Procedure FAQ’s

1. What is the TVAM Procedure?

The TVAM procedure is performed on an outpatient basis at our state-of-the-art medical center. The patient will receive conscious sedation to maintain comfort throughout the procedure and the procedure will typically take under an hour to perform.

It is a non-surgical procedure focusing on the jugular veins. An IV is placed into a larger vein in the groin area. From this location, small plastic tubes called catheters are navigated into the neck, chest and abdomen veins using fluoroscopy or X-ray guidance. The catheters are used to take pictures by injecting a dye into the veins to help identify any abnormalities of the veins. The veins are then dilated leading to activation of the venous distension reflex.

2. Do you perform an angiogram during the procedure?

An angiogram is a procedure where x-rays and Iodinated ‘Contrast’ (once called x-ray dye) are used to examine blood vessels, usually arteries. It is commonly used to look at the arteries in the legs, brain and abdomen. Contrast is used to find out if your arteries are narrowed, leaking, enlarged or blocked. It is injected by placing a needle and a thin plastic tube (catheter) into the artery. X-ray pictures will be taken to see how the contrast flows through your arteries. When the procedure is performed in a vein it is called a venogram.

3. Do you perform angioplasty during the procedure?

Angioplasty may be used instead of surgery to deal with narrowed or blocked arteries. An angioplasty is performed as an extra step to the angiogram procedure. An Angioplasty involves the insertion of a balloon into the narrow part of the artery. The balloon is inflated stretching out and opening up the artery. TVAM involves dilating a vein but the goal of treatment is not to correct a blocked or narrowed vein. The treatment goal is activation of the venous distension reflex.

4. Do you use stents?

Stents are man-made ‘tubes’ constructed of mesh metal, inserted into the vein to prevent, or counteract, a localized flow constriction. Stents are not a part of the treatment program.

5. Do you offer stem cell therapy with your angioplasty?

Dr. Arata is a member of the Cell Surgical Network. You may now have combined cell therapy and TVAM in one visit. This reduces travel and lodging expenses, allows combined therapy for lowest available expense.


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