16, 5, 2024

Demystifying vascular disease: understanding its impact on health and well-being

2024-10-25T01:49:35-07:00

Demystifying vascular disease: understanding its impact on health and well-being

Vascular disease is a term that often sounds complex and intimidating, but its impact on your health and well-being can be significant. In this blog post, we aim to demystify vascular disease by breaking down what it means, how it affects your body, and why understanding it is crucial for your overall health. So, let's unravel the mystery and shed light on this important aspect of your vascular system.

What is Vascular Disease?

At its core, vascular disease refers to a range of conditions that affect the blood vessels in your body. These blood vessels are categorized into two main types: arteries and veins. Arteries carry oxygen-rich blood from the heart to every part of your body, while veins return blood back to the heart and lungs for replenishing oxygen.

Common Types of Vascular Disease

Understanding vascular disease involves recognizing its various forms and how they can impact your health. Here are some common types of vascular diseases:

  • Arterial Disease: This includes conditions like Peripheral Arterial Disease (PAD) and Carotid Artery Disease. PAD, for instance, affects the arteries in your legs, often leading to reduced blood flow and pain in the legs. Carotid artery disease is linked to the arteries in your neck and can increase the risk of stroke.
  • Venous Disease: Venous diseases encompass issues such as Varicose Veins, Deep Vein Thrombosis (DVT), and Chronic Venous Insufficiency. Varicose veins are visibly swollen and twisted veins, while DVT is a blood clot in a deep vein, typically in the legs. Chronic Venous Insufficiency results from weakened valves in the veins, causing blood to pool in the legs.
  • Abdominal Aortic Aneurysm (AAA): This condition involves the expansion or ballooning of the abdominal aorta, which can lead to life-threatening complications if it ruptures.

Why Understanding Vascular Disease Matters

Now that we've clarified what vascular disease encompasses, let's delve into why understanding it is essential for your health and well-being:

  • Early Detection and Prevention: Knowledge is power when it comes to vascular disease. Understanding its signs and symptoms allows for early detection and proactive measures to prevent complications. Early intervention can significantly improve outcomes.
  • Risk Factors: Vascular diseases often share common risk factors, such as smoking, high blood pressure, high cholesterol, obesity, and a sedentary lifestyle. By understanding these risk factors, you can take steps to mitigate them and reduce your chances of developing vascular diseases.
  • Lifestyle Modifications: Knowing about vascular disease can prompt you to make healthier lifestyle choices. This includes quitting smoking, adopting a regular exercise routine, and maintaining a heart-healthy diet, all of which can improve your vascular health.
  • Treatment Options: Understanding vascular disease opens the door to various treatment options. Depending on the type and severity of the condition, treatments can range from lifestyle changes and medications to minimally invasive procedures and surgery. Being informed empowers you to make informed decisions about your health.
  • Quality of Life: Vascular diseases can significantly impact your quality of life, causing discomfort, pain, and limitations in daily activities. By understanding these conditions, you can seek appropriate treatment and regain control over your well-being.

Demystifying vascular disease is the first step towards taking control of your vascular health. Knowing what vascular disease is, its common types, and why it's crucial to understand it empowers you to make informed choices about your health. Early detection, prevention, and lifestyle modifications are keys to maintaining a healthy vascular system and overall well-being.

If you have concerns or suspect you may be at risk for vascular disease, don't hesitate to consult with a healthcare provider. Your vascular health is a vital component of your overall health, and knowledge is the key to ensuring a brighter, healthier future.

"Bringing Experts Together for Unparalleled Vein and Vascular Care"

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic's blog posts!

Demystifying vascular disease: understanding its impact on health and well-being2024-10-25T01:49:35-07:00

15, 4, 2024

How do I choose the right vein doctor?

2024-05-14T05:31:35-07:00

Whether you're seeking treatment for a medical condition or pursuing cosmetic enhancements, selecting the right physician is paramount. When it comes to vein-related issues, such as varicose veins or vascular conditions, making an informed choice can significantly impact your treatment outcomes and overall experience.

Here are some essential considerations to keep in mind when choosing a vein doctor:

  1. Specialization in Vascular Conditions:

Opt for a doctor who specializes in vascular conditions. Venous diseases can be intricate, and expertise in this field ensures accurate diagnosis and effective treatment. Look for a physician with a wealth of experience in dealing with various vein and vascular issues. Avoid those who merely 'dabble' in vein treatments, as specialization typically leads to better outcomes and access to the latest treatment options.

  1. Fellowship Training in Vascular Disease:

Choose a doctor who has undergone fellowship training in vascular disease. While any physician can perform vein procedures, those with additional rigorous training and certification in surgery and vascular specialties are better equipped to address complex issues. Vascular surgeons, in particular, possess comprehensive knowledge and a detailed understanding of vascular problems, making them ideal candidates for vein-related treatments.

  1. Board Certification:

Ensure that the doctor is board-certified. While all physicians must be licensed to practice medicine, board certification indicates a higher level of expertise and specialization in a particular field. For vein treatments, seek out physicians who hold credentials from reputable vascular boards, such as Sarah Lucas, MD, and Nisha Bunke, MD.

  1. Facility Accreditation:

Verify if the vein clinic and vascular diagnostic lab are accredited. Accreditation guarantees the quality of equipment and the expertise of personnel conducting diagnostic studies. Choosing an accredited facility ensures that you receive reliable and high-standard care throughout your treatment process.

  1. Ultrasound Diagnosis by a Registered Vascular Technologist (RVT):

Confirm that ultrasound diagnosis is performed by a Registered Vascular Technologist (RVT). Accurate ultrasound imaging is crucial for diagnosing venous diseases effectively. A skilled vascular sonographer, coupled with a doctor trained to interpret the studies, ensures precise diagnosis and tailored treatment plans.

  1. Comfort Level with the Doctor and Facility:

Lastly, trust your instincts and assess your comfort level with both the doctor and the facility. Establishing a rapport with your provider is essential for effective communication and mutual understanding. Choose a facility that is not only state-of-the-art but also welcoming, with provisions for after-hours support if needed.

In conclusion, selecting a vein doctor requires careful consideration of various factors, ranging from specialization and credentials to facility accreditation and personal comfort. By prioritizing these aspects, you can ensure that you receive optimal care and achieve the best possible outcomes for your vein-related concerns. Take your time, do your research, and make an informed decision that aligns with your specific needs and preferences. Your vein health deserves nothing less than the highest standard of care.

"Bringing Experts Together for Unparalleled Vein and Vascular Care"

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic's blog posts

How do I choose the right vein doctor?2024-05-14T05:31:35-07:00

Reclaiming mobility: effective treatment strategies for PAD

2024-10-28T01:17:37-07:00

Reclaiming Mobility: Effective Treatment Strategies for PAD

Peripheral Arterial Disease (PAD) can be a challenging condition, but with the right approach to treatment, you can regain control of your life. The goals of PAD treatment are to manage symptoms, such as leg pain, and halt the progression of atherosclerosis, which reduces the risk of life-threatening events like stroke and heart attacks. In this blog post, we'll explore various treatment options for PAD, ranging from lifestyle changes to minimally invasive procedures.

Lifestyle Changes: The Foundation of PAD Management

Before diving into specific treatment options, it's crucial to emphasize the importance of lifestyle changes. Early intervention through lifestyle modifications can be highly effective in achieving the goals of PAD treatment. Here are the key steps:

  • Quit Smoking: One of the most significant actions you can take to halt the progression of PAD is quitting smoking. Smoking damages your blood vessels, exacerbating the condition.
  • Regular Exercise: Engaging in a routine of walking and supervised exercise training can substantially improve your PAD symptoms. Exercise promotes better circulation and overall vascular health.

Minimally Invasive Procedures for Advanced PAD

If your PAD has advanced to a stage where lifestyle changes alone are insufficient, medical interventions may be necessary. Several minimally invasive procedures are available to address severe PAD:

  1. Atherectomy

Atherectomy is a minimally invasive surgical procedure designed to remove plaque from the arteries. During the procedure, a catheter is inserted through a small incision in the artery. The catheter has a chamber at its tip to collect the removed plaque, ensuring thorough cleansing of the artery. This procedure is typically performed under local anesthesia to minimize discomfort. Depending on the extent of plaque buildup, your doctor may need to repeat the atherectomy several times to optimize blood flow.

  1. Angioplasty (Percutaneous Transluminal Angioplasty – PTA)

Angioplasty is another minimally invasive procedure performed using a catheter. This thin, flexible tube is guided by imaging to the narrowed section of the artery. Once in position, the catheter inflates a small balloon at its tip for a brief period. The inflation of the balloon exerts pressure on the plaque, pushing it against the artery wall. This action widens the arteries, restoring normal blood flow.

  1. Stenting

Stenting is often performed in conjunction with angioplasty and atherectomy. Over time, the buildup of plaque can damage artery walls, leaving them weak and prone to collapse even after plaque removal. Stenting involves placing a small mesh tube inside the artery to provide essential support. This tube acts as a scaffold, ensuring the artery remains open and allowing for optimal blood flow.

Managing PAD involves a multi-faceted approach, beginning with lifestyle changes and progressing to minimally invasive procedures when necessary. Quitting smoking and regular exercise are fundamental steps in controlling symptoms and slowing the progression of atherosclerosis. If your condition has advanced, medical interventions like atherectomy, angioplasty, and stenting can provide relief and enhance your vascular health.

Consult with your healthcare provider to determine the most suitable treatment plan for your specific PAD condition. With the right approach, you can manage PAD effectively, reduce symptoms, and lower the risk of serious cardiovascular events.

"Bringing Experts Together for Unparalleled Vein and Vascular Care"

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together to provide unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic's blog posts

Reclaiming mobility: effective treatment strategies for PAD2024-10-28T01:17:37-07:00

15, 3, 2024

Dr. Amanda Steinberger Named in Vista Chamber’s 40 Under 40

2024-06-10T11:39:29-07:00

Congratulations Dr. Amanda Steinberger!

It is with immense pride and joy that we extend our heartfelt congratulations to Dr. Amanda Steinberger, one of our esteemed physicians here at La Jolla Vein and Vascular, for her well-deserved recognition in the Vista Chamber Forty under Forty!

Dr. Steinberger's dedication to her craft as a vascular and interventional radiologist shines through in every aspect of her work. Her commitment to providing safe and effective minimally invasive procedures underscores her passion for making a tangible difference in the lives of her patients. It's truly inspiring to witness her unwavering dedication to enhancing the quality of life for those she serves.

In her own words, Dr. Steinberger eloquently expresses her profound motivation: "I'm inspired knowing I can make a difference in someone's life every day." This sentiment encapsulates the essence of her compassionate approach to patient care, where each interaction is infused with empathy, expertise, and a genuine desire to heal.

Beyond her clinical expertise, Dr. Steinberger embodies a spirit of continuous learning and growth, a quality that is indispensable in the ever-evolving field of venous disease management. Her eagerness to expand her knowledge and contribute to advancements in her field reflects a deep-seated commitment to excellence and innovation.

Dr. Steinberger's success is also a testament to the supportive environment fostered within our community here at La Jolla Vein & Vascular. She speaks fondly of the camaraderie among colleagues and the collaborative spirit that permeates the medical community. Indeed, it is this sense of unity and mutual support that enables professionals like Dr. Steinberger to thrive and flourish in their careers.

Her advice to aspiring healthcare professionals resonates deeply: "Choose a job that allows you to grow, shares an interest in your goals, and supports lifelong learning." These words serve as a guiding light for those navigating their own professional journeys, reminding us all of the importance of pursuing our passions and embracing opportunities for personal and professional development.

Dr. Steinberger's remarkable achievements remind us that success is not merely measured by accolades, but by the lives we touch and the difference we make in the world. We are immensely proud to have her as part of our team at La Jolla Vein and Vascular, and we look forward to witnessing her continued success and contributions to the field of vascular medicine.

At La Jolla Vein & Vascular, excellence isn't just a goal—it's a culture that permeates every aspect of our practice. Dr. Amanda Steinberger's recent recognition in the Vista Chamber's 40 Under 40 is not only a testament to her individual brilliance but also a reflection of the collective spirit of achievement that defines our team.

Each member of our vein specialists' team brings a unique blend of expertise, passion, and dedication to the table, inspiring one another to reach new heights of success. Whether it's through groundbreaking research, innovative treatment approaches, or exemplary patient care, our specialists continually push the boundaries of what's possible in the field of vascular medicine.

Dr. Steinberger's accomplishment serves as a source of motivation for her colleagues, spurring them on to pursue their own professional aspirations with renewed vigor and determination. Her success is not viewed in isolation but rather as a shared triumph that uplifts the entire team.

Moreover, the camaraderie and mutual support among our vein specialists create an environment where achievements are celebrated, challenges are overcome together, and ideas are freely exchanged. This collaborative ethos fosters a culture of continuous learning and growth, where each member is empowered to excel and contribute their unique talents to the collective endeavor of providing exceptional patient care.

As we celebrate Dr. Steinberger's well-deserved recognition, we also celebrate the spirit of inspiration and collaboration that defines our team at La Jolla Vein & Vascular. Together, we strive to push the boundaries of excellence, making a meaningful difference in the lives of our patients and the field of vascular medicine as a whole.

"Bringing Experts Together for Unparalleled Vein and Vascular Care"

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic's blog posts

Dr. Amanda Steinberger Named in Vista Chamber’s 40 Under 402024-06-10T11:39:29-07:00

23, 2, 2024

What can I expect from vein treatment with Venaseal™?

2024-06-11T02:35:11-07:00

Exploring Venaseal™: A Comprehensive Look into Advanced Vascular Wellness

The VenaSeal™ closure system, sanctioned by the U.S. Food and Drug Administration (FDA), presents an innovative and efficient method for tackling varicose veins. Distinguished from conventional methods, this minimally invasive procedure employs a distinctive medical adhesive to permanently seal problematic superficial veins. In this article, we'll delve into the workings of the VenaSeal™ system, its notable advantages, and why it emerges as a secure and convenient alternative for varicose vein treatment.

Insight into the VenaSeal™ Sapheon Closure System

The VenaSeal™ Sapheon Closure System marks a revolutionary approach to addressing varicose veins, commonly referred to as venous reflux disease. Here's a breakdown of its operation:

Minimally Invasive Technique: Commencing the procedure, the doctor utilizes ultrasound guidance to maneuver a small catheter through a tiny access point in the skin and into the affected vein.

Application of Medical Adhesive: The VenaSeal™ dispenser administers a minute quantity of medical adhesive to seal the vein effectively. This adhesive serves to permanently close the problematic vein, halting further reflux.

Immediate Blood Diversion: Upon sealing the affected vein, the body promptly redirects blood flow through other healthy veins in the leg.

Key Benefits Offered by VenaSeal™

VenaSeal™ presents several notable advantages compared to traditional varicose vein treatments:

Anesthesia-Free with No Needle Injections: Unlike certain treatments necessitating tumescent anesthesia involving multiple needle injections, VenaSeal™ is virtually painless and does not involve injecting anesthesia into the leg.

No Pre-Procedural Medications: Patients can promptly resume their routine activities post-treatment as there's no requirement for pre-procedural drugs.

Absence of Burns or Nerve Damage Risk: In contrast to heat-based procedures, VenaSeal™ eliminates the possibility of skin burns or nerve damage, ensuring a safer experience.

Minimal Post-Treatment Discomfort: In most instances, patients do not need post-treatment pain medication or uncomfortable compression stockings, rendering the recovery process more comfortable.

A Unique and Secure Approach

The VenaSeal™ closure system stands as the solitary non-tumescent, non-thermal, non-sclerosant procedure that utilizes a proprietary medical adhesive delivered endovenously to close the vein. This distinctive approach boasts several discernible advantages:

Reduced Risk of Nerve Injury: In comparison to thermal-based procedures, VenaSeal™ significantly diminishes the risk of nerve injury, particularly when treating the small saphenous vein.

Clinical Safety and Efficacy: Numerous clinical studies consistently affirm that the VenaSeal™ procedure is both safe and efficacious in treating varicose veins.

For those in search of a secure, minimally invasive remedy for varicose veins, the VenaSeal™ closure system might be the solution. With its unique medical adhesive approach, lack of anesthesia, and minimal post-treatment discomfort, VenaSeal™ emerges as a convenient and effective choice for permanently addressing varicose veins. Bid farewell to the discomfort of venous reflux disease and welcome a healthier, pain-free future with VenaSeal™.

"Bringing Experts Together for Unparalleled Vein and Vascular Care"

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic's blog posts



What can I expect from vein treatment with Venaseal™?2024-06-11T02:35:11-07:00

28, 7, 2023

PAD 101

2023-05-25T17:00:07-07:00

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 blood from the heart to other parts of the body. When plaque builds up, it usually restricts the flow of blood, oxygen, and glucose. The obstruction causes pain in the leg as the muscles and tissues are starved for oxygen and other nutrients from the blood. While the pain usually occurs in your legs primarily, it can also be felt in other parts of the body, including your arms, stomach, hip, head, and kidneys.

Are You at Risk for Peripheral Arterial Disease (PAD)?

In most cases, the PAD symptoms are on the lower extremities. You may experience some pain, craping, or tiredness in your hip or leg muscles when climbing stairs or walking. However, the pain usually goes away with rest, only to resurface when you start walking again. Individuals suffering from peripheral arterial disease are at a high risk of coronary artery disease, stroke, or heart attack. Even worse, if left untreated, the condition can lead to gangrene and amputation.

Peripheral Arterial Disease – Diagnosis

At La Jolla Vein & Vascular, we have highly trained physicians who offer a comprehensive diagnosis to develop customized treatments of Peripheral artery disease (PAD). We understand that no two patients’ conditions are similar. Our full-service vascular lab provides state-of-the-art testing to ensure that our physicians address each patient case quickly and accurately. Our doctors and nurses also have broad experience in this field and use advanced tools to achieve limb-saving results even for challenging, impaired patients.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts!

PAD 1012023-05-25T17:00:07-07:00

1, 2, 2023

Peripheral Arterial Disease 101

2023-01-14T13:13:58-08:00

Peripheral arterial 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 the narrowing of the arteries.

The arteries deliver oxygen-rich blood from the heart to other parts of the body. When plaque builds up, it usually restricts the flow of blood, oxygen, and glucose. The obstruction causes pain in the leg as the muscles and tissues are starved for oxygen and other nutrients from the blood. While the pain usually occurs in your legs primarily, it can also be felt in other parts of the body, including your arms, stomach, hip, head, and kidneys.

Are You at Risk for Peripheral Arterial Disease (PAD)?

In most cases, the PAD symptoms are on the lower extremities. You may experience some pain, craping, or tiredness in your hip or leg muscles when climbing stairs or walking. However, the pain usually goes away with rest, only to resurface when you start walking again. Individuals suffering from peripheral arterial disease are at a high risk of coronary artery disease, stroke, or heart attack. Even worse, if left untreated, the condition can lead to gangrene and amputation.

"Bringing Experts Together for Unparalleled Vein and Vascular Care"

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link.

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 




Peripheral Arterial Disease 1012023-01-14T13:13:58-08:00

4, 1, 2023

Meet our team of vein & vascular specialists: Dr Lucas

2022-12-26T10:58:13-08:00

Our vein and vascular 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.  Our doctors continuously strive to elevate the standard in vein care- they are fellowship-trained, board certified in venous and lymphatic disease, and earned additional credentials in ultrasound interpretation to provide comprehensive vein care for all patients.

 

Sarah Lucas MD, FACS, RPVI

 Vascular Surgeon

vascular

Dr. Sarah Lucas, MD, FACS, RPVI is a board-certified vascular surgeon who has chosen to focus her practice on the care of patients with venous and lymphatic disease. She is also a diplomate of the American Board of Venous and Lymphatic Medicine. She is a graduate of the Duke School of Medicine and the integrated vascular surgery residency of Georgetown University Hospital and Medstar Washington Hospital Center in Washington, DC. She returned to Duke as a faculty member following graduation.She and her husband then relocated to Memphis, Tennessee for his pediatric surgery fellowship. During that time, she was on staff at the Memphis VA Medical Center, where she served as faculty for the vascular surgery fellowship of the University of Tennessee Health Sciences Center.

Dr. Lucas and her husband are delighted to have found their permanent home in San Diego, where he is a pediatric surgeon at the Naval Medical Center.

Dr. Lucas has authored numerous peer-reviewed publications and a book chapter in the field of vascular surgery. She is active in the Society for Vascular Surgery and a member of the Young Surgeons’ Committee. Dr. Lucas joined La Jolla Vein Care in 2018. In addition to her role at La Jolla Vein Care, she also manages patients with vascular wounds at the Scripps XIMED wound care clinic.

Dr. Lucas is a Fellow of the American College of Surgeons. Surgeons who become Fellows of the College have passed a comprehensive evaluation of their surgical training and skills; they also have demonstrated their commitment to high standards of ethical conduct.

 

Peer-Reviewed Journals:Dr. Sarah Lucas

 

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

 

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

 

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 

For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link.

 

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

 

Meet our team of vein & vascular specialists: Dr Lucas2022-12-26T10:58:13-08:00

Meet our team of vein & vascular specialists: Dr Bunke

2022-12-26T10:53:06-08:00

Our vein 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.  Our doctors continuously strive to elevate the standard in vein care- they are fellowship-trained, board certified in venous and lymphatic disease, and earned additional credentials in ultrasound interpretation to provide comprehensive vein care for all patients.

 

Nisha Bunke, MD FACPh, RPhS

Venous Disease Interventionist, Vein Clinic Medical Director

vein

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 Medicine. Over the past decade, Dr. Bunke has dedicated her career to treating patients with venous and lymphatic conditions and advancing the field of vein care.

Being inspired by her mentor, world-renowned vascular surgeon, Dr. John Bergan, who emphasized that venous disease is a special condition that requires specialized care, she founded La Jolla Vein Care in 2010. Under her leadership, La Jolla Vein Care was awarded accreditation in Vein Clinic and Vascular Testing by the Intersocietal Accreditation Commission (IAC). La Jolla Vein Care is the first dedicated vein care facility in the region to earn this distinction.

Prior to turning her complete attention to La Jolla Vein Care, she has held appointments as a Volunteer Clinical Instructor of Surgery at the University of California San Diego (UCSD) School of Medicine, and Veterans (VA) Medical Center.  In addition to these duties, for five years, Dr. Bunke managed the vein clinics at the VA Medical Center La Jolla, providing vein care for our veterans.  She was also a physician at UCSD Healthcare System’s Department of Vascular Surgery, where she evaluated and treated patients with venous disease.

Dr. Bunke is a physician and scientist, actively leading clinical research studies.  In 2009, Dr. Bunke was awarded the International Union of Phlebologie Research Fellowship and the Best Young Presenter Award in Monaco.  Collectively, Dr. Bunke and Dr. Bergan were awarded the 2008 JOBST Research Award for the Advancement of Phlebology for their research on Inflammatory Biomarkers of Venous Insufficiency. Dr. Bunke also developed Recova, a post-surgery recovery cream.

Dr. Bunke has been named as a finalist by the San Diego Business Journal’s Women Who Mean Business Award and San Diego Magazine’s Woman of the Year award.  In 2018, she was named as the top 25  Women of the Year by the San Diego Business Journal.

Dr. Bunke’s Affiliations

Moreover, Dr. Bunke is a member of the Scripps Ximed Medical Group, The Clinical and Translational Research Institute (CTRI) of the University of California San Diego (UCSD), the American Medical Association (AMA), San Diego County Medical Society, Society for Vascular Medicine, American Vein and Lymphatic Society, American Venous Forum (AVF) and the Society for Vascular Ultrasound (SVU). Dr. Bunke has numerous publications in both scientific journals and medical textbooks.

Dr. Bunke is co-editor of the most widely used textbook for vascular physicians, “The Vein Book”

vein

Books/ Book Chapters: Dr. Nisha Bunke

Bergan, JJ, Bunke, N. “Outcome Measures in Venous Disease.” In:  Fast Facts- Vascular and Endovascular Surgery Highlights 2008-09.  Davies, A., Mitchell, A. M. Health Press UK

Bergan, JJ. Bunke, N.  “Varicose Veins and Chronic Venous Insufficiency.” In: Total Endovascular Series Venous Diseases Contemporary Management.’ Lumsden, A, Davies, M.

Bergan, JJ, Bunke, N.  “Venous Disorders.”  In:  Educational Review Manual in General Surgery. 8th Edition. Castle Connolly Graduate Medical Publishing.

Bergan, JJ, Bunke, N. “Pathophysiology of Chronic Venous Disease.”  In:  The European Venous Course Book.

Bergan JJ, Bunke, N. “Endovenous Procedures in Venous Disease.”  In:  Peripheral Endovascular Interventions.  White, R, Fogarty, T.  3rd Ed.

Bergan, JJ, Pascarella, L, Bunke, N. “Venous Anatomy, Physiology and Pathophysiology.”  In: Treatment of Leg Veins, 2nd ed.  Alam, M., Silapunt, S. Martin Mellor Publishing Ltd. UK

Bergan, J. Lee, BB, Bunke N.  “Lymphatic Disease.”  In: Clinical Review of Vascular Surgery. Edited by Sapan Desai, MD, PhD and Cynthia Shortell, MD.

Bergan, J. and Bunke, N. General Considerations. In: Lymphedema: A Concise Compendium of Theory and Practice. Edited by Byung-Boong Lee, John Bergan, Stanley G. Rockson 2011.

Bergan, JJ, Bunke-Paquette, N, editors. The Vein Book, 2nd edition. Oxford University Press, New York, NY USA. 2014

Bunke-Paquette, N. “Complications of Liquid Sclerotherapy.” In: The Vein Book, 2nd ed. Bergan, JJ, Bunke-Paquette, N. Oxford University Press, New York, NY USA. 2014

Loerzel, N, Ratcliff V, Bunke-Paquette, N, et al. “Ultrasound Examination of the Patient with Primary Venous Insufficiency.” In: The Vein Book, 2nd ed. Bergan, JJ, Bunke-Paquette, N. Oxford University Press, New York, NY USA. 2014

Bunke-Paquette, N, Loerzel, N, Bergan, JJ. “Ultrasound-Guided Catheter and Foam Therapy for Venous Insufficiency.’ In: The Vein Book, 2nd ed. Bergan, JJ, Bunke- Paquette, N. Oxford University Press, New York, NY USA. 2014

Bergan, JJ, Pascarella, L, Bunke-Paquette, N. “Perforating Veins.” In: The Vein Book, 2nd ed. Bergan, JJ, Bunke-Paquette, N. Oxford University Press, New York, NY USA. 2014

Bunke-Paquette, N. Russell, T, Broder, K, Li, A. “Medical Management of the Venous Leg Ulcer.” In: The Vein Book, 2nd ed. Bergan, JJ, Bunke-Paquette, N. Oxford University Press, New York, NY USA. 2014

Peer-Reviewed Journals

Bunke N, Brown K, Bergan J. Foam sclerotherapy: techniques and uses. Perspect Vasc Surg Endovasc Ther. 2009 Jun;21(2):91-3

Bunke N, Brown K, Bergan J. Phlebolymphemeda: usually unrecognized, often poorly treated. Perspect Vasc Surg Endovasc Ther. 2009 Jun;21(2):65

B.B. Lee, M. Andrade, P.L. Antignani,F. Boccardo, N. Bunke, et. al. Guidelines: Diagnosis and treatment of primary lymphedema consensus document of the international union of phlebology (IUP)-2013. International Angiology. 2013 Dec: (32): 541-574

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

 

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

 

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 

For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link.

 

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 


Meet our team of vein & vascular specialists: Dr Bunke2022-12-26T10:53:06-08:00

22, 12, 2022

Vascular Health and Physical Activity

2022-10-24T12:56:53-07:00

Physical activity helps to burn calories, increase the heart rate, and keep blood flowing at a healthy rate for your vascular health. All of these contribute to vascular health. 

If your doctor has diagnosed you with vascular disease, or if you have concerns about your vascular health, starting some good habits can help keep vascular complications at bay. Daily exercise has been found to have a significant positive effect on vascular health, along with other good lifestyle choices, such as not smoking, eating heart-friendly foods and maintaining a healthy body weight.

Your Vascular Health

Exercise can impact several artery diseases. A regular exercise routine may reduce the risk of stroke, the fourth leading cause of death in America according to the CDC’s 2010 National Vital Statistics Report. In 2010, 137,000 Americans died of stroke. Studies show that patients with peripheral arterial disease (PAD) may be successfully treated with exercise therapy and possibly avoid interventions. Regular exercise also decreases the growth rate of abdominal aortic aneurysms (AAA), research has found.

The United States Centers for Disease Control and Prevention (CDC) recommends 150 minutes of physical activity per week for adults ages 18 to 64. The activity can be a combination of moderate intensity aerobics and strength training, and should continue for at least 10 minutes at a time.

Moderate-intensity aerobic activities that increase the heart rate and cause sweating which are great for vascular health:

  • Riding a bicycle at a casual pace 
  • Playing doubles tennis
  • Actively playing with children
  • Mowing the lawn
  • Gardening, raking, or bagging leaves
  • Light snow shoveling
  • Water aerobics
  • Ballroom dancing

Vigorous activity that increase the heart rate that are great for vascular health:

  • Hiking uphill or with a heavy backpack,  race walking, jogging, running
  • Riding a bicycle fast or riding hills, more than 10 miles/hr
  • Rollerblading / inline skating at a brisk pace 
  • Playing basketball, football, soccer, etc.
  • Cross-country skiing
  • Jumping rope
  • Aerobic dancing
  • Heavy gardening continuous digging and hoeing
  • Swimming laps
  • Playing singles tennis

Twice weekly strengthening activities include:

  • Sit-ups, push-ups
  • Weight lifting
  • Heavy gardening such as digging and shoveling 
  • Yoga

The lack of regular physical activity results in 250,000 deaths annually, according to a 2003 report in the medical journal, Circulation. People who are the least physically fit have a mortality risk 4.5 times higher than physically fit people.

To add physical activity into your daily schedule:

  • Select enjoyable activities 
  • Work out with a friend
  • Encourage family members to participate
  • Measure progress through a daily exercise journal

Physical activity is not just good for your veins and arteries, just about every part of your body can benefit. According to the CDC, exercise also helps your vascular health and in addition helps:

  • Maintain healthy weight
  • Reduce the risk of cardiovascular disease; can lower blood pressure and improve cholesterol levels
  • Reduce the risk for type 2 diabetes; can help control glucose levels
  • Reduce the risk of colon and breast cancer
  • Strengthen bones and muscles – can increase or build muscle mass and strength; can slow the loss of bone density that comes with age; can help with arthritis and other joint conditions
  • Keep thinking, learning, and judgment skills sharp 
  • Reduce the symptoms of depression and anxiety
  • Improve the ability to complete daily activities and prevent falls for older adults
  • Increase the chances of living longer by reducing the risk of dying from heart disease and some cancers

 

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

 

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

 

Our accredited center is also a nationally known teaching site and center of excellence. 

 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 

For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link.

 

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

 

Vascular Health and Physical Activity2022-10-24T12:56:53-07:00

informacion en español

Visita nuestra página en español

https://ljvascular.com/informacion-en-espanol/

Go to Top