Columbia Endovascular Associates/Interventional Radiology is an office-based full-service interventional radiology practice of Columbia University Medical Center. All of the physicians in the practice are Board Certified in Diagnostic Radiology and subspecialty certified in Vascular and Interventional radiology.
We specialize in all aspects of vascular and venous disease and are able to perform a variety of diagnostic and minimally invasive procedures designed to identify and treat vascular problems such as varicose veins, spider veins and others. For varicose veins and spider veins, we offer the full spectrum of care from consultation to ultrasound diagnosis to treatment, including endovenous laser therapy for varicose veins and injection sclerotherapy for spider veins. Additional services offered include aesthetic facial injections including Botox and dermal fillers (ex., Juvederm).
We also offer a large variety of minimally invasive procedures for the treatment of:
- Venous blockages
- Peripheral Vascular disease including, angioplasty and stent placement
- Uterine Fibroid Embolization
- Dialysis access
- Venous ports for chemotherapy
- Liver tumor treatments with chemoembolization
- Drainage procedures and drainage catheter maintenance including kidney and liver catheters, and biopsies of all types including breast, liver, and thyroid.
- Conscious sedation is available if needed.
Columbia Endovascular Associates recently received official accreditation status by the American Association of Accredited Ambulatory Surgical Facilities (AAAASF) for office based surgery.
David C. Sperling, M.D.
Dr. Sperling is the Director of Columbia Endovascular Associates and is board certified in Diagnostic Radiology and subspecialty certified in Vascular and Interventional Radiology. Dr. Sperling is an Assistant Clinical Professor of Radiology for Columbia University Medical Center at New York Presbyterian Hospital. He is the former Chief of Radiology of Lawrence Hospital in Bronxville, New York. He was also the Associate Director of Radiology at St. Barnabas Hospital in the Bronx, New York, where he also served as Chief of Interventional Radiology.
Dr. Sperling was the founder and Director of Advanced Vein Imaging and Therapy, PC. Dr. Sperling has extensive experience in the treatment of venous diseases, including varicose veins and spider veins, aesthetic facial injections, peripheral vascular disease, angiograms, angioplasty, stent, dialysis access, pelvic congestion syndrome, testicular varicoceles, and fibroid embolization.
Dr. Sperling is a member of:
- Society of Interventional Radiology
- American College of Phlebology
- Radiological Society of North America
- American Roentgen Ray Society
- American College of Radiology
- American Medical Association
What are the treatment options?
If you have been diagnosed with varicose veins, your physician may refer you to an interventional radiologist or vascular specialist for treatment. Treatment options for varicose veins that are performed by these specialists include endovascular venous laser treatment (ELVT), sclerotherapy, vein stripping, or bypass surgery.
An interventional radiologist, a physician trained to use x rays and other imaging techniques to see inside the body, may perform some of these procedures. Interventional radiologists use long, flexible, thin tubes called catheters and other microtools to treat conditions without surgery.
Varicose veins is a progressive disorder that worsens if it is not treated. The primary goals of treatment are stopping the backflow of blood, improving the circulation of blood through your veins, and improving the appearance of your legs.
Endovascular Laser Venous Treatment (ELVT)
ELVT, or laser treatment, is a relatively new, minimally invasive, painless procedure that is becoming a more popular treatment for varicose veins. The procedure, which has shown excellent long-term results, is performed in an outpatient setting, often in a physician's treatment office, and usually takes between 45 minutes and 1 hour. Prior to the procedure, a local anesthetic is applied to the area of the leg being treated. During the procedure, an interventional radiologist inserts a tiny fiber-optic probe into a varicose vein through a catheter. This probe transmits laser energy to the affected vein. The laser energy kills the diseased tissue in the varicose vein, causing the vein to close and eventually be reabsorbed by the body. Once complete, the probe is removed from the vein. With a 98 percent success rate, the long-term results of EVLT are equal to or better than results for surgery (such as vein stripping), sclerotherapy, and radiofrequency ablation.
Sclerotherapy is a minimally invasive procedure used to treat diseased or cosmetically undesirable surface veins. It is performed in the physician's office and does not require a hospital stay. The physician injects a liquid called a sclerosing (hardening) solution into a diseased vein, which causes an inflammatory reaction on the walls of the vein. As a result, the vein closes, blood reroutes to healthy veins, and the diseased vein eventually disappears.
Vein stripping removes varicose veins and their tributaries (branches) through small incisions. Variations on this procedure have been performed for more than 100 years.
Also known as saphenectomy, vein stripping is typically performed as an outpatient procedure in the operating room. You may receive general or, occasionally, spinal anesthesia. The procedure removes your greater saphenous vein (GSV), the largest superficial vein in your leg, as well as any varicose tributary veins. The GSV runs along the inside of your leg from the top of your ankle to just below your groin, where it connects with the femoral vein, the major deep vein in your leg. When the GSV is removed, the deep vein pathways in your leg continue to return the majority of blood to the heart.
Surgical bypass is a procedure that can improve blood flow by rerouting blood around a diseased vein. In bypass surgery, surgeons connect a fabric tube called a vein graft or a piece of a saphenous vein taken from a healthy leg to your diseased vein to help blood drain from your affected leg. Most vein surgery can be performed with imaging techniques that allow procedures to be conducted through tiny incisions.