Dr Salil Karkhanis

Dr Salil Karkhanis is a Consultant Interventional Radiologist and expert witness at University Hospitals Birmingham NHS Foundation Trust. His principal areas of expertise include interventional radiology, abdominal radiology, vascular interventions, portal hypertension, hepatocellular carcinoma, trans-jugular intrahepatic portosystemic shunt (TIPSS) procedures, embolisation and advanced imaging techniques.

With more than two decades of clinical experience, Dr Karkhanis provides specialist minimally invasive image-guided treatments alongside advanced diagnostic imaging for adults with complex vascular, hepatobiliary and abdominal conditions. His practice focuses on planning and performing a broad range of interventional procedures, using imaging guidance to diagnose disease, deliver targeted therapies and manage patients with complex medical and surgical conditions. He has particular expertise in the management of portal hypertension and hepatocellular carcinoma, as well as undertaking complex embolisation procedures and TIPSS interventions.

Alongside his clinical practice, Dr Karkhanis is actively involved in teaching, research and the advancement of interventional radiology. As a committee member of the British Society of Interventional Radiology and a regular faculty member at national and international conferences, he contributes to the development of clinical practice and education within his specialty, reinforcing his standing as an experienced and respected interventional radiologist.

Dr Salil Karkhanis has undertaken medico-legal work since 2025, providing independent expert opinion in Clinical Negligence claims relating to interventional and abdominal radiology. He accepts claimant instructions and prepares Screening/Advisory, Breach of Duty, Causation, and Condition & Prognosis reports. His medico-legal practice focuses on cases involving complex image-guided interventions and advanced radiological assessment, including vascular and hepatobiliary conditions, portal hypertension, hepatocellular carcinoma, trans-jugular intrahepatic portosystemic shunt (TIPSS) procedures and embolisation.

Drawing on extensive clinical experience in interventional radiology, Dr Karkhanis provides clear, objective opinions on the standard of radiological care, diagnostic and procedural decision-making, causation, and the ongoing impact of radiological conditions and interventions. His reports are tailored to assist solicitors in understanding complex technical and clinical issues within Clinical Negligence litigation.

Dr Karkhanis' clinical practice focuses on the diagnosis and minimally invasive treatment of complex vascular, hepatobiliary and abdominal conditions using advanced image-guided techniques. He regularly performs a wide range of interventional procedures, including trans-jugular intrahepatic portosystemic shunt (TIPSS) creation and revision, embolisation procedures, and other vascular interventions, providing alternatives to conventional surgery where appropriate.

A significant proportion of his day-to-day practice involves assessing patients with portal hypertension, hepatocellular carcinoma and other complex liver and abdominal disorders, using advanced imaging to guide diagnosis, treatment planning and therapeutic intervention. He combines detailed radiological assessment with technically demanding image-guided procedures to manage patients with complex vascular and hepatobiliary disease, working closely with multidisciplinary teams to optimise patient outcomes.

Dr Karkhanis also has extensive expertise in advanced imaging techniques, applying specialist radiological interpretation to support accurate diagnosis and procedural planning. His clinical practice integrates diagnostic and interventional radiology, enabling him to manage patients throughout their care pathway, from initial imaging assessment through to definitive minimally invasive treatment and ongoing post-procedural management.

Dr Karkhanis contributes to research and education within interventional radiology through regular faculty roles at national and international conferences, where he teaches and mentors radiologists. He has authored numerous publications in peer-reviewed journals and serves as a committee member of the British Society of Interventional Radiology, reflecting his recognised contribution to the advancement of his specialty.