ADVANCED
TECHNOLOGIES
INNOVATIVE
TECHNIQUES
PIONEERING
CARE
CLINICAL
TRIALS

INNOVATIVE TECHNIQUES

 Dr Thakor and the Interventional Radiology team at LPCH are pushing forward the boundaries of how to treat children using minimally invasive high-end techniques.  Examples include percutaneous reconstruction of the biliary system, percutaneous lymphatic intervention and the local delivery of medications through blood vessels into organs such as the liver, kidney and bowel as well as tumors.  In addition, we are able to cause the local destruction of tumors using percutaneous thermal or endovascular tumor blocking techniques, or more recently using completely non-invasive ways via soundwaves (i.e. HIFU).

Biliary System Interventions

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3D reconstruction of the biliary system in a child with a liver transplant used to open up a biliary stricture with subsequent percutaneous placement of internal stents

Innovative access of the common bile duct through the gallbladder in a patient with multiple strictured internal bile ducts

Endovascular Local Therapy Delivery

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Therapy administration into the bowel circulation for children with inflammatory bowel disease (IBD)

Therapy administration into the liver circulation for children with graft-vs-host disease (GvHD)

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Therapy administration into the transplanted bowel with the site of rejection localized with an endoscopically placed clip

Interventions of the Urinary System

Percutaneous access, salvage and reconstruction of the urinary outlet of a transplanted kidney

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Percutaneous Access of the Lymphatic System
for Therapy Delivery

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Embolization of the lymphatic system to treat children with persistent chylous effusions

Access to the lymphatic system in children through the liver lymphatic channels

Thrombectomy and
Venous Reconstruction

Treating and removing blood clot (thrombus) in the leg veins of children using endovascular approaches with the placement of a protective filter and reconstruction of the iliac vein with angioplasty and stent placement

Embolization Techniques

Retrograde embolization of a leaking thoracic duct in a child

Image-guided percutaneous embolization of a ruptured pseudoaneurysm

Image-guided endovascular embolization of a ruptured and bleeding kidney in a child following trauma to save them surgical resection

Endovascular Catheter Stripping

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Fibrin sheath blocking the tip of the port which was removed using an endovascular snare

Venous Reconstruction with Angioplasty

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Percutaneous re-establishment of inline flow following chronic upper limb venous occlusion from long term vascular access

Arterial Angioplasty

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Endovascular renal arterial angioplasty to restore blood flow to the kidney to correct high blood pressure in a child

Combination Ablative
and Sclerotherapy

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Combination of percutaneous cryotherapy and chemical sclerotherapy to treat cystic bone tumors