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.


  • Paracentesis
  • Thoracentesis
  • Percutaneous drainage of abscesses and fluid collections - drain check - exchange

Venous access

  • Placement of PICCs (Peripherally Inserted Central Catheters)
  • Tunneled central line placement - checks exchange - removal - line repair
  • Chest port placement - checks- replacement - removal
  • Apheresis - infusion catheters -  maintenance
  • Temporary central venous catheters
  • Declot vascular access
  • IVC Filters Clinic - Placement - Retrieval

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
  • Percutaneous access for stone retrieval
  • Suprapubic drainage


  • Image-guided soft tissue and bone biopsy
  • Intra-articular steroid injections
  • Liver and Kidney


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

Men’s health

  • Infertility – Varicocele embolization
  • Prostatic artery embolization

Women’s health

  • Infertility – Selective salpinography
  • Uterine fibroid -uterine artery embolization

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


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

Renal vascular disease

  • Renal artery angioplasty and stenting

Vascular embolization

  • Gastrointestinal bleeding
  • Hemoptysis - bronchial artery embolization
  • Preoperative vessel occlusion

Vascular malformations

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


  • Ablation
  • Vein Sampling adrenal
  • Venogram
  • Venous angioplasty
  • Thrombectormy - thrombolysis

Varicose veins and venous insufficiency

  • Varicose veins - Legs
  • Varicose veins - Other
  • Venous Thromboembolic Disease
  • Venous thrombolysis
  • Angioplasty and stenting
  • Permanent and temporary caval filtration (IVC filters) placement, retrieval

Portal hypertension

  • Variceal embolization
  • Transjugular portosystemic shunt placement -check - revision


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

Acute hemorrhagic stroke

Acute ischemic stroke


  • Aneursyn Surveillance Program

Arteriovenous malformation and fistulas

Birthmarks - vascular malformation - pediatric neurovascular disease

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

Brain tumors requiring presurgical devascularization

  • spine, skull base, head and neck tumor embolization

Carotid atherosclerosis

Cushing Syndrome - posterior petrosal sinus sampling


Intracranial atherosclerosis

Moyamoya disease

Pulsatile tinnitus

Pseudotumor cerebri


Seizure- WADA testing

Spinal AVMs and spinal DAVFs

Spinal conditions

Kyphoplasty and vertebroplasty for compression fractures and spine associated pain

  • Spine biopsy
  • Tartov's cysts
  • Spinal AVM
  • Dural fistulas
  • Spinal angiogram

Tumors head and neck

  • Soft tissue biopsy
  • Lymph node biopsy