MultiCare Health System

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Advanced Surgeries

Vascular Surgery

MultiCare 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.

Our services include:

  • Non-Invasive Vascular Diagnostic Testing
  • Carotid Endarterectomy / Carotid Stenting
  • Endovascular abdominal aortic aneurysm (AAA) Repair (Endograft) / Open AAA Repair
  • Venous and Arterial Surgeries
  • Percutaneous Vascular Interventions
  • Lower Extremity Open Revascularization (Bypass Graft)
  • Dialysis Access
  • Vena Cava Filters
  • Thrombolytic Therapy
  • Varicose Vein Treatment
  • Sclerotherapy
  • Vascular Screening

Vascular Laboratory

Long and short term follow-up for known vascular disease, pre-intervention and post-intervention monitoring, and additional routine and specialized testing for the diagnosis and treatment of vascular related conditions is performed in our Laboratory.  Studies are performed by Registered Vascular Technologists who specialize exclusively in vascular disease and pathology. All vascular testing performed at MultiCare Vascular Services - Tacoma, MultiCare Auburn Medical Center and MultiCare Vascular Services - Puyallup is interpreted by Vascular Surgeons.

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.

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).