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Dr. Giri M. Shivaram, MD is a pediatric radiologist in Seattle, WA specializing in pediatric radiology, interventional radiology/diagnostic radiology (ir/dr) and diagnostic radiology. He graduated from Stanford University School of Medicine. Dr. Giri M. Shivaram, MD is affiliated with Seattle Children's and THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS.
4800 Sand Point Way Ne Ma.7. 220
Seattle, WA 98105
Angioplasty
Angioplasty is a common, minimally invasive procedure performed to restore blood flow in arteries and veins that have become narrowed or blocked. Age or illness can cause plaque to build up at certain spots within the veins and arteries, and if enough collects, it can restrict the flow of blood. Angioplasty uses a tiny balloon at the end of a small, flexible tube to inflate within the narrowed section and open it up again.
Angioplasty may be performed in several different areas of the body and for a variety of reasons, most often:
During angioplasty, a patient is given a sedative while lying on a table under an x-ray machine. A catheter (a thin, flexible, and hollow tube) is inserted into the patient's skin in the arm or groin and guided into the blocked artery. Dye is injected via the catheter, and x-rays are used to position the tip of the catheter exactly at the blockage. The tiny balloon is guided through the catheter and inflated with saline. It pushes the plaque out of the way, squishing it against the walls of the artery. The balloon may be inflated and deflated several times to let blood pass by. A stent, a tiny tube of metal mesh like a spring, may be inserted to help keep the artery open. Then the x-ray is used again to check that blood is flowing properly, the catheter is removed, and the tiny incision is bandaged.
There are no nerves within veins and arteries, so an angioplasty is generally not painful. However, there may be some discomfort at the site of the incision and when the balloon is inflated. Overall, angioplasty is a very effective and low-risk procedure, useful for helping patients avoid more difficult bypass surgery.
Biopsy
A biopsy is a procedure performed to remove a small sample of cells for testing. The cells are examined in a laboratory to check for disease, or sometimes to see how badly a known disease is affecting them. Biopsy can be performed on any part of the body.
Although biopsy is most often associated with cancer, it can also be used to check for other diseases, such as infections. A biopsy sample can be scraped, cut, collected with a needle, taken with a machine that punches out a tiny piece, or removed with the tiny tools in an endoscope.
In most cases, a biopsy is a simple outpatient procedure. Depending on the procedure, patients may need to stop taking certain medications beforehand, such as blood thinners. It is important for patients to tell doctors if they are pregnant, as certain biopsies require the use of x-rays to guide the needle to the right location. There is usually very little pain associated with a biopsy. Patients will have to wait a few days to hear the results.
Joint Injections
A joint is any area of the body where two bones connect. Due to injury or disease, the space between the two bones can sometimes become swollen and inflamed, which leads to pain and a loss of mobility. Injection and aspiration are two tools that physicians use to treat joint pain locally without needing to perform surgery.
Both injection and aspiration are techniques that involve inserting a needle connected to a syringe directly into the joint. Aspiration involves the removal of excess fluid, and injection is the placement of medication directly into the joint space via the needle. Both procedures may be performed at the same time. In both cases a local anesthetic may be used, the skin will be cleaned and disinfected, and then the needle will be inserted. In some cases, especially if the injection or aspiration is in a large and deep joint such as the hip or spine, ultrasound may be used to guide the needle to the exact location desired.
In some cases, irritation to the joint can cause fluid to build up so significantly that the joint hurts and can no longer move well. Aspiration removes some of the excess fluid and relieves the pressure. In addition, aspiration can be used to provide a sample of joint fluid if it needs to be examined microscopically for the presence of white blood cells, bacteria, or crystal formations.
Certain injuries and diseases that affect joints are inflammatory in nature, such as rheumatoid arthritis, tendonitis or gout. These diseases may be helped by the local injection of anti-inflammatory medications directly into the affected joint. In this case, corticosteroids such as methylprednisone are usually used. Relief from the pain may be felt right away and may last for weeks or even months.
In some cases, such as with osteoarthritis, the cartilage buffer between the two bones wears down and pain comes from bones rubbing against each other. In this case, injection of a lubricating agent such as hyaluronic acid may be beneficial. It provides a slippery cushion between the bones to relieve pain that can last for months.
Dr. Giri M. Shivaram, MD graduated from Stanford University School of Medicine. He completed residency at University of Washington Affiliated Hospitals. He is certified by the Board Certification: Interventional Radiology and Diagnostic Radiology and has a state license in Washington.
Medical School: Stanford University School of Medicine
Residency: University of Washington Affiliated Hospitals
Board Certification: Board Certification: Interventional Radiology and Diagnostic Radiology
Licensed In: Washington
Dr. Giri M. Shivaram, MD is associated with these hospitals and organizations:
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These charts describe general payments received by Dr. Giri M. Shivaram, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
Siemens Medical Solutions USA, Inc. |
$3,152
Z6M SC2000(PRIME 4.0) $3,150 |
$2 |
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Boston Scientific Corporation |
$963
TACHY GENERATOR $342 |
Brady Generator $292 |
ANGIOGRAPHY $169 |
.014 BALLOON CATHETER $78 |
Metallic Stents $11 |
Other $71 |
Cook Incorporated |
$186
PI - Self-Expanding Stent $117 |
Cook Medical Balloon-Expanding Stent $31 |
Cook Medical Micropuncture $26 |
PI - Stents $12 |
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TERUMO MEDICAL CORPORATION |
$30
INTERVENTIONAL PRODUCT $30 |
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Medtronic, Inc. |
$23
Abre $23 |
Consulting Fee | $3,150 |
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Food and Beverage | $660 |
Travel and Lodging | $544 |
Dr. Giri Shivaram, who practices in Seattle, WA, is a medical specialist in pediatric radiology, interventional radiology/diagnostic radiology (IR/DR), and diagnostic radiology. He graduated from Stanford University School of Medicine. His medical residency was performed at a hospital affiliated with the University of Washington. Areas of expertise for Dr. Shivaram include stent placement (stenting), joint injections, and biopsy. He has received professional recognition including the following: Medical Student Research Fellowship - Howard Hughes Medical Institute. Dr. Shivaram is professionally affiliated with Seattle Children's.