Interventional radiologists at Nationwide Children’s Hospital have created an internationally-recognized program for providing innovative, successful minimally-invasive treatment of lymphatic malformations. For more than 20 years, our radiology team has been refining the treatment process, especially in the eye, abdomen, head and neck.
Dr. Shiels dedicated his life to advancing the field of radiology in order to provide the best care to children in our community, across the country and around the world. As we remember and celebrate his work, we will remain ever-grateful for his passionate mentorship of our radiology team and staff – some of whom have worked side by side with Dr. Shiels for more than a decade. Everything Dr. Shiels learned over his career, he taught to and instilled in his staff including his revolutionary advancements in interventional radiology and ultrasound; treating lymphatic malformations; bone tumor ablation, aneurysmal bone cyst and salivary gland ablation. His passion inspires the entire team to continue delivering the best possible care to children everywhere and his legacy will live in the advancements we continue to make here at Nationwide Children’s.
Our team truly is the lymphatic malformation expert because they have developed and perfected the following procedures:
If you are interested in minimally-invasive treatment options, call our Interventional Coordinator at (614) 722-2375 to set up a consultation with an Interventional Radiologist. Our team works with other specialists in a multidisciplinary Vascular Anomalies and Hemangioma management team, and consultations with surgeons and dermatologists can also be coordinated.
A lymphatic malformation is the result of abnormal formation and development during fetal development (malformation) of the otherwise normal lymphatic vessels in the body, usually in one area of the body (neck, chest, abdomen or extremity). Lymphatic malformation, previously known as lymphangioma, is a common vascular malformation, representing approximately five percent of all benign (harmless) tumors. A lymphatic malformation is a lump (mass) of tissue containing bubbles of fluid, known medically as “cysts”.
There are two main types of lymphatic malformations based on cyst size detected with medical imaging:
The size, location and how fast a lymphatic malformation develops determines how it will affect the body. Some lymphatic malformations are visible at birth (cysts full of fluid causing a large mass to be seen or felt). Other lymphatic malformation cysts fill up with fluid later in life and may be detected for the first time later in a child’s life (or even when an adult).
Pediatric surgeons, otolaryngologists, ophthalmologists, oculoplastic surgeons, neurosurgeons, urologists and other surgeons now offer their patients these minimally-invasive treatments as alternatives to more extensive and potentially deforming surgical procedures. The case studies below illustrate the dramatic impact these treatments can make in a patient's life.
Personally trained by Dr. Shiels, James Murakami, MD, MS, will be carrying on the care of Dr. Shiels' patients. A faculty member at Nationwide Children's for more than 15 years, Dr. Murakami has interventional radiology interests focusing on sclerotherapy of vascular malformations and benign cysts of the head and neck, orbits, and bones.