Services-icon-interventional-radiologyInterventional radiology (IR) refers to a subspecialty of radiology in which advanced imaging techniques including ultrasound, fluoroscopy (continuous x-ray), CT, and MRI are utilized to guide the delivery of materials for diagnostic and therapeutic purposes. This minimally invasive approach to treatment facilitates shorter hospital stays, decreased pain, and a more rapid return to function.

ACCESS is a leading provider of Interventional Radiology / Endoscopy procedures on the West Coast (and in the USA). Our interventional veterinarians lead the nation in experience with these world-class procedures to treat small animal ailments.

Through advanced imaging technology, we are now able to view nearly every structure in the body, allowing us to make comprehensive diagnoses of problems and treat animals with more targeted therapies.

Once a particular organ is imaged and a diagnosis made, our veterinarians can use a variety of catheters, coils, stents, glue or other devices to improve blood flow to certain organs, stop blood flow to other organs or safely deliver drugs directly to cancerous tissues.

Through a combination of advanced imaging equipment and expert diagnosis, our veterinarians are now able to treat diseases of the heart, kidneys, urinary tract, lung and windpipe, certain liver disease, and many forms of cancer with lower risk, less pain and a quicker recovery than with conventional surgical techniques.

Examples of the disorders treated interventionally at ACCESS include:
 Kidney, ureteral, and bladder stones, Tracheal collapse, Various tumors, Urinary incontinence, Liver shunts,
Blood clots,
and Nasopharyngeal Stenosis, nasal bleeding, Urethra tumors/blockages.

The Advantages of Using Interventional Radiology Techniques

IR procedures have the potential to provide alternatives for our patients in whom conventional therapies are declined, not indicated, or associated with excessive morbidity or mortality. Pet radiology can be applied to any body system in patients of all sizes and is associated with: Decreased mortality rates
 Minimal anesthesia time
 Reduced hospital stays.

In addition, some techniques, such as chemoembolization of tumors or palliative stenting for malignant obstructions offer treatment options for patients with various conditions that may not be amenable to standard therapies. Or when the standard-of-care treatments are associated with excessive morbidity, cost, or poor outcome.

Veterinary Interventional Radiology

Interventional radiology (IR) involves the use of contemporary imaging modalities (primarily video x-ray, called fluoroscopy CT scans) to gain access to different structures of the pet’s body for diagnostic and therapeutic reasons. Veterinary Interventional radiology refines similar procedures in human medicine to provide non-surgical care alternatives.

Veterinary Interventional Endoscopy

Interventional endoscopy involves the use of endoscopes, small cameras which can be guided throughout the body via naturally existing orifices, often in conjunction with other contemporary imaging modalities, such as ultrasound or fluoroscopy. Guided by these images, the clinician can reach many parts of the body without the need for open surgery.

Using these modalities, ACCESS provides non-surgical alternatives to many disease processes thereby:
 Decreasing mortality rates
 Minimizing anesthesia time
 Reducing hospital stays
 Lowering costs
 Providing alternative options for pets.

By offering interventional medicine to our clientele, we are providing options to patients in whom conventional therapies are declined, not indicated or associated with excessive morbidity or mortality. Additionally, some of these techniques present treatment opportunities for patients with various conditions for which there may not be standard remedies.

Areas of Treatment:
– Urologic
– Vascular/Cardiac
– Interventional oncology
– Respiratory
Gastrointestinal

Interventional radiology and endoscopy offerings

Urinary Interventions:

• Antegrade urethral catheterization
• Cystourethrogram for diagnosis of urethral obstruction or rupture
• Diagnostic and therapeutic cystoscopy
• Ectopic ureter ablation: available in both males and females
• Hydraulic occluder placement and maintenance
• Laser ablation of persistent mesonephric remnant and hymens
• Lithotripsy for urethral and bladder stones
• PCCL (percutaneous cystolithotomy): minimally invasive removal of stones
• PCNL (percutaneous) and SNL (surgically assisted) nephrolithotomy for massive, complicated nephroliths
• Percutaneous cystotomy tube placement
• Sclerotherapy for idiopathic renal hematuria
• SUB (subcutaneous ureteral bypass)
• Transcaval stenting for occlusions caused by thrombi or tumor
• Ureteral stenting for stones/strictures/infection surgical vs. endoscopic placement
• Ureteral stricture/congenital malformation treatment
• Urethral bulking agent injections for incontinence refractory to medical management
• Urethral stenting for malignancy/strictures
• Urethral stricture treatment
• Voiding urohydropulsion

Respiratory Interventions:

• Biopsy and debulking of nasal, laryngeal, and tracheal tumors
• Bronchial/tracheal foreign body retrieval
• Nasopharyngeal stenosis balloon dilation
• Nasopharyngeal stenting for refractory/recurrent stenosis
• PleuralPort placement for chronic pleural effusion
• Thoracic duct and branch glue embolization for persistent chylothorax
• Tracheal stenting

Gastrointestinal Interventions:

• Endoscopic colonic mass debulking, biopsy, polypectomy
• Endoscopic duodenal mass debulking, biopsy polypectomy
• Endoscopic gastric mass debulking, biopsy, polypectomy
• Esophageal balloon (BE) tubes, indwelling treatment for esophogeal strictures
• Esophageal ballooning
• Esophageal feeding tube placement
• Low-profile gastrostomy tube replacement
• Percutaneous endoscopic gastrostomy tube placement (PEG tube)
• Rectal stricture ballooning
• Surgical-assisted endoscopy of jejunum