Interventional Radiology

Liver Disease

If you have liver disease, Mount Sinai’s Interventional Radiology can help. Whether you have portal hypertension or cirrhosis, we offer compassionate, advanced treatment. We provide minimally invasive care that decreases the risk, side effects, and recovery time. Our health care team is here for you, from when you arrive at the hospital through post-procedure treatment. 

Treatments We Offer

At Mount Sinai, we have plenty of experience with interventional procedures. We perform all of these procedures using imaging guidance. Our full array of technologies includes these approaches.

  • Balloon occlusion retrograde transvenous obliteration: To treat portal hypertension and bleeding veins in the gastrointestinal tract, we insert a small tube (catheter) into a vein in your leg. We advance the tube into the vein that is not working well. Once we’re there, we use a balloon to hold the healthy veins open and inject a medication to help shrink the veins we are concerned about.
  • Catheterizing gastrointestinal bleeding: We insert a small tube into the artery in your leg. Then we move the tube to the spot where you are bleeding. We inject small metal coils or particles through the tube to stop the bleeding.
  • Percutaneous biliary (bile duct) access: We insert small catheters through the skin into the bile ducts. This approach treats bile duct stenosis, obstructive jaundice, and bile duct stones. We also use it for liver and bile duct biopsies.
  • Transjugular Intrahepatic Portosystemic Shunt (TIPS): We tunnel though the liver to connect the vein that carries blood from the digestive organs to the liver (portal vein) to one of the three veins that carry blood away from the liver (hepatic veins). The hepatic veins bring the blood back to the heart. We place a stent in this tunnel to keep the pathway open.
  • Transjugular Liver Biopsy: We start by inserting a small catheter into your jugular vein. Then we guide the catheter into the large hepatic vein. This enables us to biopsy the liver directly from the vein. We use this procedure if we cannot use the traditional biopsy approach.

Why Mount Sinai

We work as a team to provide the safest and most effective care possible. Our interventional radiologists work with experts in surgery and liver medicine to provide advanced care. Dedicated and compassionate nurses and physician assistants are here for you from admission through post-procedure care. We are also doing numerous research studies, which allow us to provide the most advanced care possible. At Mount Sinai, you are in good hands.