Traditional treatments to these common issues are often invasive and require long and painful healing times. Embokare is on the cutting edge of medical technology and our procedures are done with the tiniest of incisions, meaning you have little to no pain and are back on your feet in days or less. We use tiny catheters inside your arteries to safely and strategically block excess blood flow and restore proper function. Pass on side effects and sign up for painless recovery and great results.
It is estimated that 39% of U.S. women suffer from chronic pelvic pain which maybe accompanied by dyspareunia, (pain during or following intercourse). For10% of women of child-bearing age, the cause is pelvic congestion syndrome. This condition is due to incompetent valves within the left and right gonadal veins leading to the development of pelvic varicose veins. This condition can be successfully treated with outpatient gonadal vein embolization.
Approximately 10% of American males and 30% of males in infertile couples are estimated to suffer from varicocele, a condition caused by incompetent valves in the internal spermatic veins (ISVs), usually on the left, that leads to reflux of blood within the ISVs and the development of scrotal varicose veins. This causes scrotal discomfort as well as abnormally low sperm counts and motility. Unfortunately, 95% of varicoceles are still treated by painful open urologic surgery, frequently accompanied by recurrence of the varicocele. Fortunately, outpatient trans catheter ISV embolization effectively treats scrotal varicose veins and can lead to improvement in sperm count and motility in the vast majority of patients.
Uterine fibroids, which occur in a significant proportion of the U.S. female population and up to 45% of African-American females, can cause significant pain, urinary symptoms, infertility and anemia due to heavy periods. Uterine artery embolization (UAE) is far less painful and debilitating than hysterectomy and myomectomy.
UAE has been shown to be superior to myomectomy for fertility enhancement and relief of symptoms. Within a week following UAE, women are usually able to return to work and their other usual activities. Although most patients will remain in the hospital overnight following the embolization, many women can tolerate this procedure on an outpatient basis - especially with use of the superior hypogastric plexus block, which speeds recovery time greatly.
UAE is accepted by the American College of Obstetrics and Gynecology as a viable alternative treatment for uterine fibroids. It is typically covered by most health insurance plans. The vast majority of women can expect significant improvement in their symptoms.
Chronic subdural hematomas are blood collections that accumulate between the dural layer and subarachnoid matter surrounding the brain. These blood collections can grow over time causing compression of the adjacent brain resulting in neurologic damage, coma and even death, if severe enough. This condition affects roughly 200,000 Americans annually. Although they may be due to trauma, they can also occur spontaneously or in association with the use of blood-thinners and with advancing age. Typically, invasive neurosurgical drainage and sometimes use of steroids have been used to eliminate these hemorrhages. However, the blood collection can re-accumulate in over a quarter of neurosurgical patients, and use of steroids can lead to weakened bones as well as other complications.
In patients who do not require in-hospital care, chronic subdural hematomas can be obliterated by injecting tiny particles (embolization) into the middle meningeal artery near the skull base under local anesthesia and moderate intravenous sedation. This outpatient procedure is usually quick and painless. You will need to remain supine for about two hours after the procedure. A follow-up brain CT obtained in about 2 months may definitely demonstrate partial or complete resolution of the subdural hemorrhage.
Hemorrhoids are very common and affect up to 5% of the general population, particularly people over the age of 50. Constipation, caffeine and stress can worsen hemorrhoids. Approximately 10% of patients will require surgical therapy. Hemorrhoidectomy, as well as stapled hemorrhoidopexy, are effective surgical techniques but are associated with long, painful postoperative courses and a significant complication rate. Another leading form of therapy is elective transanal Doppler-guided hemorrhoidal artery ligation (DG-HAL).
Superior Rectal Artery (SRA) embolization (the "Emborrhoid" technique) emulates DG-HAL and more recent scientific evidence has demonstrated that SRA particle embolization is as safe and effective as coil embolization. At 1-year follow-up, the patient satisfaction rate (75%) and quality of life correlate with improvements in the frequency of bleeding. No major complications were reported, including no rectal ischemia. All procedures were nearly pain free, conducted under IV sedation and local anesthesia, on an outpatient basis.
IIH affects 1-3 per 100,000 Americans with ~90%of cases occurring in obese females of child-bearing age. IIH can lead to chronic headache, papilledema and progressive vision loss. It is frequently associated with a venous/dural sinus stenosis. Medical treatment with carbonic anhydrase inhibitors like acetazolamide act by reducing CSF production. A recent article published in Neurosurgery Review compared CSF diversion techniques (e.g., VPS), optic nerve sheath fenestration (ONSF), and Venous Sinus Stenting (VSS) regarding their ability to decrease papilledema, improve visual fields, and reduce headaches.
Because of its good improvement rates in Visual Field and Headache, VSS should be considered as the 1st-line technique to manage medically-refractory IIH where there is at least a 6-8 mm Hg gradient across a venous/dural sinus.
Each year, over 1.2 million people in the United States are diagnosed with this condition. LSS is a narrowing of your lower spinal canal, which may cause pain and numbness that limit your ability to walk or stand. Usually found in people over 50 years of age, the likelihood of developing LSS increases as we age. Common symptoms of spinal stenosis are: pain, stiffness, cramping or heaviness in the legs, particularly when walking or standing for long periods of time, lower back, buttock and leg pain, numbness, weakness or a tingling "pins and needles" sensation in the legs or feet, and pain relief when sitting, leaning forward, or lying down.
We use a percutaneous spacer, which is placed between the vertebrae and holds them open. This relieves the pressure on the nerves in the spinal canal. When the spacer is placed, the device arms are opened and surround the spinous process. This ensures that it will not dislodge. The procedure uses a tiny incision, minimizing risk of muscle denervation, blood loss and infection. Low risk of neurological damage, fracture, and infection. Patients on antiplatelet or anticoagulant agents may resume their vital medication soon after surgery. May ambulate almost immediately and can begin physical therapy in 4-6 weeks. Effective pain relief and increased mobility in most patients for at least three years, and does not prevent later use of more invasive surgery. Desirable for patients with severe cardiopulmonary disease, as the procedure uses IV sedation and local anesthesia, therefore having fewer risks than general anesthesia.