Reliable IV access when standard lines fail.
Collapsed veins, obesity, oedema, or scarring making IV access impossible? Ultrasound-guided central and peripheral line placement provides safe, reliable vascular access for medication delivery and monitoring.
Understanding Difficult Line Insertions
Some patients have veins that are extremely difficult to access — due to obesity, previous chemotherapy damage, chronic kidney disease requiring dialysis, burn scars, or anatomical variations. Standard IV placement attempts can be painful, time-consuming, and ultimately unsuccessful.
Interventional radiologists specialise in image-guided vascular access. Using real-time ultrasound and fluoroscopy, central venous catheters (CVCs), peripherally inserted central catheters (PICC lines), and difficult peripheral IV lines can be placed safely and accurately on the first attempt.
What Are Difficult Line Insertions?
Dr. Vrishit Saraswat uses ultrasound to visualise the target vein in real time and guide needle insertion under direct visualisation. This ensures successful access even in patients with no palpable veins, severely oedematous limbs, or multiple failed IV attempts. Central lines are placed in the internal jugular or subclavian veins under fluoroscopy to confirm correct tip position. PICC lines are placed in the upper arm veins for intermediate-term IV access. The result is safe, pain-free, reliable vascular access.
Focused Patient Care
We assess each patient’s vascular anatomy, access history, and treatment requirements to determine whether a PICC, CVC, tunnelled catheter, or port-a-cath is the most appropriate device.
24/7 Support
ICU patients, cancer patients, and those with acute illness often need urgent vascular access. We provide rapid image-guided line placement to avoid treatment delays.
Timely Treatment
Line care protocols, dressing change schedules, and prompt management of line-related complications (infection, occlusion, displacement) are all part of our vascular access service.
Advanced tumor ablation techniques deliver targeted cancer treatment through precise image-guided procedures with minimal healthy tissue damage.
Comprehensive supportive care interventions enhance quality of life during cancer treatment through specialized interventional radiology techniques and procedures.
Personalized oncological protocols combine curative and palliative approaches ensuring optimal outcomes and improved patient comfort throughout treatment.
Our Treatment Process
Here is what to expect during your vascular access procedure:
1
Comprehensive Oncological Assessment
Advanced imaging and multidisciplinary evaluation help determine optimal intervention approach; treatment is tailored to your specific cancer type, stage, and overall health status.
2
Minimally Invasive Cancer Intervention
Using precise image guidance, targeted treatments are delivered directly to tumors or supportive devices are placed through small punctures without major surgery.
3
Recovery & Ongoing Support
Most patients experience faster recovery compared to open procedures, with comprehensive follow-up care to monitor treatment response and manage any complications.
FAQs About The Service
Common questions about difficult line insertions:
What oncological conditions can be treated interventionally?
We treat liver tumors, lung masses, kidney cancers, and provide supportive care including feeding tubes, chemotherapy ports, and drainage procedures for cancer patients.
How effective are tumor ablation procedures?
Tumor ablations can achieve complete tumor destruction in 85-95% of appropriately selected cases, offering excellent local control with minimal side effects compared to surgery.
What supportive care interventions do you provide?
We offer PEG tube placements, chemoport insertions, drainage procedures, and long-term catheter placements to support patients throughout their cancer treatment journey.
Are oncological interventions safe during active cancer treatment?
Yes, most interventional oncology procedures can be safely performed during chemotherapy or radiation therapy, often enhancing overall treatment effectiveness and patient comfort.