No Knife Endovenous Laser™ is a minimally invasive treatment for varicose veins which avoids the small scars left by other treatments. Its especially suitable for women and men with darker skin tones. All surgeons at NYC Surgical Associates.are trained in this technique pioneered by Dr. David Greuner.
Usually, a surgeon will make a small incision and a sheath is used to pass a laser or radio frequency or laser catheter into the blood vessel, which ultimately leaves a 3 to 10mm scar. Although these scars may be insignificant in patients with fair skin even a small scar can be a significant drawback for those with darker skin types who may be prone to hyperpigmentation, or dark discoloring at incision sites, and those prone to keloid formation.
No-Knife Endovenous Laser goes a step further than the technique utilized by even the most experienced minimally invasive surgeons treating venous disease today. A small needle is used to enter the vein using ultrasound guidance. Surgeons at NYC Surgical Associates can avoid leaving a scar by utilizing a special very thin laser fiber and the most modern laser technology available today. This laser fiber is specially engineered to be able to fit directly through a needle no larger than a needle typically used to draw blood. After treatment the small entry point fades.
Deep Vein Thrombosis Treatment Decisions Improved By Intravascular Ultrasound Screening (IVUS)
Deep Vein Thrombosis, or DVT is among the top three leading cardiovascular diseases in the country yet many are unaware of its symptoms and associated risks. Deep Vein Thrombosis can affect people at any age and can lead to a pulmonary embolism and in extreme cases, sudden death. An advanced screening technology known as IVUS, or “intravascular ultrasound screening” is assisting NYC Surgical Associates to make more precise treatment decisions for each patient.
We are among a very few centers in the world utilizing IVUS technology to guide minimally invasive cardiovascular surgery and its results to achieve optimal outcomes. IVUS uses a catheter with a miniature high definition ultrasound probe that can enter the blood vessel and measure the interior of the vessel with high accuracy to guide therapeutic decisions.
NYClinic, a division of NYC Surgical Associates was created with a mission to educate people regarding the risks associated with sitting down for long periods, to offer strategies to change their work practices and provide corporate on-site DVT screening programs.
NYClinic offers specialty medical services, imaging and diagnostics, and laboratory testing at each clinic location. The clinics also offer an Executive Health Program including preventive medicine, health management, life coaching and corporate wellness services. The Check-Up Executive service provides cardiovascular screening and comprehensive testing. The Private Medical Club at NYClinic will feature exclusive services for members to provide important health advantages, accessible through a worldwide network of medical professionals.
Overactive Bladder Treatment via Catheter
Dr. Greuner has pioneered a unique approach to treating overactive bladders through a simple corrective procedure to relieve pressure from blood pooling in the veins surrounding the bladder, a condition that can cause urinary frequency issues. While other treatment measures such as drugs and Botox can have unwanted side effects, this minimally-invasive procedure has been shown to yield a 95% success rate with total symptom resolution.
According to The Urology Care Foundation, as many as 40% of women and 30% of men in the U.S. experience Overactive Bladder symptoms. According to Dr. Greuner, “An overactive bladder can be highly disruptive, both physically and emotionally. With this procedure, we are applying the basic principles of sclerotherapy for varicose veins to the veins surrounding the bladder, in order to relieve pressure that can contribute to an overactive bladder and urination frequency.”
After confirming the existence of dilated veins weighing on the bladder via ultrasound, the procedure involves blocking them off by threading a catheter into the area and creating a controlled clot using a gel-foam material. The outpatient procedure has minimal downtime due to soreness, and patients can expect to see results within a week.
This procedure can be life-changing for anyone diagnosed with an overactive bladder, and greatly improve quality of life where medications, and behavioral and muscle exercises fail.