Explore the field of Interventional Radiology in this comprehensive physician grand rounds presentation. Gain insights into various IR procedures, consultation practices, and management of bleeding risks. Learn about antithrombotic and anticoagulation management, vascular access techniques, and catheter-directed therapies. Discover interventions for venous thrombosis, hepatic malignancies, and uterine fibroids. Examine biliary interventions, percutaneous transhepatic cholangiograms, and PleurX catheter placements. Understand the applications of sclerotherapy, adrenal venous sampling, and renal artery interventions. Conclude with a discussion on emergency procedures in interventional radiology.