Vascular and Interventional Radiology

Description of division:
Interventional Radiology is minimally invasive, image-guided treatment of different medical conditions through innovative techniques that once required open surgery. Using different imaging technologies like CT, ultrasound and x-ray guidance, interventional radiologists can treat a variety of conditions from vascular disease, cancer and beyond.

The Interventional Radiology Division at Western University is comprised of 10 faculty members committed to advancing the subspecialty of IR with compassionate and high-level patient care, along with contributing to the science of IR with teaching and research. The division involves the delivery of IR care at three sites, including the Victoria and University campuses of LHSC and St. Joseph's Health Care London. This includes treatment of adult and pediatric patients with a variety of IR procedures supporting multiple specialties. IR at Western is also a clinical service, with an outpatient consultation service and admitting for some patients in hospital following IR procedures.

Many of our faculty lead the country in various administrative roles, including the Canadian Association for Interventional Radiology (CAIR) and the Canadian Association of Radiologists (CAR), including roles at the Royal College of Physicians and Surgeons as examiners and curriculum development. They are leaders provincially, with roles within the interventional oncology working group at Ontario Health and CorHealth Ontario. In addition, our faculty are often speaking at national and international conferences in IR and involved as journal reviewers for the specialty.

List of the division members:
Dr. Amol Mujoomdar, Division Head, IR, LHSC/SJHC
Dr. Leandro Cardarelli Leite, Fellowship Program Director/IR Residency Program Director
Dr. Derek Cool, Research Lead for IR
Dr. Greg Garvin
Dr. David Hocking
Dr. Joanne Howey
Dr. Roman Kozak
Dr. Stewart Kribs
Dr. David Peck
Dr. Daniele Wiseman

List of current fellows:
Dr. Sandeep Sharma
Dr. Elizabeth Tai

Fellowship Information:
https://www.schulich.uwo.ca/medimaging/education/fellowship_programs/vascular_interventional.html

News:

Congratulations to Dr. Derek Cool. Derek has just received approval for AMOSO funding of $97,500 over 2 years for "Development and Evaluation of a 3D Ultrasound Guidance System for Ablation of Liver and Kidney Cancers". It was a highly competitive adjudication with 21 proposals submitted.

Dr. Amol Mujoomdar is named a Fellow to the Society of Interventional Radiology (FSIR)

Dr. Derek Cool is awarded the 2020 JVIR Top Reviewer Award.

Recent article highlights Dr. Daniele Wiseman's qualitative research on medical students' perceptions and opinions of radiology. 

London researchers first in world to use new device for feeding tube insertion.

Welcome to Medical Imaging Dr. Leandro Leite

Research: Updates coming soon 

Publications: 

1. Nonmalignant Enhancement Following Percutaneous Renal Ablation Mimicking Viable Malignancy.
Xu SS, Hocking D, Cool DW, Wiseman D, Mujoomdar A. Cardiovasc Intervent Radiol. 2020 Sep 30. doi: 10.1007/s00270-020-02639-7. Online ahead of print. PMID: 33000318 No abstract available.

2. Percutaneous Cryoablation of Recurrent Pancreatic Mass for Life-Threatening Pancreatic VIPoma Syndrome: A Case Report. Eng K, Wiseman D, Van Uum S, Quan D, Sanatani M, Mujoomdar A. Cardiovasc Intervent Radiol. 2020 Sep 10. doi: 10.1007/s00270-020-02630-2. Online ahead of print.
PMID: 32914368

3. Overall Impact of the COVID-19 Pandemic on Interventional Radiology Services: A Canadian Perspective.
Patel NR, El-Karim GA, Mujoomdar A, Mafeld S, Jaberi A, Kachura JR, Tan KT, Oreopoulos GD. Can Assoc Radiol J. 2020 Aug 30:846537120951960. doi: 10.1177/0846537120951960. Online ahead of print. PMID: 32864995 Free PMC article.

4. The Canadian Association for Interventional Radiology (CAIR) and Canadian Association of Radiologists (CAR) Guidelines for Interventional Radiology Procedures for Patients With Suspected or Confirmed COVID-19. Mujoomdar A, Graham T, Baerlocher MO, Soulez G. Can Assoc Radiol J. 2020 Nov;71(4):514-517. doi: 10.1177/0846537120924310. Epub 2020 May 7. PMID: 32380846

5. Percutaneous Ultrasound Gastrostomy: First-in-Human Experience with the PUMA-G System. Cool DW, Chung J, Wiseman D, Kribs S, Mujoomdar A. J Vasc Interv Radiol. 2020 May;31(5):808-811. doi: 10.1016/j.jvir.2019.12.002. Epub 2020 Apr 15. PMID: 32305247

6. Interventional Radiology in Canada: Current Challenges and Future Directions. Kennedy SA, Abraham RJ, Mujoomdar A, Valenti DA, Klass D, Wong JK. AJR Am J Roentgenol. 2018 Oct;211(4):736-739. doi: 10.2214/AJR.18.19996. Epub 2018 Jul 5. PMID: 29975118

7. Thirty-day complication rate of percutaneous gastrojejunostomy and gastrostomy tube insertion using a single-puncture, dual-anchor technique. Zener R, Istl AC, Wanis KN, Hocking D, Kachura J, Alshehri S, Mujoomdar A, Latosinsky S, Wiseman D. Clin Imaging. 2018 Jul-Aug;50:104-108. doi: 10.1016/j.clinimag.2018.01.001. Epub 2018 Jan 10. PMID: 29348052

8. Staging Computed Tomography in Patients With Noncurative Laparotomy for Periampullary Cancer: Does Nonstructured Reporting Adequately Communicate Resectability? Marshall HR, Hawel J, Meschino M, Wiseman D, Mujoomdar A, Lau E, Leslie K, Yoshy C. Can Assoc Radiol J. 2018 Feb;69(1):97-104. doi: 10.1016/j.carj.2017.10.003. Epub 2017 Dec 7. PMID: 29224737 No abstract available.

9. Informed Consent for Radiation in Interventional Radiology Procedures. Zener R, Johnson P, Wiseman D, Pandey S, Mujoomdar A. Can Assoc Radiol J. 2018 Feb;69(1):30-37. doi: 10.1016/j.carj.2017.07.002. Epub 2017 Nov 29. PMID: 29198614

10. Endovascular Proximal Forearm Arteriovenous Fistula for Hemodialysis Access: Results of the Prospective, Multicenter Novel Endovascular Access Trial (NEAT). Lok CE, Rajan DK, Clement J, Kiaii M, Sidhu R, Thomson K, Buldo G, Dipchand C, Moist L, Sasal J; NEAT Investigators. Am J Kidney Dis. 2017 Oct;70(4):486-497. doi: 10.1053/j.ajkd.2017.03.026. Epub 2017 Jun 14. PMID: 28624422

11. Transarterial embolization of intralobar pulmonary sequestration in a young adult with hemoptysis.
Zener R, Bottoni D, Zaleski A, Fortin D, Malthaner RA, Inculet RI, Mujoomdar A. J Thorac Dis. 2017 Mar;9(3):E188-E193. doi: 10.21037/jtd.2017.02.82. PMID: 28449501 Free PMC article.

12. Successful percutaneous CT-guided microwave ablation of adrenal gland for ectopic Cushing syndrome.
Zener R, Zaleski A, Van Uum SH, Gray DK, Mujoomdar A. Clin Imaging. 2017 Mar-Apr;42:93-95. doi: 10.1016/j.clinimag.2016.11.021. Epub 2016 Nov 29. PMID: 27919009

13. Accessory Right Hepatic Artery Arising from Splenic Artery Supplying Hepatocellular Carcinoma Identified by Computed Tomography Scan and Conventional Angiography: A Rare Anatomic Variant.  Al Zahrani Y, AlMat'hami A, Alobaidi H, Wiseman D, Mujoomdar A. Ann Vasc Surg. 2017 Jan;38:316.e1-316.e5. doi: 10.1016/j.avsg.2016.05.096. Epub 2016 Aug 12. PMID: 27522974

14. Computed Tomography Measurement of Hepatic Steatosis: Prevalence of Hepatic Steatosis in a Canadian Population. Wells MM, Li Z, Addeman B, McKenzie CA, Mujoomdar A, Beaton M, Bird J. Can J Gastroenterol Hepatol. 2016;2016:4930987. doi: 10.1155/2016/4930987. Epub 2016 Apr 19. PMID: 27446844 Free PMC article.

15. Physician Involvement in Procurement Is Essential for Optimal Patient Care.  Shiau G, Mujoomdar A, Ferguson D, Wong J. Can Assoc Radiol J. 2016 Aug;67(3):305. doi: 10.1016/j.carj.2016.05.004. Epub 2016 Jun 24. PMID: 27349950 No abstract available.

16. Fibrinogen Level and Bleeding Risk During Catheter-Directed Thrombolysis Using Tissue Plasminogen Activator.
Lee K, Istl A, Dubois L, DeRose G, Forbes TL, Wiseman D, Mujoomdar A, Kribs S, Power AH. Vasc Endovascular Surg. 2015 Oct;49(7):175-9. doi: 10.1177/1538574415611234. Epub 2015 Oct 13. PMID: 26462979

17. Acute obstruction of a chronic organoaxial gastric volvulus detected on blood pool imaging of a bone scan.
Bryanton M, Mujoomdar A, Rachinsky I. Clin Nucl Med. 2015 Dec;40(12):977-8. doi:10.1097/RLU.0000000000000972. PMID: 26402123

18. Computed tomography measurement of hepatic steatosis: Prevalence of hepatic steatosis in a Canadian population.  Wells M, Li ZJ, Addeman B, McKenzie CA, Mujoomdar A, Beaton M, Bird J.
Can J Gastroenterol Hepatol. 2015 Jun 30:16940. Online ahead of print. PMID: 26125108 No abstract available.

19. Carcinoma of the lung and metastatic disease of the central nervous system.  Austin JH, Mujoomdar A, Powell CA, Pearson GD, Raftopoulos H. Am J Respir Crit Care Med. 2008 Nov 15;178(10):1090; author reply 1090. doi: 10.1164/ajrccm.178.10.1090. PMID: 18987348 No abstract available.

20. Spontaneous thrombosis of pseudoaneurysm of the breast related to core biopsy.
El Khoury M, Mesurolle B, Kao E, Mujoomdar A, Tremblay F. AJR Am J Roentgenol. 2007 Dec;189(6):W309-11. doi: 10.2214/AJR.05.1647. PMID: 18029840 No abstract available.

21. Sonographic diagnosis of a ruptured intratesticular pseudoaneurysm secondary to orchitis.
Mujoomdar A, Maheshwari S, Zand KR, Sircar K, Mesurolle B. AJR Am J Roentgenol. 2007 Jul;189(1):W20-2. doi: 10.2214/AJR.05.1054. PMID: 17579129 No abstract available.

22. Clinical predictors of metastatic disease to the brain from non-small cell lung carcinoma: primary tumor size, cell type, and lymph node metastases. Mujoomdar A, Austin JH, Malhotra R, Powell CA, Pearson GD, Shiau MC, Raftopoulos H. Radiology. 2007 Mar;242(3):882-8. doi: 10.1148/radiol.2423051707. Epub 2007 Jan 17.
PMID: 17229875