Intravascular Ultrasound and Iliac Vein Stenting

Intravascular Ultrasound (IVUS) Testing is Minimally-Invasive and There is No Downtime.

Advances in vein imaging technology (Intravascular Ultrasound – “IVUS”) have recently allowed vein specialists to diagnose a group of serious, but treatable, medical conditions which, until now, were greatly under-recognized.

The blood in our leg veins, returning to the heart, has to pass through large veins in the pelvis called iliac veins. While actual blood clots in the iliac veins are relatively easy to diagnose and treat, most iliac vein problems are due instead to either chronic vein scarring or compression (“May Thurner” Syndrome) which have been (until now) difficult to diagnose using standard tests such as ultrasound, CT scans, or even venograms (dye injection).

Vein specialists have long been at a loss on how to treat many patients who have the typical findings of severe vein disease (skin discoloration, swelling, leg ulcers, etc) but who have nothing wrong on the leg ultrasound or have persistent symptoms after successful treatment of the varicose veins. This has left many suffering patients, and perplexed doctors, without a satisfactory solution to the problem.

Now things have changed. There is a technology called Intravascular Ultrasound (IVUS) which is a very thin catheter with a tiny ultrasound probe at the tip. Under a local anesthetic and a small needle, the IVUS can be inserted into blood vessels and allows physicians to actually see the inside of veins and arteries with amazing precision. Over the last few years physicians have been using IVUS to look at the iliac veins and have discovered that many patients suffering from swelling, skin discoloration, and ulceration of the legs have previously unrecognized severe narrowing of the iliac veins as the cause.

The news gets even better. Not only does IVUS allow us to diagnose this problem easily and safely, but we can fix these narrowed iliac veins at the same time by immediately placing a stent in the vein – as just another part of the IVUS test. Stents have been used for decades to treat narrowed blood vessels. Stents are flexible metal mesh tubes which are inserted into the vein, pushed open with an angioplasty balloon, and remain in the vein holding it open. The vast majority of patients who get iliac vein stents see a remarkable improvement or resolution of their problem.

And even better, here at Advanced Vascular, we can provide our patients with IVUS and vein stenting in the comfort and convenience of our Morristown office. Our patients spend a few hours with us and then are sent home the same day with immediate return to normal activity.

If you think you might benefit from IVUS testing, give us a call for a consultation.

ADDITIONAL SERVICES YOU MAY NEED

Office Hours

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

  • "One of the most professional and accommodating office and doctors I have been to in a very long time. I saw Dr. Lee and found him to be very kind and knowledgeable. He diagnosed a blood clot, got me started on a blood thinner and I feel better than I have in months. Thank you, thank you, thank you!"
    Barbara B.
  • "Best vascular surgeons around Dr. Patel is the best"
    Cookie R.
  • "Dr.Lee is thee BEST Vascular Surgeon I EVER had in 42yrs! He is kind, compassionate, funny, and super honest! I really need the super honest part as his patient because I have been on dialysis for almost 20yrs time around and then dealing with end-stage renal failure since I was 13 and I was born with circle kidney so I need someone who is going to be upfront and honest with me and compassion at the same time and he is the ONLY surgeon to get three fistulas working on me! No one in 42 years has ever done that! He is the best surgeon I have ever had! Omg... and his staff is phenomenal !"
    Mercedes R.
  • "Dr. Patel placed my fistula in july of 2014 and I have had most of my maintenance fistulagrams done by Dr Raiz. Though whoever i have had have been great.The entire staff is wonderful . They are compassionate caring and professional. Would not go anywhere else."
    Sherry S.
  • "Dr Riaz, Dr Lee, and the entire Medical Staff at Advanced Vascular Associates are one of the most professional, knowledgeable, courteous, and caring Medical Teams that I've ever visited in my life! I have the greatest amount of respect for them, and trust that whatever the purpose of your visit is, you will leave knowing that you've been treated by the best! Thanks for taking good care of me (especially Rose)."
    Bruce B.
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    Lisa V.
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    Helen A.
  • "Caring and professional nurses and staff. And special thanks to Dr. David Cohen. His expertise and compassionate level of treatment is beyond comparison."
    Edward B.
  • "The advanced vein care center headed by Dr. Cohen, my physician, is a superior center with caring hands. Each and every visit has been a comfort to me."
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