Dr. Neeraj Shetty

• I served as a Consultant at Rabindranath Tagore Hospital and Research Centre, Kolkata for 6 months at the Department of Vascular and Interventional Radiology, the largest renal and cardiac care hospital in East India. Working alongside exceptional colleagues and a senior mentor (Dr Shuvro Roy Choudhary), I had the privilege of performing endovascular interventions for peripheral vascular arterial and venous disease, dialysis-related endovascular procedures, and endovascular procedures for central venous occlusion.
• I had the honour of leading the Department of Interventional Radiology at Narayan Hospital, Cayman Islands, for a period of 20 months. Establishing and heading the department instilled me with great confidence.

MINIMALLY INVASIVE PROCEDURES:

• I specialize in performing a range of minimally-invasive diagnostic and therapeutic procedures using advanced medical imaging techniques, such as fluoroscopy, computed tomography and ultrasound.
• These innovative interventional radiology techniques allow us to access deep structures within the body through small punctures in blood vessels, body orifices, or tiny incisions, using small needles and wires.
• This approach significantly reduces risks, pain, and recovery time compared to open procedures.
• The majority of interventional radiology procedures can be completed on a day care basis.
• Our Vascular and Interventional radiology services cover both non-vascular and vascular procedures
• Most of my procedure are done with a multidisciplinary team approach which includes the Surgeon, Physician, Medical oncologist and a Radiation Oncologist. Below are the various Vascular and Nonvascular interventions done by me.

HEAD AND NECK INTERVENTIONS:

• Ophthalmic artery chemo infusion for retinoblastomas.
• Embolization for vascular head neck tumours like angiofibroma, thyroid malignancies and other malignancies as a bridge to surgery. Embolization provides a good plain for surgery and help reduce blood loss.
• Radiofrequency and microwave ablations for benign thyroid nodules and recurrent thyroid malignancies for patients who doesn’t prefer surgical scar.

LIVER INTERVENTIONS:

• Our services also include liver-directed therapies, such as Image guided biopsies, Transjugular liver biopsies and image-guided ablative procedures, using techniques such as radiofrequency ablation, microwave ablation, and cryoablations to treat primary, secondary, and benign tumors, including hepatocellular cancer and liver metastasis.
• Percutaneous trans-hepatic Cholangiograms, biliary drainages and stenting for benign biliary strictures, cholangiocarcinoma and Ca GB. Moreover, our services cover a range of endovascular liver-directed therapies, including treatment for hepatic haemangiomas, hepatocellular carcinoma, hepatoblastomas, and metastatic liver diseases.
• These therapies can serve as a primary treatment or a bridge to transplant or as a palliative measure(hepatic progression free survival increase overall survival). Some of the techniques we utilize include c-TACE, DEB-TACE, bland TAE, and TARE/SIR.
• We also offer portal vein embolization as a bridge to surgery to increase liver size for inadequate future liver remnant.
• Our expertise extends to performing transjugular intrahepatic biopsies, transjugular intrahepatic portosystemic shunts (TIPS), balloon-occluded retrograde transvenous obliteration (BRTO), and hepatic vein angioplasty.
• Additionally, we provide splenic artery embolization for portal hypertension-induced pancytopenia.

RENAL AND DIALYSIS RELATED INTERVENTIONS:

• Percutaneous nephrostomy and DJ stenting for obstructive hydro-uretero-nephrosis.
• Image-guided ablative procedures, using techniques such as radiofrequency ablation microwave ablation, and cryoablations to treat primary Renal tumours as a nephron sparing procedure in case of single or multicentric RCC.
• Embolization for Renal angiomyolipoma as a primary treatment or as a bridge to surgery.
• Additionally, we offer precise insertion of perm catheter and maintenance of AV fistulas and grafts through procedures like angioplasty, mechanical or pharmacochemical thrombolysis, or stenting if necessary.
• Our expertise extends to interventions for central venous occlusions and SVC syndromes.

THORASIC AND GI INTERVENTIONS INTERVENTIONS:

• Biopsies of Visceral organs, bones and soft tissues, as well as Drainage for post-operative collections and deep infections in the thorax or abdomen.
• Ablative procedures, using techniques such as radiofrequency ablation, microwave ablation, and cryoablations to treat primary and secondary lung tumours. We are experienced in performing percutaneous gastrostomy and jejunotomy tube insertions.
• Coeliac artery and SMA stenting is performed for symptomatic mesenteric ischemia.
• Mechanical and pharmaco-mechanical thrombolysis is used for thrombosis in the portal vein and SMV thrombosis.
• Bronchial artery embolization is performed to treat Haemoptysis caused by infection or cancer.
• Emergency embolization procedures are done for liver, splenic, and pelvic trauma, upper and lower GI bleeds.

PELVIC INTERVENTIONS:

• Emergency embolization procedures are done for pelvic trauma and Post-partum bleed.
• Embolization is employed for gynaecological conditions such as Uterine fibroids and Uterine adenomyosis, for patients who do not prefer hysterectomies.
• Prostatic artery embolization is performed for Benign prostatic hypertrophy. Embolization is used for AVF and AVMs.

BONE AND SOFT TISSUE INTERVENTIONS:

• Bone biopsies and ablative procedures for benign bone lesions like osteoid osteoma and chondroblastomas.
• Ablation for soft tissue lesions like neurofibromatosis is also effective.
• Embolization as a bridge to surgery or as treatment for GCTs can be done.
• Furthermore, we provide ablations for pain management in cases of any bone, vertebral or acetabular metastasis, provide image-guided plexus block and neurolysis for pain management.

AORTO-ILIAC AND PERIPHERAL VASCULAR ARTERIAL INTERVENTIONS:

• Endovascular Treatment is performed for Aortic Aneurysm and Aortic Dissections, For Aorta iliac disease and Peripheral vascular arterial disease in patients with non-healing ulcers, claudication, or rest pain.
• Bone biopsies and ablative procedures for benign bone lesions like osteoid osteoma and chondroblastomas.
• Ablation for soft tissue lesions like neurofibromatosis is also effective.
• Embolization as a bridge to surgery or as treatment for GCTs can be done.
• Furthermore, we provide ablations for pain management in cases of any bone, vertebral or acetabular metastasis, provide image-guided plexus block and neurolysis for pain management.

PERIPHERAL VASCULAR VENOUS INTERVENTIONS, SYTEMIC AND SPLANCHNIC VENOUS INTERVENTIONS:

• Endovascular Glue or ablation therapies for Varicose vein treatment in patients who do not respond to conservative management.
• Mechanical and pharmaco-mechanical thrombolysis is used for extensive deep vein thrombosis to prevent post-thrombotic syndrome, for pulmonary embolism, and for portal vein and SMV thrombosis.
• IVC filter placement is conducted for patients who cannot take anticoagulation, with planned retrieval once anticoagulation is initiated Endovascular Glue or ablation therapies for Varicose vein treatment in patients who do not respond to conservative management.
• Mechanical and pharmaco-mechanical thrombolysis is used for extensive deep vein thrombosis to prevent post-thrombotic syndrome, for pulmonary embolism, and for portal vein and SMV thrombosis.
• IVC filter placement is conducted for patients who cannot take anticoagulation, with planned retrieval once anticoagulation is initiated.

MINIMALLY INVASIVE TREATMENTS ARE USED FOR LYMPHATIC LEAKS LIKE THORASIC DUCT EMBOLISATION SCLEROTHERAPY +/- EMBOLIZATION IS USED TO TREAT LYMPHOCELE AND LYMPHOVENOUS MALFORMATION AT VARIOUS LOCATIONS. OTHER VASCULAR INTERVENTIONS:

• In terms of endovascular interventions, we excel in difficult IV access procedures, including PICC lines and central lines. We also specialize in image-guided endovascular foreign body retrieval, such as fracture central lines.

• Percutaneous Radiofrequency Ablation of Appendicular Skeleton Chondroblastoma-an Experience from a Tertiary Care Cancer Center. Journal of vascular and interventional radiology : JVIR.
• Percutaneous CT Guided Vertebral Biopsy: Anatomy and Technical Considerations Journal of Clinical Interventional Radiology ISVIR Skills

In 2017, I had the privilege of undergoing training at Tata Memorial Hospital (TMH), Mumbai, a renowned tertiary care centre that offers a wide range of minimally invasive vascular and non-vascular oncological & non-oncological interventions. During my time there, I served as a fellow and later as an Assistant Professor for a total period of 4 years. TMH played a pivotal role in shaping my character, instilling discipline and confidence through the guidance of my esteemed teachers (Dr Suyash Kulkarni and Dr Nitin Shetty) and the institution at large. Our guiding principle has always been 'PRIMUM NON NOCERE' - First, do no harm.

SPECIALIZED TRAINING: Trans-arterial chemoembolization fellowship at SNUCM, Korea. Microwave tumour ablation techniques at the CCMA Centre of Excellence, Anhui Province Cancer Hospital, China. 2-month training program in the Department of Interventional Radiology, KEM, Mumbai, where I gained hands-on experience in performing and assisting with various endovascular procedures for Budd-Chiari syndrome, TJLB, TIPS, BRTO, stenting for renal artery stenosis, Aorto-iliac, and Peripheral vascular arterial disease under the guidance for Dr Kranti Kumar Rathod. I learnt what to do and not do in aorta - iliac & peripheral vascular arterial disease through various Interventional radiology programs held in Mumbai under the guidance of Dr Vimal Someshwar and Dr Girish Warawdekar