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Hepatobiliary & Onco-Interventions

Image-guided, minimally invasive procedures for liver tumours, bile duct conditions, and abnormal hepatic blood flow — including TACE, TIPS, BRTO, PARTO, RFA, and MWA. These techniques deliver treatment directly to the site of disease while preserving as much healthy liver tissue as possible, helping many patients avoid the burden of major open surgery.
  • Advanced Hepatobiliary Imaging
  • Minimally Invasive Liver-Directed Therapy
  • Expert Interventional Oncology Team
  • Day-Care & Short-Stay Procedures
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What are Hepatobiliary & Onco-Interventions?

These are catheter- and needle-based procedures performed under real-time imaging guidance to treat liver tumours, blocked bile ducts, and abnormal hepatic blood flow — without the need for open surgery in most cases. Treatment is delivered directly to the diseased tissue or vessel, concentrating its effect at the site of pathology while minimising impact on surrounding healthy liver.

Targeted Delivery

Liver-Sparing

Precise Imaging

Faster Recovery

When You May Need This Care

  • Diagnosed liver tumour — primary hepatocellular carcinoma or metastatic disease requiring local, liver-directed therapy.
  • Jaundice or yellowing of the skin and eyes due to bile duct obstruction.
  • Complications of liver cirrhosis, including ascites or variceal bleeding.
  • Abnormal portosystemic blood flo.w requiring correction
  • Recurrent or non-resectable liver tumours not amenable to surgical resection.

Procedure descriptions

T

TACE

Delivers chemotherapy directly into a tumour's blood supply while occluding its feeding vessels — concentrating treatment at the tumour site.

I

TIPS

Creates an internal hepatic channel to decompress portal hypertension and manage its complications in cirrhotic disease.

B

BRTO / PARTO

Targets abnormal portosystemic varices in patients with portal hypertension using balloon-assisted occlusion techniques.

R

RFA / MWA

Destroys small liver tumours using precisely delivered heat energy under ultrasound or CT guidance.

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Hepatobiliary & Onco-Interventions Treatment Journey

A multidisciplinary pathway from diagnosis through targeted intervention and long-term follow-up — designed to optimise outcomes while preserving liver function.
01
Consultation
Clinical evaluation of the urinary symptoms and underlying condition.
02
Liver Imaging & Staging
High-resolution imaging to confirm the diagnosis and map the anatomy.
03
Multidisciplinary Planning
Determining the appropriate intervention based on site, cause, and severity.
04
Image-Guided Intervention
Targeted intervention under real-time imaging guidance.
05
Monitoring
Post-procedure liver function assessment and clinical observation.
06
Follow-Up Imaging
Scheduled review and imaging to confirm resolution and plan catheter or stent management.

Scarless Procedure

Multidisciplinary Planning

Minimally Invasive Intervention

Integrated Follow-Up Care

Post-Procedure Care & Recovery

Following the procedure, patients are observed in a supervised clinical setting before discharge. Most hepatobiliary and interventional oncology procedures are performed as day-care or short-stay treatments, with structured follow-up to monitor recovery and treatment response.

Immediate Recovery

A brief period of observation to monitor urine output, puncture site, and vital signs before discharge.

Home Care Plan

Detailed guidance on diet, physical activity, and medication management is provided at discharge, tailored to the specific procedure performed and the patient's overall hepatic condition.

Follow-Up Consultation

Scheduled follow-up imaging and liver function blood tests are arranged to assess treatment response, evaluate tumour or disease status, and inform the ongoing management plan.

Why Choose Dr. Deepmala Karmakar?

Our interventional radiology practice brings specialised expertise across the full spectrum of vascular and non-vascular care. Every case begins with a thorough clinical evaluation ensuring the most appropriate, evidence-based intervention is selected for each patient’s specific condition.

Every procedure is performed under real-time advanced imaging whether ultrasound, fluoroscopy, or CT enabling precise access and targeted treatment with minimal disruption to surrounding tissue and faster recovery outcomes.

Experienced Specialists

Each procedure is led by a trained interventional radiologist with deep expertise across vascular and non-vascular domains.

Advanced Technology

Procedures are guided by state-of-the-art imaging infrastructure, ensuring accuracy at every step of the intervention.

24×7 Response

Time-critical conditions including acute stroke and vascular emergencies are managed with round-the-clock readiness and a dedicated response protocol.

Image-Guided Precision

Targeted access under real-time imaging minimises tissue disruption, reduces procedure time, and supports faster, more predictable recovery.

Why Choose
Dr. Deepmala Karmakar?

Hepatobiliary and interventional oncology demands a specialist who can navigate complex liver anatomy, interpret advanced imaging, and execute technically demanding procedures with precision. Our practice brings expertise across the full range of liver-directed therapies — from TACE and TIPS to thermal ablation — with every case reviewed through a structured, multidisciplinary framework.
Close coordination with hepatology, oncology, and surgical teams ensures that every patient receives a treatment plan that is not only technically appropriate but aligned with their broader clinical management. Interventional radiology in this space is not a standalone service — it is a core component of comprehensive hepatobiliary care.

Experienced Specialists

Procedures are led by a trained interventional radiologist with dedicated expertise in hepatobiliary anatomy, liver-directed oncology, and complex portosystemic interventions.

Advanced Imaging Technology

State-of-the-art angiography, ultrasound, and CT-guided navigation infrastructure supports precise tumour targeting and accurate procedural delivery.

Multidisciplinary Coordination

Every complex case is reviewed through a structured tumour board process involving interventional radiology, hepatology, oncology, and surgery — ensuring optimal treatment selection.

Image-Guided Precision

Real-time imaging guidance throughout each procedure enables precise access, targeted treatment delivery, and accurate assessment of immediate technical success.

Frequently Asked Questions

What is TACE used for?

TACE is used to treat primary liver tumours — particularly hepatocellular carcinoma — and selected liver metastases. It works by delivering chemotherapy directly into the tumour's blood supply while simultaneously blocking that supply, concentrating the therapeutic effect at the tumour site and significantly reducing systemic exposure compared to conventional intravenous chemotherapy.

TIPS creates an internal channel between the portal and hepatic veins within the liver, effectively reducing the elevated portal blood pressure that develops in cirrhotic liver disease. It is used to manage complications including refractory ascites, bleeding oesophageal or gastric varices, and hepatic hydrothorax.

Many hepatobiliary and interventional oncology procedures are performed as day-care or short-stay treatments. The exact duration depends on the specific procedure, its complexity, and the patient's overall hepatic condition.

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Precision Where It Matters Most

Liver disease and hepatobiliary conditions require a treatment approach that is as targeted as it is considered. Our interventional oncology practice combines advanced imaging, specialist expertise, and multidisciplinary coordination to deliver the right intervention, precisely.
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WhatsApp Support

98%

Successful Procedures

15 min

Door-to-Imaging Time

24×7

Emergency Response

10+

Years of Experience

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