• Varicose Veins
• Spider Veins
• Restless Legs
• Leg Ulcers
• Chronic Venous Insufficiency (CVI)
• Skin Discoloration and Venous Stasis
• Deep Vein Thrombosis (DVT)
• Blood Clot in the Leg
• Phlebitis
• Post-Thrombotic Syndrome (PTS)
• Swelling and Lymphedema
Peripheral Arterial Disease (PAD)
- Leg Pain
- Poor Circulation
- Cold Toes and Feet
- Bluish-colored toes
- Leg Numbness and Tingling
- Thickened Toe Nails
- Loss of Muscle (muscle atrophy)
- Non-Healing Wounds
Leg pain can be an early warning of peripheral arterial disease. Read more to learn about signs and symptoms of PAD and what you can do for early detection.
On-site Vascular Laboratory provides precise diagnosis with non-invasive ultrasound, for the following conditions:
- Venous Insufficiency
- Venous Reflux
- Deep Vein Thrombosis (DVT)
- Peripheral Arterial disease (PAD)
- Cartoid Artery Disease
- Abdominal Aortic Aneurysm (AAA)
*Same day ultrasounds may be available.
Call us to see. 858-550-0330.
How San Diego Top Doctors are Redefining Vein and Vascular Care
La Jolla Vein & Vascular brings together board-certified experts in Vascular Surgery and Interventional Radiology to provide the most advanced treatments for vascular disorders of the legs, feet and pelvis. Our award-winning physicians diagnose and treat a complete range of vascular disorders, including varicose veins, deep vein thrombosis (DVT), chronic venous insufficiency, leg ulcers, May-Thurner, leg swelling, leg pain, peripheral artery disease (PAD), varicocele and vascular conditions specific to women such as pelvic venous congestion and uterine fibroids.
Accreditation Matters
La Jolla Vein & Vascular was one of the first dedicated vascular centers in Southern California to be awarded accreditation by the prestigious Intersocietal Accreditation Commission (IAC) in 2018 in vein clinic and vascular testing. Accreditation by IAC means the facility has undergone a thorough review and has demonstrated a consistent commitment to patient care, safety and upholds the highest standards in vascular care.
Our non-invasive laboratory is located within our main clinic and at locations throughout San Diego, for greater convenience. Read more about the conditions we treat, our concierge-style approach to patient care and why we are San Diego’s leader in comprehensive vein and vascular care.
Our Doctors in the Media!
Services We Provide
Our full-service vascular lab on-site provides state-of-the-art facility and testing so our physicians can can quickly and accurately address each patient’s unique case. Our certified vascular technologists have special expertise in conditions related to arteries and veins. We use painless, non-invasive imaging called ultrasound, to look at blood flow in the arteries and veins. Ultrasound is used to diagnose conditions such as venous insufficiency, deep vein thrombosis (DVT), and peripheral arterial disease (PAD). Call us to find out if same day ultrasound appointments are available, 858-550-0330.
Our accredited vein center treats the entire spectrum of vein disorders from simple spider veins to varicose veins and venous leg ulcers. Varicose veins are abnormally enlarged, twisted veins at the surface of the skin on the legs. We use non-surgical treatment methods to remove the varicose veins and treat the underlying root cause, called venous reflux disease. Treatments we offer include sclerotherapy, Radiofrequency ablation, Chemical Ablation, Laser ablation, Venaseal® , Varithena, and Clarivein®.
La Jolla Vein & Vascular provides comprehensive, state-of-the-art diagnosis and treatment of vein conditions of the legs and pelvis, ranging from serious disorders such as deep-vein thrombosis (DVT) to common conditions such as varicose veins and spider veins. Our Interventional Radiologist specializes in a number of deep vein conditions including DVT, iliac vein stenosis and May-Thurner Syndrome for long-term relief of leg pain and swelling. Intervention may reduce the risk of future complications such as leg ulcers and post-thrombotic syndrome.
Peripheral arterial disease (PAD) refers to poor blood flow in the legs from a blockage in the arteries. Symptoms may include leg pain, non-healing ulcers, loss of muscle, thickened toe nails and ultimately tissue death and limb loss. Modern technology can help restore blood flow. Laser Atherectomy is a minimally invasive endovascular technique for removing plaque from clogged blood vessels in the legs. Other arterial treatments include angioplasty, where a small balloon is used and stenting, a procedure that helps support the blood vessel walls.
Women, especially after pregnancy can develop varicose veins around the ovaries in the gonadal vein. The gonadal vein carries blood from the ovaries back to the heart. When varicose veins develop in the pelvis, it can cause a collection of symptoms called Pelvic venous congestion syndrome (PCS) and sometimes bulging veins in the labia. Treatment of pelvic varicose veins is called gonadal vein embolization (GVE). Women also suffer from vascular tumors of the uterus, called fibroids. We provide uterine artery embolization (UFE), which essentially starves a fibroid of blood, glucose, and oxygen by blocking the arteries flowing to the fibroid.
A varicocele is the abnormal enlargement of veins which occurs in the scrotum, usually on the left side, which can cause pain, swelling, and reduced fertility. Read about the complications and signs of varicoceles. Just as varicose veins can affect the legs and pelvis in women, they can also arise from dysfunctional veins in the pelvis of men. Dr. Elliot DeYoung specializes in varicocele embolization which is a minimally-invasive procedure that treats the varicocele by redirecting blood away from an enlarged vein in your scrotum.
Spider veins and reticular veins of the legs are most commonly treated with sclerotherapy. Sclerotherapy involves an injection of a medication into the vein. This will cause the vein to collapse and gradually fade away. Sclerotherapy has been used to treat spider veins for decades, but newer solutions such as AscleraTM allow for spider veins to be treated with minimal discomfort and immediate return to activities. Our clinic is one of only a few to also specialize in a painless spider vein removal procedure called, cryo-sclerotherapy.
Venous leg ulcers, depending on the severity can be healed with a combination of correction of the underlying venous reflux, wound care clinic referral, and compression therapy. A detailed ultrasound will determine what specific treatment is needed depending on where the underlying reflux lies (for example, in the saphenous veins, perforator veins and tributaries). Deep vein reflux is also present in many individuals with ulcers. Arterial leg ulcers require restoration of the blood flow for tissue to heal. A delay in treatment can result in amputation.
Some people who suffer from chronic knee pain related to osteoarthritis (OA) may be candidates for a novel procedure called, Genicular artery embolization (GAE), or embolization of the knee. The goal of this minimally-invasive procedure is to provide immediate and long term pain relief for patients by reducing the blood flow to the lining of the knee, known as the synovium. Tiny particles are injected through the catheter into these arteries, reducing the blood supply. This in turn reduces the inflammation associated with osteoarthritis, which alleviates the pain.
At La Jolla Vein & Vascular, we feel that vascular conditions deserve specialized care,
and you deserve a dedicated team of physicians and staff who understand your concerns.
Why thousands of patients and over 800 referring physicians trust our care:
La Jolla Vein & Vascular has been featured in:
MEET OUR DOCTORS
Our specialists are not your average doctors. They train and teach other doctors, medical students, physician assistants, and empower and educate patients everyday with knowledge and choices. They lead clinical research studies and contribute to scientific journal and textbook publications. Our recent research made the cover of the “Journal for Vascular Ultrasound” in March, 2018.
Sarah Lucas MD, FACS, RPVI
Dr. Sarah Lucas, MD, FACS, RPVI is a board-certified vascular surgeon who has chosen to dedicate her practice to helping patients who suffer with venous and lymphatic disease. She is a graduate of the Duke School and the integrated vascular surgery residency of Georgetown University Hospital and Medstar Washington Hospital Center in Washington, DC.
Nisha Bunke, MD FAVLS, RPhS
Dr. Nisha Bunke was the first physician in the United States to complete fellowship training supported by the American Vein and Lymphatic Society (formerly known as the American College of Phlebology) in 2008 and is a diplomate of the American Board of Venous and Lymphatic …
TOUR OUR FACILITY
La Jolla Vein & Vascular, formerly LA Jolla Vein Care is accredited by the Intersocietal Accreditation Commission (IAC). IAC accreditation is a “seal of approval” that patients can rely on as an indication that the facility has been carefully critiqued on all aspects of its operations considered relevant by medical experts in the field of Vascular Testing and as a Vein Center.
Keep up with the latest News from
Dr. Bunke and La Jolla Vein & Vascular
How do varicoceles affect the testis?
A varicocele is a term used to describe abnormal enlargement of the veins within the scrotum. The veins carry blood from the various body organs back to the heart. Typically, veins have valves that prevent [...]
What you need to know about non healing ulcers and wounds
We might all be familiar with ulcers in a general manner, but certain types of ulcers behave quite differently due to various contributing factors. These are nonhealing ulcers or nonhealing wounds, and if not treated [...]
Vascular Disease: PAD
Peripheral artery disease is a subset of vascular disease,also referred to as peripheral arterial disease (PAD), which develops when excessive plaque buildup on the artery walls causes narrowing of the arteries. The arteries deliver oxygen-rich [...]
What are the most common types of vascular conditions affecting the legs?
Our physicians have specialized training in the diagnosis and treatment of disease. They have even further specialization in vascular conditions affecting specifically the legs, feet and pelvis. The most common types of vascular conditions affecting [...]
