Conditions
We Treat
Minimally invasive care for arterial and venous disease — evaluated and treated by board-certified specialists, without the recovery burden of open surgery.
Peripheral Arterial Disease
PAD occurs when narrowed arteries reduce blood flow to the limbs, most commonly the legs. Left untreated, it can progress to critical limb ischemia and increase the risk of heart attack and stroke.
Common Symptoms
- Leg pain, cramping, or fatigue during walking (claudication)
- Numbness, weakness, or coldness in the lower legs or feet
- Sores on the feet or legs that won't heal
- Skin color changes — pale, bluish, or darkened extremities
- Hair loss or slow nail growth on affected limbs
- Weak or absent pulse in the legs or feet
How We Treat It
A thin catheter with a small balloon is guided to the narrowed artery and inflated to restore adequate blood flow.
A small mesh tube is placed inside the artery to hold it open and maintain improved circulation long-term.
Specialized devices are used to remove or modify plaque buildup directly within the artery wall.
Balloons coated with medication are used to reduce the likelihood of re-narrowing after treatment.
Venous Insufficiency
Venous insufficiency occurs when vein valves fail to keep blood flowing toward the heart, causing it to pool in the legs. This leads to chronic symptoms that worsen over time without treatment.
Common Symptoms
- Varicose veins — enlarged, twisted, rope-like veins visible under the skin
- Leg swelling, heaviness, or achiness — especially after standing
- Itching or burning sensations around affected veins
- Skin changes: discoloration, thickening, or hardening near the ankle
- Venous ulcers — open sores near the ankle that are slow to heal
- Restless legs or nighttime cramping
How We Treat It
A laser fiber is inserted into the diseased vein and delivers targeted energy to close it permanently, rerouting blood through healthier veins.
Radiofrequency energy heats and seals the vein wall, offering a minimally invasive alternative to surgical stripping with fast recovery.
A chemical solution is injected directly into smaller varicose or spider veins, causing them to collapse and gradually disappear.
A medical adhesive is used to permanently close the diseased vein — no heat, no tumescent anesthesia, no compression stockings required post-procedure.
Advanced Endovascular Treatments
Not all vascular conditions fit neatly into a single treatment protocol. Complex arterial and venous disease — including aneurysms, critical limb ischemia, and compression syndromes — requires advanced image-guided planning and multi-system expertise. EVSLA's specialists handle these cases directly.
Conditions in This Category
- Aortic and peripheral aneurysms — abnormal bulging or weakening of artery walls
- Critical limb-threatening ischemia (CLTI) — severe reduction in blood flow risking limb loss
- May-Thurner Syndrome — compression of the iliac vein causing left leg DVT and swelling
- Pelvic congestion syndrome — chronic pelvic pain caused by dilated ovarian and pelvic veins
- Renal artery stenosis — narrowing of arteries supplying the kidneys, causing hypertension
- Mesenteric ischemia — reduced blood flow to the intestines causing abdominal pain
Our Approach
A stent graft is placed inside the aneurysm to reinforce the artery wall and prevent rupture — without open surgery.
A stent is placed in a compressed or narrowed iliac vein to restore normal venous drainage and relieve symptoms.
Targeted angioplasty and stenting to restore adequate blood flow to the kidneys or abdominal organs.
Each complex case begins with a thorough imaging-based evaluation to determine the safest, most effective treatment pathway.
Embolization Procedures
Embolization is a catheter-based technique that uses image guidance to deliberately block blood flow to a target area. It replaces open surgery for many conditions — and in some cases, it's the only viable treatment option.
Conditions Treated
- Uterine fibroids — noncancerous growths causing heavy bleeding and pelvic pain
- Arteriovenous malformations (AVMs) — abnormal tangles of blood vessels
- Tumors — blocking blood supply to slow or reduce tumor growth
- Hemorrhage — urgent control of internal bleeding from trauma or other causes
- Prostate artery embolization (PAE) — treatment for benign prostatic hyperplasia (BPH)
- Varicocele — enlarged veins in the scrotum that may affect fertility
How Embolization Works
Using fluoroscopy or ultrasound, a thin catheter is precisely navigated through a small skin puncture to the target vessel.
Tiny particles, coils, or medical-grade glue are delivered through the catheter to block blood flow at the exact target site.
Most embolization procedures are performed under conscious sedation and allow patients to go home the same day or within 24 hours.
Post-procedure imaging and follow-up visits confirm treatment effectiveness and ensure sustained results over time.
Not sure where your symptoms fit?
Our specialists are here to evaluate your symptoms and guide you toward the right diagnosis and treatment path.