Richmond Vascular Services & Procedures

Here at VIVA Richmond we offer outpatient services to diagnose and treat conditions and diseases in the vascular system. Our Board Certified, Fellowship Trained Interventional Radiologists 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 Richmond include varicose veins 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 a number of vein conditions that can cause problems in other areas of the body. For example, the valves that control the flow of blood can malfunction, causing a variety of symptoms.

Vein Services
  • Varicose Vein Treatment
  • Venous Access
  • Venogram
  • Pelvic Congestion Syndrome

Arterial Conditions and Treatments

Common arterial conditions that are treated at VIVA Richmond 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
  • Peripheral Arterial Disease Treatment

Dialysis Access

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

  • Access Management Evaluation
  • Dialysis Catheter Placement, Exchange or Removal

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.

  • Uterine artery and fibroid embolization


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

  • Paracentesis
  • Thoracentesis*

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 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

Interventional Oncology Treatments and Procedures

Using image guidance, our physicians can gather tissue samples of tumors, place venous access, drain fluid, and perform bland embolization 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
  • Epidural Steroid Injections
  • Port Placement
  • Thoracentesis*
  • Paracentesis
  • Biopsy of superficial lesions using image guidance

*Thoracentesis is temporarily suspended due to COVID-19 procedures.

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

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

    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