MultiCare Health System

Vascular Surgery

Purple DoctorsMultiCare Regional Heart & Vascular Center offers the latest treatments for diseases that affect the peripheral vascular system, the arteries and veins outside the immediate area of the heart and lungs.

Endovascular Stent Graft
A stent graft is a fabric tube used to reinforce major blood vessels that have weakened. These weakened walls form a bulge in the vessel, called an aneurysm, that can ultimately burst unless treated. A common site for stent grafts is the abdominal aorta, a major junction point that supplies blood to the stomach and legs.

Thrombolytic Therapy
When a clot is found in the peripheral vascular system, a catheter is often used to reach the site and inject clot-dissolving or thrombolytic medication directly into the clot.

Vena Cava Filter
The vena cava is a large vein that returns blood from the lower extremities to the heart. Guided by an ultrasound image, the physician threads a catheter inserted via the arm or leg, through the venous system to reach the vena cava, and places a specially designed filter there.

Vascular Surgery for Varicose Veins


Veins contain one-way valves to keep blood flowing correctly. If these valves malfunction, the vessels become engorged with blood and form varicose or spider veins. The problem is more than cosmetic; these abnormal veins can cause swelling, pain or other symptoms and lead to more severe disorders. Treatments include new leading-edge minimally invasive procedures that greatly reduce the bruising, pain and recovery times traditionally associated with varicose vein surgery.

Scelerotherapy
This process treats varicose and spider veins by injecting a medication that inflames the lining of the vein, causing the walls to stick together.

Endovenous Laser Treatment (EVLT)
This procedure uses a small laser, which is inserted into the affected vein through a needle. Pulses of laser energy delivered inside the vein cause it to collapse and shut.

The Closure® Procedure
This procedure makes use of a catheter inserted into the damaged vein that delivers radio frequency energy to the vein wall. This heats the vein, collapsing and sealing it.

Traditional Surgeries
Other surgical options for varicose and spider veins include ligation, in which the vein is tied off, surgically removing of the entire length of vein; and removal through a series of tiny incisions (phlebectomy).