas, etc

GI / GU Fluoroscopic Studies

GI / GU fluoroscopic studies are available from 7:30 am to 5:00 pm Monday-Friday, which can be scheduled by calling the GI/GU reading room (684-7257). Urgent procedures are available from 7:30 am to 12:00 pm on the weekend / holidays, which can be scheduled by calling the Body reading room (684-7224). If emergent evaluation is required between 5:00 pm and 10:00 pm Monday-Friday, please call the Body reading room (684-7224). If emergent evaluation is required outside of these hours (overnight), please call the Radiology Junior Call phone (681-4475). GI / GU fluoroscopic evaluations include:

• Imaging-guided Dobhoff tube placements (we ask that an attempt is first made on the floor)
• Esophagrams, Upper GI studies (evaluate through the ligament of Trietz), and small bowel follow throughs (for intestinal motility)
• Contrast enemas (water-soluble contrast for leaks, barium for pre G-tube placement)
• Fluoroscopic cystograms and retrograde urethragrams (RUGs)
• For similar exams but in the pediatric patients, please see 'Pediatric Fluoroscopic Studies' for more information

Pediatric Fluoroscopic Studies

Pediatric fluoroscopic studies are available from 7:30 am to 5:00 pm Monday-Friday, and urgent studies available from 7:30 am to 12:00 pm on the weekend. These can be scheduled by calling the Peds reading room (684-7288). If emergent evaluation is required outside of these hours (overnight), please call the Radiology Junior Call phone (681-4475). Pediatric fluoroscopic evaluations include:

• Fluorscopic upper GI exams (evaluate for malrotation, upper GI pathology) and contrasted enemas
• Fluoroscopic Dobhoff tube placement
• Fluoroscopic percutaneous GTube / GJ tube checks
• Intussusception reductions

Neuroradiology Interventions

The Neuroradiology Interventions pager (206-9959) is held from 7:30 am to 5:00 pm Monday - Friday. If emergent intervention is required between 5:00 pm and 10:00 pm Monday-Friday, or 7:30 am - 12:00 pm on the weekend, please call the Neuroradiology reading room (684-7213). If emergent intervention is required outside of these hours (overnight), please call the Radiology Senior Call phone (681-4422). Neuroradiology procedures include:

• Fluoroscopic guided lumbar punctures (following failed bedside LP attempts)
• Myelograms
• Vertebral body / disc aspiration for evaluation of osteomyelitis
• CSF-leak related interventions

Musculoskeletal Interventions

MSK interventions can be requested between 7:30 am to 5:00 pm Monday-Friday by calling the MSK reading room (684-7465). If emergent intervention is required between 5:00 pm and 7:30 am or on the weekend, please call the Radiology Senior Call phone (681-4422). MSK procedures include:

• Fluoroscopic guided bone biopsies, marrow aspiration
• Shoulder and hip arthrograms and aspirations

Thoracic Interventions

Chest interventions can be requested between 7:30 am to 10:00 pm Monday-Friday by calling the CTI reading room (684-7419). If emergent intervention is required outside of these hours, please call the Radiology Senior Call phone (681-4422). Chest procedures include:

• Lung / mediastinal / pleural biopsy not accessible by interventional pulmonology
• CT guided thoracentesis / chest tube placement if not successful by ultrasound approach with interventional pulmonology

Procedure Request Checklist

For all procedures,, please have the following information readily available:

• Patient last name and MRN (room number is not terribly helpful)
• Consentability, NPO, and anticoagulation status
• Relevant allergies (contrast, sedating medications)
• A direct call-back number that you will be available at for 60 minutes following your page.