Venous Treatments
Noninvastive Vascular Laboratory
The 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.
Radiofrequency ablation (RFA)
ClosureFast™ procedure for the backward flow of blood (or “ Venous reflux” Venous reflux in your saphenous vein(s). The great saphenous veins and small saphenous veins are the two main superficial veins of the leg.
This minimally invasive procedure can be performed in the office in less than an hour and patients usually return to their usual level of activity the same day.
Radiofrequency perforator ablation (RFA)
Radiofrequency perforator ablation is performed on perforator veins, short connections between your deep and superficial veins. Perforator veins can suffer the same sort of valve damage and retrograde blood flow (venous reflux) as other veins.
Laser ablation VenaCure
VenaCure is an endovenous laser ablation (EVLA) procedure for backwards flow (or “reflux”) in your saphenous vein(s). This minimally invasive procedure can be performed in the office in less than an hour and patients return to their usual level of activity the same day.
Chemical Ablation – Varithena®
Varithena® improves the symptoms of superficial venous incompetence and the appearance of visible varicosities. It is a non-thermal, non-tumescent, nearly painless method of vein treatment. Ultrasound guidance is used to inject Varithena® microfoam into the vein. The microfoam fills the lumen for circumferentialcontact where it’s designed to displace blood and destroy the endothelial lining efficiently.
Ultrasound-guided foam sclerotherapy
Ultrasound-guided foam sclerotherapy works well for treating surface varicose veins and veins that are not visible to the naked eye. The foam medication can be seen on ultrasound, which allows us to administer it precisely and direct it towards nearby varicose veins. Foam sclerotherapy can be safely used for veins that travel close to the skin or nerves. It also travels easily through veins with many twists and turns.
Mechanical-Chemical Ablation (CLARIVEIN®)
Clarivein
The ClariVein® procedure for treatment of backwards flow (or “reflux”) in your saphenous vein(s). The great and small saphenous veins are the two main superficial veins of the leg. They run along the inner leg and the back of the leg, respectively.
VENASEAL™ ‘Vein Glue’
VenaSeal™ Procedure
A unique, minimally invasive treatment that uses a safe-for-the-body medical glue to quickly and effectively treat varicose veins (venous reflux disease). Using ultrasound, a doctor will guide a tiny catheter through a small access site in the skin and into the diseased area of the vein. Next, the VenaSeal™ dispenser delivers a very small amount of medical glue to close the vein.
Sclerotherapy involves an injection of a medication into the vein. This will cause the vein to collapse and gradually fade away. Sclerotherapy has been used to treat spider veins for decades, but newer solutions such as AscleraTM allow for spider veins to be treated with minimal discomfort and immediate return to activities.
Conservative Management and Self-care
Conservative management and lifestyle changes can ease the symptoms of varicose veins and help reduce complications such as thrombophlebitis (blood clots within veins) and vein rupture, but do not cause the veins to vanish. These measures are helpful if an individual is not a candidate for vein procedures or wishes to delay interventional treatment.
person putting on compression stockings
Arterial Treatments
Peripheral Arterial Disease
The treatment for the peripheral arterial disease (PAD) has two main goals. One is to manage the symptoms, including leg pain, allowing you to resume your normal physical activities. The second one is to top the progression of atherosclerosis in the body, which reduces the risk of stroke and heart attack.
Atherectomy
A lower extremity atherectomy is a minimally invasive surgical procedure involving a catheter to remove plaque from arteries. The doctor usually makes a small incision in the artery to insert the catheter. The procedure is performed under local anesthesia to prevent pain.
Angioplasty
Angioplasty is a medical procedure performed using a catheter. A catheter is usually a thin, flexible tube inserted through an artery and guided by imaging to the narrowed section of the artery.
Stenting
Stenting is a procedure that is performed in combination with Angioplasty and atherectomy. Years of plaque buildup damages the artery walls. Even after cleaning the artery, the walls are often too weak to stay open.
Men’s Health
Prostate Artery Embolization (PAE)
Prostate Artery Embolization (PAE) is a relatively new and safer outpatient procedure performed by interventional radiologists to help treat benign prostatic hyperplasia (BPH), commonly known as enlarged prostate. While an enlarged prostate might not be life-threatening, it may affect your daily activities. PAE has a high success rate than various treatments available for BPH, with over ninety percent of the men experiencing significant relief in the first year.
In most cases, varicoceles treatment is not necessary. Most men with varicoceles do not experience fertility issues. However, if the condition is causing pain, testicular atrophy, or infertility, you can benefit from varicoceles treatment. The treatment helps in sealing off the affected vein and redirecting the blood flow into normal veins.
Women’s Health
With modern medication and care, conditions like fibroid tumors have become more treatable and easier to manage. Uterine Fibroid Embolization (UFE), for instance, is a fairly straightforward procedure used in the treatment of fibroid tumors in the uterus.
Pelvic Venous Congestion (PVCS)
What are the treatment options for PVCs? Available treatment options for PVCs include pain-relieving progestin hormone drugs, ovarian function-blocking Gonadotropin-releasing hormones, vein embolization, and surgery to rid of damaged veins, uterus, and ovaries.
Pelvic & 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.
ARTHRITIS
Genicular artery embolization (GAE) is an interventional radiology procedure used to treat knee pain due to osteoarthritis. The procedure minimizes the flow of blood to the knee lining (synovium).
OUR PATIENTS SAY
Wonderful!! Dr. Bunke and staff are absolutely the best!!
The office is the perfect combination of professionalism,
kindness, efficiency, empathy and expert medical treatment and care.
Dr. Bunke is kind, friendly and so knowledgeable that you feel very comfortable that you will receive excellent treatment.
Dr. Lucas and her staff are incredible. They were so kind and nurturing while I was having the vein procedures. Highly recommend
Anna M. Is the most professional and caring manager I have encountered in the medical industry.
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