Vascular Services

Our vascular laboratory provides a variety of ultrasound testing procedures to assist in diagnosing your vascular condition. These noninvasive tests check blood flow in your arteries and veins using high-frequency sound waves (ultrasound). Vascular studies can assist in detecting blood clots, artery blockages and aneurysms, and providing other information that may help diagnose and treat your vascular disease. Our certified vascular technologists use state-of-the-art diagnostic equipment to perform tests, which our board-certified and fellowship-trained vascular surgeons interpret.

Ultrasounds We Offer:

• Abdominal Aorta Duplex
• Arterial Doppler (UE/Upper and LE/Lower)
• Arterial Duplex
• Carotid Duplex
• Hemodialysis Duplex
• Penile Artery Duplex
• Renal Artery Duplex
• Superior Mesenteric/Celiac Duplex
• Temporal Artery Duplex
• Venous Duplex

Exams We Offer:

• Ankle-Brachial Index (ABI)
• Arterial Exercise Testing
• Segmental Pressures
• Thoracic Outlet Exam
• Venous Insufficiency

Learn more about our vascular diagnostic and imaging services

Conditions We Treat

• Abdominal aortic aneurysm (AAA)
• Atherosclerosis
• Carotid artery disease
• Coronary artery disease
• Claudication
• Complex venous disease (Deep Vein Thrombosis, Iliac Vein Thrombosis, Vena Cava)
• Deep vein thrombosis
• Dialysis access for hemodialysis
• Diabetic foot problems
• Limb preservation
• Mesenteric ischemia
• Peripheral Arterial Disease (PAD)
• Peripheral aneurysm
• Popliteal artery entrapment
• Raynaud’s disease
• Renal vascular disease
• Thoracic aortic aneurysm (TAA)
• Thoracic aortic dissection
• Thoracic outlet syndrome
• Thrombolysis
• Upper extremity arterial disease
• Vascular trauma
• Venous arterial disease/venous insufficiciency
• Wound care - diabetic or ischemic chronic wounds

Vascular Surgery

• Angioplasty with and without stenting
• Atherectomy
• Balloon embolectomy
• Carotid endarterectomy
• Carotid stenting
• Endarterectomy
• Endovascular aneurysm repair (EVAR)
• Limb amputation
• Open aortic surgery
• Spine surgery access - OLIF/ALIF
• Thoracic endovascular aneurysm repair (TEVAR)
• Thrombectomy - percutaneous and open surgical
• Thrombolysis
• Vascular bypass grafting and stenting
• Vein surgery

Inova offers the latest treatment options for patients with varicose veins and veneous insufficiencies. Our surgeons are board-certified and dedicated to developing and perfecting treatments for all vascular system disorders, including varicose and spider veins.

Conditions We Treat

• Varicose and Spider Veins
• Lymphedema
• Venous Insufficiency
• Complex venous disease (Deep Vein Thrombosis, Iliac Vein Thrombosis, Vena Cava)

Non-surgical Treatments

• Compression stockings
• Leg elevation and exercise
• Home-based pneumatic compression therapy

Minimally Invasive Treatments

• Endovenous laser ablation treatment (EVLT)
• Radio frequency ablation (RFA)
• Microphlebectomy
• Sclerotherapy

Vascular Surgery

Learn more about our vein care center

The Vascular Risk Reduction Program is a specialty program dedicated to the evaluation and management of vascular risk factors. Our focus is optimizing the medical management of patients with known peripheral arterial disease. The Vascular Risk Reduction Program staff have the experience and expertise to assist with evaluation and management of hyperlipidemia, hypertension, smoking and other vascular risk factors, as well as management of anticoagulants and antiplatelet medications, diet counseling and exercise. After a comprehensive visit, recommendations will be developed for each patient regarding their vascular care. The patient will return to the appropriate setting (Family Practice, Cardiology, Internal Medicine, Vascular Surgery) to implement the recommendations as desired.

Learn more about Supervised Exercise Therapy for Peripheral Arterial Disease (SET-PAD)

Limb loss has profound implications for quality of life and long-term survival. The goal of Inova's Limb Preservation Program is to reduce symptoms, improve function, protect limbs from amputation and prevent death from cardiovascular disease.

Our program combines the expertise of vascular surgery for restoring blood flow alongside advanced wound healing therapeutic options. This provides our patients with a wide range of options when treating vascular disease. While early intervention yields the best results in being able to preserve limbs, we also successfully treat advanced disease where patients have been told amputation is their only option.

Treatment Options

• Treatment for Poor Circulation
• Wound Healing
• Grafting of Skin Substitutes
• Hyperbaric Oxygen Therapy (HBO)
• Platelet-rich Plasma (PRP)
• Prophylactic Measures
• Vascular Risk Reduction

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For most people the body naturally heals when it has a wound. But for those who have difficulty healing, specialized treatment may be required. Non-healing wounds can occur for many reasons, including diabetes or other chronic disease, poor circulation, nutritional status or age and body size.

Inova offers comprehensive wound healing centers for the treatment of complex wounds with delays or potential for delay in healing. The expert care and collaboration amongst our centers make Inova the best choice for your care.

We currently offer both in-person and virtual consultations at all four locations.

Services Offered

• Comprehensive Wound Assessments
• Advanced Wound Dressings
• Negative Pressure Wound Therapy
• Bioengineered Tissue
• Debridement
• Hyperbaric Oxygen Therapy (HBO)
• Outpatient Ostomy Care Program
• Diabetes and Wounds

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TCAR is a minimally invasive alternative to standard carotid stenting, with proven advantages, especially for patients at higher risk of surgical complications, due to age, medical comorbidities or anatomical issues.

Advances in percutaneous endovascular techniques have vastly improved the capability to treat CLI and avoid amputation. The treatment has been successful even for older patients and those with severe comorbidities, including diabetes, renal failure and failed prior interventions. Early evaluation is essential.