Interventional Radiology

Dr. Sithole IR Inc

What is Interventional Radiology

Interventional Radiology is a sub-specialty that uses image-guided, minimally invasive procedures to diagnose and treat a variety of conditions.
Using state-of-the-art equipment and the latest techniques, the Interventional Radiology section offers a variety of therapies.

Some of the procedures available include:

Hepatobiliary (liver and pancreas)

  • Biliary drainage and biliary stenting, for bile duct obstruction
  • Transjugular Intrahepatic Portosystemic Shunt (TIPS), for the treatment of bleeding varices and ascites in patients with liver disease.
  • Portal Vein Embolisaton
  • Transarterial Chemoembolisation (TACE), for the treatment of liver tumors.
  • Radioembolisation with radioactive microspheres from treatment of liver tumors.
  • Radiofrequency ablation of liver tumors.

Vascular

  • Uterine Artery Embolisation (UAE) / Uterine Fibroid Embolisation (UFE) for treatment uterine fibroids.
  • Spermatic Vein Embolisation for treatment of varicocoeles.
  • Coil embolisation for treatment of arterial aneurysms, and pseudoaneurysms.
  • Angioplasty (balloon dilation) for treatment of venous or arterial stenosis.
  • Image guided insertion of various vascular catheters.

Urological (kidneys, ureters and bladder)

  • Nephrostomy to treat hydronephrosis (obstructed kidney)
  • Percutaneous ureteric stenting (double J stent) to treat
    obstructed ureter.
  • Radiofrequency ablation of kidney tumors
  • Prostate Artery Embolisatoin (PAE)

Biopsies

CT, ultrasound or X-ray guided biopsies. Commonly biopsied organs include the thyroid, lung, lymph nodes, liver, kidneys, pancreas and abdominal masses.

Musculoskeletal

CT, ultrasound or X-ray guided joint infiltration for the treatment of joint and tendon problems

Dr. Sithole Interventional Radiology Experience

2005 to Date

Interventional Radiologist Fellow

Wits Donald Gordon Medical Centre

Responsibilities: Performing duties in both vascular and non-vascular interventional radiological
procedures. These included the following:

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Vascular Interventional Radiology Work

2014 to Date

Gynaecological Intervention:

Uterine Fibroid Embolisation (UFE)

Gynaecological Intervention:
Oncology Intervention:

• Trans-Arterial Chemo-Embolisation (TACE/TARE)
• Various Venous Sampling

Oncology Intervention:
Neuro-Intervention:

• 4-Vessel Digital Subtraction Angiography (DSA)
• Assisted in various neuro-interventional coiling (Performed by Prof. V. Mngomezulu)

Neuro-Intervention:
Hepato-Biliary Intervention:

• Portal Vein, Hepatic Artery, Splenic Artery, Gastroduodenal Artery (GDA) Embolisation
• Transjugular Liver Biopsies (TJLB)
• Transjugular Intrahepatic Porto-Systemic Shunt (TIPS)

Hepato-Biliary Intervention:
Radiology Emergencies:

• Transarterial Embolization of Bronchial Artery (BAE), Gastrointestinal Tract (GIT) and Post-Traumatic Haemorrhage
• Coiling of various aneurysms and pseudo-aneurysms

Radiology Emergencies:

Non-Vascular Interventional Radiology Work

2014 to Date

Urological Intervention:

• Nephrostomy and Double J Stent placement

Urological Intervention:
Oncology Intervention:

• Image guided Radio Frequency Ablation (RFA)

Oncology Intervention:
Various Percutaneous Drainage Placement:

• Pleural, Ascites and Fluid Collection Drainage

Various Percutaneous Drainage Placement:
Hepato-Biliary Intervention:

• Biliary Dilatation and Stent placement, Percutaneous Transhepatic Cholangiogram (PTC) and Cholecytostomy

Hepato-Biliary Intervention:
Various Diagnostic Procedures:

• Image Guided Fine Needle Aspiration (FNA’s) and Core Biopsies

Various Diagnostic Procedures:
General Radiology Experience

Radiology Specialist
Charlotte Maxeke Johannesburg Academic Hospital – 2012

Responsibilities: In addition to interventional radiology – general radiological management of patients
including: Flouroscopy, Ultrasound, CT, MRI, Plain Film, Mammography, Paediatric Radiology and
PET-CT. Involved in academic programme of department – including attendance and delivery of presentations at radiology meetings. Active participation in multidisciplinary team meetings. Supervision and teaching of radiology registrars.

Radiology Registrar
University of the Witwatersrand – 2008-2012

Rotated through three designated radiology sites: Charlotte Maxeke Academic Hospital, Chris Hani Baragwanath Hospital & Helen Joseph Hospital / Rahima Moosa Hospital

Responsibilities: Involved in academic programme of department – including attendance and delivery of presentations at radiology meetings. Active participation in multidisciplinary team meetings. Daily
radiological management of patients.

Clinical Medical Experience

Community Service Medical Officer
Helen Joseph Hospital – 2007

Rotated through various clinical departments and local clinics.
Responsibilities: Comprehensive clinical management of patients, weekly presentation at mortality andmorbidity meetings and journal club meetings.

Medical Intern
Chris Hani Baragwanath Hospital – 2006

Rotated through various clinical departments and local clinics.
Responsibilities: Involved in management of patients whilst rotating through various clinical departments. Attended radiology meetings. Presented at mortality and morbidity and journal club meetings.