• Rajiv N Srinivasa, Chick Jeffrey Forris Beecham JFB Department of Radiology, University of Michigan Health Systems, Ann Arbor, MI., Kyle Cooper, and Ravi N Srinivasa.
• Department of Radiology, University of Michigan Health Systems, Ann Arbor, MI. Electronic address: srajiv@med.umich.edu.
• Curr Probl Diagn Radiol. 2019 Mar 1; 48 (2): 184-188.

PurposeInterventional radiology-operated endoscopy is an underused technique, which may have a significant impact on the ability to treat patients with a variety of conditions. The purpose of this article is to discuss the setup, equipment, and potential clinical uses of interventional radiology-operated endoscopy.MethodsA number of new and innovative interventions may be performed in the biliary, genitourinary, and gastrointestinal systems through percutaneous access that interventional radiologists already create. When used in combination, endoscopy adds an entirely new dimension to the fluoroscopic-guided procedures of which interventional radiologists are accustomed.ResultsInterventional radiologists are in a unique position to implement endoscopy into routine practice given the manual dexterity and hand-eye coordination already required to perform other image-guided interventions.ConclusionAlthough other specialists traditionally have performed endoscopic interventions and local politics often dictate referral patterns, a collaborative relationship among these specialists and interventional radiology will allow for improved patient care. A concerted effort is needed by interventional radiologists to learn the techniques and equipment required to successfully incorporate endoscopy into practice.Copyright © 2018 Elsevier Inc. All rights reserved.

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