Commonly treated conditions at the Dotter Institute

Among the highly specialized clinical programs at the department are...

  • an integrated, multispecialty clinic for treatment of hereditary hemorrhagic telangiectasia
  • an emergency response team for stroke thrombolysis
  • the region's most active practices in transjugular intrahepatic portosystemic shunt (TIPS) placement, carotid and intracranial artery angioplasty/stenting, and uterine artery embolization for fibroids.

As a result of these activities, the Department has experienced a significant increase in its annual caseload since its founding.

If you need a test, treatment or procedure not listed, please call us to discuss.

Drain Placement/Removal

  • Percutaneous drainage of abscesses and fluid collections- routine exchanges- removals

Venous access

  • Tunneled central line placement - checks exchange - removal - line repair
  • Chest port placement - checks- replacement - removal
  • Apheresis - infusion catheters - maintenance
  • Temporary central venous catheters
  • Declot existing vascular access

Dialysis access treatments

  • Percutaneous dialysis fistula / graft treatments
  • Vascular recanalization
  • Tunneled central venous catheter
  • Fistulogram

Chronic renal failure/end stage renal disease

  • Dialysis access planning (venography)
  • Percutaneous treatment of malfunctioning or thrombosed dialysis access

Obstructive uropathy

  • Nephrostogram
  • Nephrostomy and Nephroureteral stent placement - exchange - removal
  • Suprapubic drainage

Biopsy

  • TJLB – Transjugular Liver Biopsy

Gastrointestinal

  • Gastrostomy tube placement - check - exchange- reposition - conversion -removal
  • Gastro-jejunostomy tube placement - exchange
  • Jejunostomy tube placement - replacement - exchange
  • Cecostomy tube placement – replacement-exchange-removal

Men’s health

  • Infertility – Varicocele embolization
  • Prostatic artery embolization

Women’s health

  • Selective salpingography
  • Uterine fibroid -uterine artery embolization
  • Foreign Body Retrieval (Nexplanon/Implanon removal)- referral from womens health only
  • Pelvic congestion syndrome

Biliary intervention

  • Biliary drain, placement, exchange and removal (native and transplant liver)
  • Cholangiogram
  • Cholecystostomy placement - drain check - exchange- removal
  • Cholecystostomy Biliary Endoscopic Laser Lithotripsy (BELL) and percutaneous stone retrieval

Cancer therapy

  • Chemoembolization of liver tumors (TACE)
  • Bland Embolization of liver tumors
  • Radioembolization (Yttrium-90)
  • Radio Frequency Ablation (RFA) of liver tumors, kidney tumors, thyroid, and osteoid osteomas
  • Stenting of malignant strictures: bile duct, esophageal, tracheobronchial and intestinal
  • Portal vein embolization

Arteriography

  • Aorta - Visceral -Pelvic - Pulmonary - Renal – Extremities
  • Lymphangiogram

Renal vascular disease

  • Renal artery angioplasty and stenting, renal vein sampling

Vascular embolization

  • Gastrointestinal bleeding
  • Hemoptysis - bronchial artery embolization
  • Preoperative vessel occlusion
  • Genicular Artery Embolization (GAE)

Vascular malformations

  • Sclerotherapy of venous and lymphatic malformations
  • AVMs - Peripheral and pulmonary

Venous

  • Ablation
  • Adrenal Vein Sampling
  • Venogram
  • Venous angioplasty
  • Thrombectomy – thrombolysis
  • IVC Filters Clinic - Placement - Retrieval

Varicose veins and venous insufficiency

  • Varicose veins - Legs
  • Varicose veins - Other
  • Venous Thromboembolic Disease
  • Venous thrombolysis
  • Angioplasty and stenting

Portal hypertension

  • TIPS / DIPS
  • Variceal embolization
  • Transjugular portosystemic shunt placement -check - revision

Other

  • Thoracic Duct embolization
  • Lymphagiogram
  • Parathyroid sampling
  • Foreign Body Removal

Aneurysms

  • Aneursyn Surveillance Program

Arteriovenous malformation and fistulas

Birthmarks - Vascular malformations - Pediatric neurovascular disease

  • Arteriovenous malformations
  • Venous malformations
  • Birthmarks
  • Vascular Lesions of the head and neck

Brain tumors requiring pre-surgical devascularization

  • Spine, skull base, head and neck tumor embolization

Carotid atherosclerosis

  • Carotid stenting

Cushing Syndrome

  • Inferior Petrosal Sinus Sampling

Epistaxis

Head and Neck Tumors

  • Soft tissue biopsy
  • Lymph node biopsy

Intracranial atherosclerosis

Moyamoya disease

Pulsatile tinnitus

Pseudotumor cerebri/Idiopathic Intracranial Hypertension

Retinoblastoma

Seizure

  • WADA testing

Spinal conditions

  • Kyphoplasty/vertebroplasty (for compression fractures and associated spinal pain)
  • Basivertebral Nerve Ablation (for associated spinal pain)
  • Radiofrequency/Bone Tumor Ablation (for associated spinal pain)
  • Spinal biopsy
  • Tarlov's cysts
  • Spinal angiogram
  • Spinal AVMs and Spinal dural AVFs

Stroke

  • Acute hemorrhagic stroke
  • Acute ischemic stroke