10, 2, 2023

Patient Transformation from venous disease: varicose veins
Gallery

Patient Transformation from venous disease: varicose veins

LJVascular2023-01-14T13:22:52-08:00

What are varicose veins?

Varicose veins (venous disease) are the twisted, bulging veins just beneath the surface of the skin. Varicose veins are swollen, twisted veins that you can see just under the surface of the skin. These veins usually occur in the legs, but they also can form in other parts of the body. Varicose veins are a common condition with venous disease.

What causes varicose veins?

Varicose veins are caused by leaky vein valves, which allow blood to pool within the veins causing them to stretch and become enlarged. Varicose veins can be an isolated finding, but the majority of the time, they are caused by underlying venous reflux disease. Venous reflux disease is also known as venous stasis, venous insufficiency or venous incompetence. Reflux may occur in the deep and/or superficial leg veins.

In our study, led by Dr. Nisha Bunke and published in the Journal of Vascular Ultrasound in 2018, we studied over 1,000 legs with varicose veins. Over 90% of the time, the source of the varicose veins were the great and small saphenous veins. The Great Saphenous Vein (GSV) courses up the middle of the thigh and calf and the small saphenous vein (SSV), which courses along the back of the calf. Normally, there are one-way valves within the leg veins, which help blood flow in one direction: toward the heart. This means blood is traveling against gravity. The calf muscle also helps move blood toward the heart. When vein valves are leaky, blood flows backward (reflux) towards the feet. Blood pools in the lower legs, causing bulging veins at the surface.

La Jolla Vein & Vascular Before and After Transformations:

At La Jolla Vein & Vascular, we are here for our patients from beginning to the end. We love seeing the transformations that take place. Below are a few cases from our patient transformations from before varicose vein treatment to after varicose vein treatment.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care.

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care.

Our accredited center is also a nationally known teaching site and center of excellence.

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330.

For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link.

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources.

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information.

Patient Transformation from venous disease: varicose veinsLJVascular2023-01-14T13:22:52-08:00

2, 9, 2022

Flying after vein treatment
Gallery

Flying after vein treatment

LJVascular2022-08-18T16:01:37-07:00

Patients traveling and flying from different states or countries to seek treatment at La Jolla Vein & Vascular can return to the air within 24-hours after the procedure (although it’s understandable if the stay is extended to take in the beautiful sights of San Diego). Although a patient can easily resume most day-to-day activities right after treatment, it’s recommended to avoid air travel for the first 24-hours. Once in the air, however, it’s important to wear the prescribed compression stockings and work on increasing the circulation in your legs. To do this, please make sure to pump the calf muscles regularly and get up from your chair every two hours. It’s the best way to facilitate healing in the air—and it’s a sure fire way to avoid economy class syndrome.

There are risks of flying after vein treatment that you need to know about.

Factors that influence the risks after vein treatment include:

The length of the flight
How soon after treatment
The type of vein procedure

For flying longer than 4 hours:

If patients have been treated with endovenous laser ablation (EVLA) or ultrasound guided sclerotherapy (UGS), there is an increased risk in development of in-flight deep vein thrombosis (DVT, a leg blood clot).

If patients have had varicose veins treated, the risk of deep vein thrombosis increases when flying on long-haul flights.

Although waiting to fly long distances for 3-4 weeks is ideal, sometimes there is no choice. If it cannot be avoided, here are some preventative measures to follow.

1.Wear compression stockings or compression socks: wearing compression helps support consistent blood flow, prevents blood settling in the lower legs because of gravity, and improves lymphatic drainage preventing swelling.

2.Keep moving: Movement is key. It helps contract the calf muscle which helps to move blood around the legs.

3.Hydrate well: Drink water and avoid alcohol (which causes dehydration).

4.Blood thinners: Patients at a particularly high risk of DVT may be prescribed and be taking blood thinners.

5.Most importantly, if you have any questions or concerns to discuss about flying during this time, please contact our office, so you can both be well informed and prepared.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care.

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care.

Our accredited center is also a nationally known teaching site and center of excellence.

For more information and to book a consultation, please give our office a call at 858-550-0330.

For more information please check out our Youtube Channel at this link.

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources.

Flying after vein treatmentLJVascular2022-08-18T16:01:37-07:00

25, 8, 2022

What you need to know about varicose veins and pregnancy
Gallery

What you need to know about varicose veins and pregnancy

LJVascular2022-12-13T13:19:49-08:00

It’s important to know about your vein health during pregnancy.

It’s estimated that 70% to 80% of pregnant women develop varicose veins during the first trimester. Pregnancy causes an increase in blood volume; however, it’s the hormonal changes that cause the veins to enlarge. Elevated levels of progesterone, which the body produces to stabilize the uterus, allow the veins to dilate. Later, the uterus enlarges and causes increased pressure on the veins in the pelvic area. While varicose veins often disappear after delivery, the venous valves are damaged. When varicose veins are still visible after three months, it’s time to contact a vein specialist. It’s important you look good, feel good, and remain healthy—particularly after pregnancy. Here is some helpful information to better understand varicose veins.

Varicose Veins and Venous Reflux Disease

Varicose veins are the twisted, bulging veins just beneath the surface of the skin. Varicose veins are swollen, twisted veins that you can see just under the surface of the skin. These veins usually occur in the legs, but they also can form in other parts of the body. Varicose veins are a common condition.

What causes varicose veins?

What are the symptoms of varicose veins and venous reflux disease?

The symptoms can include:

Aching, tenderness
Heaviness, fatigue
General restlessness in the legs
Burning pain
Throbbing pain
Itching
Leg cramps, particularly at night
Ankle swelling
Skin discoloration at the ankle
Skin ulcers above the ankle

Over time, complications can develop from untreated veins. These include:

Superficial phlebitis (painful inflammation of the vein)
Superficial thrombophlebitis (blood clots within the varicose veins)
Spontaneous vein hemorrhage (the vein can rupture spontaneously)
Skin discoloration and eczema around the ankle (venous eczema)
Skin sores or ulcers usually near the ankle

If you experience any vein disease symptoms, please call our office at (858)-550-0330 to schedule a consultation with one of our knowledgeable doctors at La Jolla Vein and Vascular.

For more information on vein health please check out our Youtube Channel or visit our helpful guide of resources.

What you need to know about varicose veins and pregnancyLJVascular2022-12-13T13:19:49-08:00

21, 6, 2022

Non Invasive Vascular Laboratory
Gallery

Non Invasive Vascular Laboratory

LJVascular2022-05-23T15:49:54-07:00

Noninvasive Vascular Laboratory

The Non Invasive Vascular Laboratory at La Jolla Vein & Vascular utilizes advanced, noninvasive, diagnostic, medical ultrasound technology while ensuring high quality results to detect diseases that may affect blood flow in the arteries and veins. We utilize “state-of-the-art” color duplex ultrasound imagers and indirect testing equipment.

The Vascular Lab offers the convenience of:

Non-invasive testing
Same-day imaging appointments
Follow-up clinic visits with our on-site vascular team
Appointments at multiple locations including La Jolla, Poway, Chula Vista, and Solana Beach.

What is Duplex Ultrasound

The non invasive Duplex ultrasound involves using high frequency sound waves to look at the speed of blood flow, and structure of the blood vessels. The term “duplex” refers to the fact that two modes of ultrasound are used, Doppler and B-mode. The B-mode transducer obtains an image of the vessel being studied. The Doppler probe within the transducer evaluates the velocity and direction of blood flow in the vessel.

Types of Ultrasound Testing Offered:

Direct testing (duplex imaging)

Venous Non Invasive

Deep Vein Thrombosis- upper or lower extremity
Venous Reflux

Arterial Non Invasive

Abdominal Aorta
Abdominal Aortic Aneurysm (AAA) Screening- must meet criteria of SAAAVE Act
Carotid Duplex
Lower Extremity Duplex

Indirect testing (non-imaging)

Arterial –Ankle Brachial Index (ABI) with waveforms

Arterial –Segmental pressures and waveforms (P&Ws), upper or lower extremity

For more information and to book a consult, please give our office a call at 858-550-0330.

For more information please check out our Youtube Channel at this link.

Non Invasive Vascular LaboratoryLJVascular2022-05-23T15:49:54-07:00

Signs of Osteoarthritis
Gallery

Signs of Osteoarthritis

LJVascular2022-05-30T13:29:11-07:00

For most people, the knee osteoarthritis symptoms come and go, worsening over time. While it is easy to dismiss early knee OA signs and symptoms, the symptoms become worse if left untreated, causing mobility issues.

Some of the common OA signs and symptoms include:

Knee Pain: Knee pain is the most reported OA symptom. The pain description often varies from one person to the other depending on their condition and situation. Sometimes the pain may come and go, while the person may experience chronic low levels of pain with intermittent intense pain flare-ups. On the other hand, you may experience a dull, aching. Most often, knee OA pain gets worse, especially when doing activities that put a strain on the knee, such as walking upstairs or squatting.

Swelling: Damaged cartilage causes the femur and tibia bones to rub together, leading to irritation. The irritation forces the body to produce excess fluid at the joint, making the knee swell.

Stiffness: The swelling and friction in the knee make the joint stiff. You may often experience 30 minutes of stiffness after sitting for an extended period or early in the morning. Knee stiffness can also be accompanied by reduced motion range and visible swelling.

Redness and Warmth: The irritation develops when the knee joint’s bones rub each other causing the skin over the knee to become warm and red. These signs could also indicate an infection that requires medical attention.

Reduced Range of Motion: The swelling in the knee limits your range of motion. Mild to moderate knee OA makes it hard for you to bend or straighten the knee completely.

Worsening Symptoms with Inactivity

Your knees tend to become stiff after long periods of sitting or sleeping. In most cases, you will notice pain and stiffness after waking up in the morning or sitting for long hours.

Popping or Crunching: A popping or crunching sound when bending your knee indicates knee joint friction.

Buckling or Locking Up: People with moderate to severe knee OA can also cause a sensation of knee-buckling. The sensation develops when there are uneven flaps or grooves, or cartilage breaks off and sticks in the joint.

So, if this is you and you’ve been experiencing osteoarthritis pain, please give our office a call at 858-550-0330.

For more information please check out our Youtube Channel at this link.

Signs of OsteoarthritisLJVascular2022-05-30T13:29:11-07:00

What is Osteoarthritis?
Gallery

What is Osteoarthritis?

LJVascular2022-05-13T16:57:54-07:00

Osteoarthritis is the most common arthritis form that affects millions of people across the globe. While OA can affect any joint, it often damages the knees, hands, spine, and hips. Also known as wear and tear arthritis, the condition develops when the protective cartilage cushioning the ends of the bone in a joint wears away over time. Joints are parts of the body where two or more bones meet. These parts include your knee, hip, hands, backbone (any part of the body that you can bend has a joint).

The ends of the bones in a joint have a smooth, slippery surface referred to as the cartilage. This protective covering allows the bones to rub against each other without friction. Osteoarthritis causes the wear and tear of the cartilage between the bones, making the joint rough. The increased resistance at the joint causes stiffness, pain, swelling, and decreased ability to move.

While various treatments help in managing the OA symptoms, damaged joints are not reversible. Maintaining a healthy weight and staying active c will also help in slowing the disease progression. Although OA can affect both men and women at any age, individuals aged over 45 years are at an increased risk. Based on the research done by the Arthritis Foundation, osteoarthritis affects more than 27 million people in the USA alone, with the knee being the most susceptible part. Research also shows that women are at an increased risk of developing OA than men.

Osteoarthritis of the Knee

The most common cause of knee pain is knee osteoarthritis. The pain may come and go, become worse over time, or come accompanied by other symptoms, including knee stiffness. The condition develops due to degeneration of the cartilage. While the cartilage does not contain any nerves, damage or missing cartilage in the knee causes friction between bones and bone tissue changes, leading to pain. For example, damaged cartilage can lead to various bone changes such as:

Bone Spurs: Bone spurs, also known as osteophytes, are abnormal bony growth at the knee joints with damaged cartilage. The joint bones produce the bone spurs to compensate for missing or deteriorated cartilage. Bone spurs have an irregular shape that creates more friction in the knee joint, causing discomfort and pain.
Subchondral Bone Sclerosis: Due to undistributed weight loads, the tibia and femur surfaces, which lie beneath the cartilage, can change in composition, making it harden.
Cysts And Bone Marrow Lesions: Missing or deteriorated knee cartilage can also lead to cysts development and bone marrow lesions (areas of abnormal swelling). These cysts and lesions lead to knee discomfort and pain.

What is Osteoarthritis?LJVascular2022-05-13T16:57:54-07:00

Testing and Diagnosis of Pelvic Varicose Veins
Gallery

Testing and Diagnosis of Pelvic Varicose Veins

LJVascular2022-05-12T14:28:54-07:00

Testing and Diagnosis of Pelvic Varicose Veins

How are Pelvic Varicose Veins Diagnosed?

From the list shared previously regarding the common symptoms and signs associated with pelvic congestion syndrome, you can tell most are either common or can be easily misdiagnosed. For example, if you are having recurring back pain, you could easily get some pain relievers thinking that to be the problem.

Medically, doctors may need to run a number of tests before diagnosing the condition. This is a result of the various associative symptoms. Moreover, since there’s such a vast array of symptoms, healthcare providers need to rule out other possible underlying causes for the symptoms.

Some of the procedures you can expect when getting vulvar varicose veins include;

A laparoscopy: This is a relatively small and minimally invasive surgical procedure where the doctor inserts a small camera inside the pelvis for a clearer and objective look.

A computed tomography (CT) scan

A Magnetic Resonance Imaging Scan (MRI)

An ultrasound tests

A venogram exam

In most cases, the healthcare provider will opt for the ultrasound examination. Besides being simple, non-intrusive, and quick, an ultrasound exam can detect varicosities and assess the blood flow.

Seeing a doctor can prove beneficial, even when you are exhibiting some or none of the apparent symptoms. This is largely because some women with developing labial varicosities show little to no symptoms other than swollen veins.

The other importance of seeing a doctor whenever you start exhibiting these signs is to get ahead of any underlying health conditions. Pelvic congestion syndrome is often the sign of other health issues, especially regarding the body’s circulatory system. For instance, through an examination, pelvic varicose veins could help identify varicose veins in other parts of the body.

Are Vulvar Varicosities Permanent?

Pelvic congestion syndrome is rarely a permanent condition. Most of the symptoms will likely disappear within six to eight weeks of giving birth.

However, if you have previously developed labial varicosities during a previous pregnancy, chances are high the condition will come back during the next pregnancy. In these cases, the recurring pelvic congestion syndrome will be more painful with every subsequent pregnancy.

Even when the varicosities disappear on their own, it’s still vital to speak with your doctor. This will help kick in preventative measures to ensure the condition doesn’t recur.

Are Labial Varicose Veins Treatable?

So, you’ve noticed a few worrying signs, gone to the doctor, had tests run, and the results are out; you have pelvic congestion syndrome. What next?

Well, the treatment approach largely depends on whether you are pregnant or not. If you are pregnant, the best cause of action is alleviating the pain and discomfort and eliminating the symptoms. The treatment option for pregnant women is aimed at alleviating any pain and accompanying symptoms. To achieve this, the healthcare provider may use various medications, including;

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Chronic pain relief medication such as gapapentin and amitriptyline

In other cases, the faulty veins can be targeted, isolated, then closed off through minimally invasive procedures. Once these nonfunctional veins are closed, the body will naturally redirect venous blood to the healthier veins. Subsequently, the pelvic venous drainage will improve over time, taking away most, if not all, of the symptoms.

However, before these procedures are performed, your doctor may put you in an observation period lasting between six to twelve months. Since most varicosities disappear after eight weeks, the doctors may choose to give your body a chance to repair itself. FOrtunately, you can still receive pain medication to alleviate any pain during this observation window. You can also use various anecdotal remedies include;

Avoid standing or sitting for too long

Avoid wearing uncomfortable shoes, such as high heels, which put more pressure on your lower body and back

Change positions regularly

Drink a lot of water

Elevate your legs periodically to improve blood circulation

Applying heat or ice on the painful areas

Wearing supportive underwear when pregnant-such as compression and support stockings while labial varicose veins are not usually dangerous, may lead to poor circulation in the lower parts of your body. This could then lead to blood pooling, which can cause deep vein thrombosis.

When these blood clots are in the deeper veins, they can break loose and move to other parts of the body. These cases, while rare, can lead to life-threatening complications.

Some of the signs of blood clot development include increased pain in the affected region, redness, swelling, and hardening. If you experience any of these, you should notify your healthcare provider as soon as possible.

Labial Varicose Veins

Unlike varicose veins, spider veins are harmless. Most people seek treatment for cosmetic reasons. However, treatment will also alleviate the mild yet persistent discomfort this condition sometimes causes.

So, if this is you and you’ve been experiencing pain, please give our office a call at 858-550-0330.

For more information please check out our Youtube Channel at this link.

Testing and Diagnosis of Pelvic Varicose VeinsLJVascular2022-05-12T14:28:54-07:00

What Causes Vulvar Varicosities?
Gallery

What Causes Vulvar Varicosities?

LJVascular2022-05-12T12:57:33-07:00

What Causes Vulvar Varicosities?

There is ongoing research concerning the causes and risk factors associated with pelvic congestion syndrome. However, the most commonly known cause of vulvar varicosities is pregnancy.
Blood vessels such as veins contain valves whose task is to prevent blood from flowing back. Veins in the abdominal and lower parts of the body have to work against factors such as gravity to ensure smooth and uninterrupted blood flow.
However, pregnancy can lead to the dilation of veins.
Consequently, this means the valves have to work even harder to keep blood flowing in the proper direction. This dilation can go unnoticed in the initial stages, making pelvic congestion syndrome hard to detect in the early days.
Other factors, such as the pregnancy’s pressure on the lower body and the increased blood flow to the genitalia, can alter valves’ normal working and efficiency, which then results in the development of varicose veins.
Recent research also shows that pelvic congestion syndrome runs in the family. So, if a relative or someone genetically close to you has encountered a case of vulvar varicosities, you too may be at risk. To combat this situation, you can schedule regular checkups with your physician to ensure no signs of pelvic congestion syndrome.
Pelvic tumors have also been identified as a causative and accelerant agent to labia varicose veins. If you’re worried you may have a pelvic tumor – or any other previously undiagnosed tumor, you should seek professional medical services immediately.

So, if this is you and you’ve been experiencing pain, please give our office a call at 858-550-0330.

For more information please check out our Youtube Channel at this link.

What Causes Vulvar Varicosities?LJVascular2022-05-12T12:57:33-07:00

What are the Signs and Symptoms of Pelvic Varicosities?
Gallery

What are the Signs and Symptoms of Pelvic Varicosities?

LJVascular2022-05-12T12:52:12-07:00

What are the Signs and Symptoms of Pelvic Varicosities?

As highlighted above, pelvic congestion syndrome, also can be pelvic varicosities, can manifest in varying ways. As a result, there’s no one standard sign or symptom associated with the condition.

However, many women suffering from pelvic varicosities report a dull but recurring pain. While the pain may come and go, certain factors and situations can worsen the pain. Some of the situations that could lead to chronic pain include;

Standing up for extended periods of time
Sitting for long or remaining inactive
The period leading to menstruation
In the evenings
In the mid or late stages of a pregnancy
During or after sexual intercourse

While pain is the most recorded symptom associated with labial varicosities, some women also note a different combination of recurring symptoms. These are likely influenced by the severity and advancement of the condition. Other pelvic congestion syndrome symptoms include;

Experiencing overly painful menstruation (commonly called dysmenorrhea)
Excessive or abnormal bleeding during menstruation
Swelling of the vulva or vagina
Irritable bowel syndromes
Backache
Fatigue
Increased urination
Depression
Hip pain
Change in the vaginal discharge
The appearance of varicose veins around the legs, buttocks, and vulva
Abdominal tenderness

Whether alone or part of a combination, you should consult a doctor if you notice these symptoms. This will help rule out any conditions, and if it is indeed a pelvic congestion disorder such as pelvic varicosities, they can begin the treatment process.

So, if this is you and you’ve been experiencing pain, please give our office a call at 858-550-0330.

For more information please check out our Youtube Channel at this link.

What are the Signs and Symptoms of Pelvic Varicosities?LJVascular2022-05-12T12:52:12-07:00

What are Pelvic & Labial Varicose Veins
Gallery

What are Pelvic & Labial Varicose Veins

LJVascular2022-05-12T12:46:22-07:00

Pelvic & Labial Varicose Veins

Labial varicosities are a common vascular condition that is now treated at La Jolla Vein and Vascular. Most people understand that varicose veins can be found in the legs and feet. And while this is mostly true, they can also manifest in the vulva. This is generally why most women who develop from vulva varicosities don’t notice it until the condition begins to worsen.

What are Labial Varicosities?

Vulvar varicosities, also commonly referred to as labial varicosities, are a condition when the veins in the labia minora or Majora become dilated.

Like any other part of the human body, the vulva is interconnected through an extensive reach of large and small blood vessels. During pregnancy, the increase in weight and pressure may reduce blood flow to the lower body and genitals. This will then cascade into the condition known as Labial varicosities.

While no one is fully exempt from developing vulvar varicose veins, the condition is more apparent in pregnant women. Moreover, pregnant women are more susceptible to developing pelvic varicosities due to the pressure and weight exerted by the baby.

However, in most cases, the condition does go away after giving birth. Ideally, you should start feeling better within six to eight weeks from the delivery time. Unfortunately, in some women, the dilated veins do not recover independently and need medical intervention to help fix the condition and get you back to your normal self from labial varicose veins.

Most people understand that varicose veins can be found in the legs and feet. And while this is mostly true, they can also manifest in the vulva. This is generally why most women who develop from vulva varicosities don’t notice it until the condition begins to worsen.

There are numerous veins supplying blood to and from the vulva. And since they all differ in size, there’s no sure way to tell if you’re developing pelvic varicosities. The impact may leave them moderately swollen from the varying size of the veins, especially in the smaller veins. Larger veins may get twisted and become painful over time. This further goes to assert the importance of consulting a healthcare professional if you’re uncertain.

So, if this is you and you’ve been experiencing pain or any other symptoms, please give our office a call at 858-550-0330.

For more information please check out our Youtube Channel at this link.

What are Pelvic & Labial Varicose VeinsLJVascular2022-05-12T12:46:22-07:00

10, 2, 2023

Patient Transformation from venous disease: varicose veins

2, 9, 2022

Flying after vein treatment

25, 8, 2022

What you need to know about varicose veins and pregnancy

21, 6, 2022

Non Invasive Vascular Laboratory

Signs of Osteoarthritis

What is Osteoarthritis?

Testing and Diagnosis of Pelvic Varicose Veins

What Causes Vulvar Varicosities?

What are the Signs and Symptoms of Pelvic Varicosities?

What are Pelvic & Labial Varicose Veins

La Jolla/UTC

Vista

Patient Privacy Practices

TWO CONVENIENT LOCATIONS THROUGHOUT SAN DIEGO

La Jolla/ UTC

North County San Diego/ Vista
Now Open! Call/Text for Appointments

La Jolla/UTC

Vista

Patient Privacy Practices

TWO CONVENIENT LOCATIONS THROUGHOUT SAN DIEGO

La Jolla/ UTC

North County San Diego/ Vista — Endovascular Center
Now Open! Call/Text for Appointments

10, 2, 2023

2, 9, 2022

25, 8, 2022

21, 6, 2022

La Jolla/UTC

Vista

Patient Privacy Practices

TWO CONVENIENT LOCATIONS THROUGHOUT SAN DIEGO

La Jolla/ UTC

North County San Diego/ Vista Now Open! Call/Text for Appointments

La Jolla/UTC

Vista

Patient Privacy Practices

TWO CONVENIENT LOCATIONS THROUGHOUT SAN DIEGO

La Jolla/ UTC

North County San Diego/ Vista — Endovascular Center Now Open! Call/Text for Appointments

North County San Diego/ Vista
Now Open! Call/Text for Appointments

North County San Diego/ Vista — Endovascular Center
Now Open! Call/Text for Appointments