Hepatobiliary & Portal Hypertension Interventions
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Advanced Image-Guided Care for Complex Liver and Biliary Disorders
Interventional Radiology plays a central role in the management of complex liver disease, biliary obstruction, and portal hypertension through advanced minimally invasive, image-guided procedures. These techniques provide life-saving treatment for critically ill patients, support major liver surgery and transplantation, and offer effective alternatives to high-risk open operations — with lower complications, faster recovery, and organ-preserving outcomes.
Why Choose Vikash IR Clinic for Liver & Biliary Interventions?
At Vikash IR Clinic, we provide advanced liver, biliary and portal hypertension interventional radiology treatments in Bangalore, offering minimally invasive solutions for complex hepatobiliary diseases.Dr. Vikash Chennur is a Senior Interventional Radiologist and AIIMS Gold Medallist, with extensive experience in complex hepatobiliary and portal hypertension procedures across leading centres in India, Canada, and Australia.
Our approach combines:
- Careful review of imaging and precision-guided techniques
- Coordination with hepatology, gastroenterology, surgery, and transplant teams
- International standards of safety and clinical outcomes
- Organ-preserving, minimally invasive philosophy
Each patient undergoes detailed imaging and clinical evaluation to ensure the most appropriate, personalised treatment plan — delivering life-saving care with compassion, precision, and excellence.
Why Choose Vikash IR Clinic for Liver & Biliary Interventions?
Our approach combines:
- Careful review of imaging and precision-guided techniques
- Coordination with hepatology, gastroenterology, surgery, and transplant teams
- International standards of safety and clinical outcomes
- Organ-preserving, minimally invasive philosophy
Each patient undergoes detailed imaging and clinical evaluation to ensure the most appropriate, personalised treatment plan — delivering life-saving care with compassion, precision, and excellence.
Percutaneous Biliary Drainage (PTBD) & Biliary Stenting
Percutaneous biliary drainage and biliary stenting are used to relieve obstruction of the bile ducts caused by stones, strictures, inflammation, or cancers of the liver, pancreas, and bile ducts. Under ultrasound and fluoroscopic guidance, a fine catheter or internal stent is placed to restore bile flow, relieve jaundice, control infection, and improve liver function. These procedures are often life-saving and play a critical role in stabilising patients before surgery, chemotherapy, or further definitive treatment.
Percutaneous Cholecystostomy
Percutaneous cholecystostomy is a minimally invasive treatment for acute gallbladder infection (acute cholecystitis) in patients who are critically ill or unfit for immediate surgery. Using image guidance, a small drainage catheter is placed into the gallbladder to control infection and inflammation. This procedure provides rapid symptom relief, treats sepsis safely, and serves as a bridge to delayed surgery or, in selected cases, as definitive non-surgical management.
Portal Vein Embolization (PVE)
Portal vein embolization is a specialised pre-operative procedure performed to prepare the liver before major liver resection. By selectively blocking blood flow to the part of the liver that will be removed, PVE stimulates growth of the remaining healthy liver, significantly reducing the risk of post-operative liver failure. This technique improves surgical safety and expands curative treatment options for patients with liver tumours and complex hepatic disease.
TIPS (Transjugular Intrahepatic Portosystemic Shunt)
TIPS is an advanced image-guided procedure used to treat severe complications of portal hypertension, including recurrent variceal bleeding and refractory ascites. Through a vein in the neck, an internal shunt is created between the portal and hepatic veins to reduce dangerously high portal pressure. TIPS provides rapid control of bleeding, improves ascites in selected patients, and often serves as a bridge to liver transplantation, significantly improving survival and quality of life.
IVC & Hepatic Vein Angioplasty and Stenting
Angioplasty and stenting of the inferior vena cava and hepatic veins are performed to treat venous outflow obstruction conditions such as Budd–Chiari syndrome and post-transplant venous narrowing. Using catheter-based techniques, narrowed or blocked veins are dilated and supported with stents to restore normal liver blood outflow. These procedures relieve liver congestion, improve liver function, control ascites, and prevent progressive liver damage, offering an effective alternative to complex surgery.
Variceal Embolization
Variceal embolization is a life-saving procedure used to control active or recurrent bleeding from abnormal veins in the oesophagus, stomach, or other locations due to portal hypertension. Through selective catheter techniques, the bleeding varices are blocked using coils, glue, or sclerosants to stop haemorrhage and prevent re-bleeding. This intervention plays a crucial role in emergency bleeding control and long-term management of portal hypertension, often in combination with TIPS and medical therapy.
BRTO / PARTO for Gastric Varices
BRTO (Balloon-Occluded Retrograde Transvenous Obliteration) and PARTO (Plug-Assisted Retrograde Transvenous Obliteration) are specialised treatments for bleeding or high-risk gastric varices. Through a minimally invasive venous approach, abnormal variceal channels are obliterated while preserving portal blood flow. These techniques are highly effective in preventing recurrent gastric variceal haemorrhage and are particularly valuable in patients unsuitable for TIPS or when preservation of liver function is essential.