Vascular Services & Procedures

Virginia Interventional and Vascular Associates offers vascular services to diagnose and treat conditions and diseases in the vascular system. Our Board Certified, Fellowship Trained, Interventional Radiologists and Vascular Surgeons specialize in performing minimally invasive, same day procedures. Many procedures can be performed through a pin prick in the skin and require only a local anesthetic.

Varicose Veins & Other Conditions

Common vein conditions that we treat at VIVA include varicose veins, deep vein thrombosis, and pelvic congestion syndrome.

Veins are strong, flexible tubes that carry blood back to your heart from the organs and body tissue that it supplies. There are number of vein conditions that can cause problems in other areas of the body. For example, plaque buildup in the veins can make veins stiff and constrict blood flow – and the valves that control the flow of blood can malfunction.

Vein Services

Arterial Conditions and Treatments

Common arterial conditions that are treated at VIVA include peripheral arterial disease, aortic aneurysms, and carotid artery disease.

Your arteries are responsible for carrying oxygen and nutrients from your heart to your organs and body tissue.

Unhealthy arteries may become clogged, narrowed, or their walls may begin to thin and potentially rupture.

Arterial Services

  • Aortic Aneurysm Treatments
  • Carotid Artery Treatments
  • Atherectomy
  • Stent Placement
  • Balloon Angioplasty

Dialysis Access

We offer a convenient, outpatient location staffed by highly skilled physicians for your dialysis access. We specialize in the following services:

  • Access Creation
  • Access Management Evaluation
  • Dialysis Catheter Placement

Learn more about Dialysis Access

Women’s Health

Uterine fibroids are growths that can develop in the wall of the uterus. They are not cancerous, but they can cause pain and heavy bleeding. In fact, while uterine fibroids affect between 20% and 40% of premenopausal women, only 5% to 10% develop symptoms (see the Society of Interventional Radiology for more research). The good news: they are treatable. Our physicians can treat uterine fibroids with a same day procedure and prevent the need for a hysterectomy.


Using imaging guidance, fluid collections can be aspirated or drained for diagnostic and/or therapeutic purposes. VIVA’s drainage services include: 

Read about Drainage at Virginia Interventional and Vascular Associates

Vascular Surgery

Vascular surgeons can provide diagnosis and treatment for conditions such as peripheral arterial disease, abdominal aneurysm, carotid artery stenosis, and varicose veins. Patients who are suffering from diseases affecting their vascular system can find relief and proper management through vascular surgery services here at VIVA in Fredericksburg.

Find out more about Vascular Surgery at VIVA

Interventional Pain Management Procedures

Interventional pain management is often prescribed by doctors to perform an injection in a highly sensitive area like the spine where image guidance is required. Our physicians use a live x-ray, CT scan, or ultrasound to apply medication directly to the source of inflammation. We also offer the SphenoCath® treatment, which provides relief for patients with chronic migraines.

Interventional Pain Management Services
  • Epidural Spinal Injections
  • Sacroiliac Injections
  • Facet, Hand, Wrist, and Hip Injections
  • Nerve Root Block
  • SphenoCath®
  • Kyphoplasty

More on Interventional Pain Management

Interventional Oncology Treatments and Procedures

Using image guidance, our physicians can gather tissue samples of tumors, perform ablations, and perform embolizations with minimally invasive procedures. Many of these treatments allow our Interventional Radiologists to treat the tumor directly without destroying the healthy tissue that surrounds it.

Interventional Oncology Services
  • Biopsy
  • Embolization
  • Ablation
  • Epidural Steroid Injections
  • Port Placement
  • Thoracentesis
  • Paracentesis
  • Celiac Plexus Block
  • Stellate Ganglion Block
  • Nerve Root Block

Vascular Lab

VIVA’s vascular lab performs vascular ultrasound examinations which allow physicians to diagnose vascular diseases and conditions.

All of our technologists have passed board examinations through the American Registry of Diagnostic Medical Sonographers (ARDMS) to become Registered Vascular Technologists (RVTs). The vascular lab is accredited through the Intersocietal Accreditation Commission for testing (IAC).

  • Extracranial Ultrasound Studies:
    • Carotid Duplex
  • Extremity Ultrasound Studies:
    • Arterial
      • Pulse Volume Recording (PVR) or Arterial Doppler
      • Arterial Duplex for fistula or graft patency
    • Venous
      • Venous Duplex
      • Venous Insufficiency Study
      • Mapping for vein conduit
      • Mapping for fistula placement
  • Abdominal Ultrasound Studies:
    • Arterial
      • Aorta Duplex to evaluate for aneurysm
      • Mesenteric Duplex
      • Renal Artery Doppler (Native or Transplant)
    • Venous
      • Abdominal Doppler to evaluate for portal hypertension
      • Abdominal Doppler to evaluate TIPS patency

Transjugular Intrahepatic Portosystemic Shunt (TIPS)

TIPS is a procedure for patients with liver diseases such as cirrhosis or hepatitis. Patients with these diseases sometimes develop a condition called portal hypertension. Portal hypertension occurs when the normal flow of blood through the liver is slowed due to the scarred or damaged liver tissue surrounding the blood vessels. This condition may cause internal bleeding.

The TIPS procedure can treat/manage portal hypertension without invasive surgery. The Interventional Radiologist threads a catheter through a small incision in the skin near the neck and guides it to the blocked blood vessels in the liver. Under X-ray guidance, the doctor creates a tunnel in the liver through which the blocked blood can flow. The tunnel is held open by the insertion of a small metal cylinder, called a stent.

This procedure requires an overnight stay in the hospital.

VIVA Offers the Following TIPS Services:
  • Consultation
  • Ultrasound

Vertebroplasty & Kyphoplasty for Compression Fractures

People with osteoporosis or bone tumors sometimes develop painful compression fractures of the spine. Risk Factors for Osteoporosis

  • Age increases risk
  • Smaller body frames
  • Family history
  • Diets that are low in calcium
  • History of gastric bypass surgery
  • Sitting for long periods
  • Excessive alcohol use
  • Use of tobacco
  • Medications

Vertebroplasty provides long-term pain relief for spinal compression fractures caused by osteoporosis or bone tumors and prevents further collapse of the vertebra. Guided by medical imaging, Interventional Radiologists can use this minimally invasive technique to inject medical-grade bone cement into the spine to strengthen it at the site of fracture. Some patients experience immediate pain relief after vertebroplasty or kyphoplasty. Most report that their pain is gone or significantly better within 48 hours. Studies show vertebroplasty and kyphoplasty provide long-term relief and has a low complication rate. It is covered by most insurance plans.

VIVA offers the following services:
  • Consultation
  • Kyphoplasty
  • Vertebroplasty
  • Sacroplasty (performed at the hospital)

Learn more about Kyphoplasty and Vertebroplasty

Our high level of expertise offers greater assurances than most vein centers can provide. Our physicians will evaluate your specific needs and select the appropriate therapy.

Schedule an Appointment