Call Today: (08) 9284 2900
72 Churchill Avenue Subiaco How to Find Us

Endovascular WA


Vein Health Tip: Walking for healthy veins

· Uncategorized · Comments Off on Vein Health Tip: Walking for healthy veins

Varicose veins are the result of a vein’s inability to properly pump blood upwards through your body.  When a vein is unable to pump the blood upwards,  the blood pools in the lower leg which causes the veins to swell and ache.

Prolonged sitting or standing makes it harder for your body to maintain upward blood flow. When we walk the muscles in our calves give a good squeeze to the leg veins and help propel blood back to the heart. This muscle pumping action with walking accounts for 70% of the blood that leaves the legs. Without that pumping action from your calves, the blood stays down in your legs and pools. That’s what causes the swelling.

Good circulation is a must have for good vein health and walking is the perfect exercise to promote good vein health.

Walking is a low-impact activity that stretches and strengthens your calf muscles, thereby improving your blood flow.

Set a goal to walk 30 minutes a day, park a little further away when shopping, take a quick activity break if you’ve been sitting for too long – 20 steps is all it takes….

Perth has some amazing scenery… check out our top walking trails on the link below…


Photo by Daniel Reche from Pexels


About Interventional Radiology

· Uncategorized · Comments Off on About Interventional Radiology

Interventional radiology (IR) is an exciting area of modern medicine delivering precise, targeted treatment for complex diseases and conditions throughout the body. Using minimally invasive image-guided techniques, interventional radiologists provide high quality care with less morbidity and often at a lower cost than many surgical alternatives.

IR can deliver many patient benefits including;

  • Reduced risk …
  • Less pain …
  • Shorter recovery times.

Interventional radiology (also known as IR) is the minimally invasive, image-guided treatment of medical conditions that once required open surgery.

By utilising the power of advanced medical imaging such as ultrasound, X-ray, CAT scan and MRI interventional radiologists can see inside your body and treat complex conditions less invasively and with unprecedented precision.

Interventional radiologists are on the front lines of clinical advances and use of the latest image-guided technologies. They are board-certified physicians who are trained in both radiology and minimally invasive therapies.

Interventional radiologists work across the body to deliver minimally invasive treatments for a variety of conditions.

This video gives a great insight into what Interventional Radiology is all about;


What treatments make up Interventional Radiology;


An X-ray exam of the arteries and veins to diagnose blockages and other blood vessel problems; uses a catheter to enter the blood vessel and a contrast agent (X-ray dye) to make the artery or vein visible on the X-ray.


Opens blocked or narrowed blood vessels by inserting a very small balloon into the vessel and inflating it. Used by Interventional Radiologists to unblock clogged arteries in the legs or arms (called peripheral arterial disease or PAD), kidneys, brain or elsewhere in the body.

Biliary drainage and stenting

Uses a stent (small mesh tube) to open up blocked ducts and allow bile to drain from the liver.

Central venous access

Insertion of a tube beneath the skin and into the blood vessels so that patients can receive medication or nutrients directly into the blood stream or so blood can be drawn.


Delivery of cancer-fighting agents directly to the site of a cancer tumor; currently being used mostly to treat cancers of the endocrine system and liver cancers.


Delivery of clotting agents (coils, plastic particles, gel, foam, etc.) directly to an area that is bleeding or to block blood flow to a problem area, such as an aneurysm or a fibroid tumor in the uterus.

Ovarian Vein Embolisation for Treatment of Pelvic Congestion

Pelvic congestion typically leads to pelvic pain. This can be managed very successfully with a minimally invasive procedure to occlude the veins that have led to the symptoms.

Uterine artery embolisation

An embolisation procedure of uterine arteries to stop life-threatening postpartum bleeding, potentially preventing hysterectomy. The same procedure is used to treat fibroid tumors and is then called UFE (Uterine Fibroid Embolisation).

Varicocele embolisation

A treatment for “varicose veins” in the scrotum, which can cause male infertility and pain.

Prostate Artery Embolisation

For the treatment of Benign Prostatic Hyerplasia


Gastrostomy tube

Feeding tube inserted into the stomach for patients who are unable to take sufficient food by mouth.

Hemodialysis access maintenance

Use of angioplasty or thrombolysis to open blocked grafts for hemodialysis, which treats kidney failure.

High Blood Pressure

In some patients with high blood pressure, the condition is caused by a narrowing of the arteries in the kidneys. The problem, called renal hypertension, often can be treated with angioplasty.

Infection and Abscess Drainage

Patients with a variety of illnesses may develop an area of persistent infection (abscess) in the body. The infection can be drained by inserting a catheter through a small nick in the skin and to the site of the infection. Also used to treat complications of open surgery

Radiofrequency ablation

Use of radiofrequency (RF) energy to treat cancerous tumors.


Dissolves blood clots by injecting clot-busting drugs at the site of the clot. Treats blood clots in the brain to reverse the effects of stroke; treats deep vein thrombosis in the leg to prevent permanent disability.

Urinary Tract Obstruction

The ureter carries urine from the kidneys to the bladder and sometimes becomes blocked by kidney stones or other obstructions. The interventional radiologist inserts a catheter through a small nick in the skin and into the blocked kidney to drain the urine.

Vena cava filter

A tiny cage-like device that is inserted in a blood vessel to break up clots and prevent them from reaching the heart or lungs. Prevents pulmonary embolism.

Image Guided Pain Management Injections

Using ultrasound/ Fluroscopy/ CT guidance, Interventional Radiologists can provide chronic pain patients with relief using precise injections into a range of joints and vertebrae.

We are moving!!!

· Uncategorized · No Comments

We are excited to announce that we will be moving in late July to our new premises located at 72 Churchill Avenue, Subiaco.

We are giving you a little sneak peak today, but we have big plans for our new home with a massive renovation already underway.

Make sure you stay tuned to this post as we will be showing you every step of the way – from demolition to decoration!

We can’t wait to see you all at our new home!

DO NOT COME UNSTUCK – the facts about Medical Glue and Varicose Veins.

· Uncategorized · No Comments


DO NOT COME UNSTUCK – the facts about Medical Glue and Varicose Veins.

The use of  “Medical Superglue” in the treatment of varicose veins has recently gained a lot of publicity with a story televised on Channel 9 News.

Whilst medical super glue (cyano-acyrylate) is one of the newest ways to treat varicose veins, the procedure is actually not new at all.  Medical grade adhesives have been used all of the body by various types of surgeons for over 50 years.

There are many benefits to the glue procedure for patients including;

  • Outpatient treatment
  • Minimal downtime
  • No tumescent anaesthesia
  • Medicare rebates are available

However, as a Doctor who has worked as an Interventional Radiologist at a teaching hospital, I have been using medical adhesives for over 20 years in a range of different procedures.  It is important to remember that this particular treatment is NOT suitable for everyone.  Each case should be examined and assessed on his own merits.

There are many alternative well established and evidence based  vein treatment procedures.  Minimally invasive non-surgical options such as laser ablation, phlebectomy and sclerotherapy  have had well documented success for over 18 years.   Many of these procedures are used in combination with each other and even in combination with the glue procedure to maximise the results for the patient.

At Endovascular WA we will continue using medical glue to treat the varicose veins on patients whom we deem it will be suitable for with care and caution rather than because it offers an uncapped rebate via medicare.

The other vein treatments listed in this article also offer medicare rebates although capped.

With over 20 years experience treating veins as an Interventional Radiologist, I sincerely believe it is too early to make unsubstantiated claims that glue is the best and only option for all vein patients. We at Endovascular WA have been seeing patients who have had complications associated with the use of glue treatments at other vein clinics where perhaps it wasn’t the best option for their particular case.

Please discuss all available options with your treating doctor and do not be afraid to seek a second opinion.

The fact that “medical glue” for veins is now rebateable and uncapped by Medicare does not mean that it should be promoted unscrupulously or as a miracle cure.

Dr Sanjay Nadkarni

Upcoming GP Education & Networking Evening

· Uncategorized · No Comments


Tuesday, June 26 2018
6.45pm to 9.45pm in the private dining room


Topics to be covered include;

What’s new in Vein Treatment;

  • Radial laser fibres
  • Medical glue (adhesive ablation)

What’s new in Men’s Health;

  • Interventional Radiology Management of Benign Prostate Hyperplasia.
  • Interventional Radiology Management of Varicoceles.

What’s new in Women’s Health;

  • Interventional Radiology Management of Pelvic Congestion Syndrome (as seen on Today Tonight).
  • Interventional Radiology Management of Uterine Fibroids.

What’s new in Pain Management;

  • Bone marrow derived Mesenchymal Stem Cells.
  • Vertebroplasy for Osteoporotic Fractures -results of the VAPOUR trial
  • The latest news on Platelet Rich Plasma.
  • Radio Frequency Ablation of knee, hip and shoulder pain.

Please register your interest and/or attendance with Kelly Kinahan,

**To Watch Pelvic Congestion Syndrome as seen on Today Tonight click here**



Medical “glue” treatment for Varicose Veins now covered under Medicare!

· Uncategorized · No Comments

The use of medical grade adhesive to treat varicose veins and venous disease is otherwise known as Endovenous Adhesive Ablation.
Medical professionals have been using medical grade adhesive “medical superglue” for years to treat a large number of ailments.
As of May 1 2018 this procedure for vein treatment will offer patients a Medicare rebate!
There are many benefits to Endovenous Adhesive Ablation including;
* minimally invasive
* both legs can be treated at the same appointment
* one needle entry point
* excellent published success rates as high as 98.9% (VeClose study)
* patients can generally return to work and normal activities immediately after treatment
* no pre-procedure drugs required
To see if this treatment is right for you, book a consultation with Dr Sanjay Nadkarni.

20 minute treatment for the athlete’s injury- partial anterior cruciate ligament tear

· Uncategorized · No Comments


The anterior cruciate ligament (ACL) is one of a pair of ligaments (the other being the posterior cruciate ligament) in the knee.

The two ligaments are also called cruciform ligaments, as they are arranged in a crossed formation.

The anterior cruciate ligament is one of the four main ligaments of the knee  and is one of the key ligaments that help stabilize your knee joint. The ACL connects your thighbone (femur) to your shinbone (tibia).

Anterior cruciate ligament injury is when the anterior cruciate ligament (ACL) is either stretched, partially torn, or completely torn.  Symptoms include pain, a popping sound during injury, instability of the knee, and joint swelling. 

It’s most commonly torn during sports that involve sudden stops and changes in direction — such as football, basketball, netball etc.

Treating partial anterior ligament tears with intraligamentary plasma rich has proven successful in many cases.  This is a 20 minute procedure conducted at the clinic.  Dr Sanjay Nadkarni has been performing this procedure for over 7 years, since it was first introduced.

A recent study published in the World Journal of Orthopaedics showed excellent results for this procedure. Click here to view the full study.



#ACL #ACLinjury #plasmarich #drsanjaynadkarni

Pelvic Congestion Syndrome – as seen on Today Tonight

· Uncategorized · No Comments

Adelaide suffered from chronic pelvic pain for years after her pregnancies.  After many GP and Specialist visits, Adelaide still had no answers as to what was causing her chronic pain.  It was even suggested that Adelaide look at a mental health care plan.  Deciding to take matters into her own hands Adelaide took to the internet to conduct her own research, stumbling across Dr Sanjay Nadkarni’s website

Adelaide finally had the answer to her chronic pain that she had been looking for.

Dr Sanjay Nadkarni was able to diagnose and treat Adelaide’s condition and restore her quality of life.

It took two minimally invasive procedures and Dr Sanjay Nadkarni interviewed Adelaide pre- operation and post operation for each procedure.  We will be posting these in a series of blogs.

If you are suffering chronic pelvic pain, you are not alone.  This condition is extremely common in women post pregnancy.  Get a referral from your GP to see Dr Sanjay Nadkarni.


#pelviccongestionsyndrome #chronicpelvicpain #womenshealth #pregnancy


Radial Artery Puncture Procedure – first in WA

· Uncategorized · No Comments

Congratulations to our very own Dr Sanjay Nadkarni who on Friday, April 6 became the first ever Interventional Radiologist in Western Australia to perform a radial artery puncture procedure as part of a uterine artery embolisation.

Uterine fibroids are extremely common in women and if left untreated can continue to grow in size and number.

This procedure allows patients to sit up and even walk almost immediately and in most cases the patient will be home the same day. Dr Nadkarni asked us to give a shout out to the interventional radiology department at Sir Charles Gairdner Hospital who have been offering world class care to patients for 25 years.

#interventionalradiology#sircharlesgairdnerhospital #uterinefibroids#womenshealth

Varicose Veins increase the risk of DVT by 5 times!

· Uncategorized · No Comments

Varicose veins are NOT just a cosmetic issue. New research shows that people suffering from varicose veins are 5 times more likely to develop a DVT (deep vein thrombosis) which can result in amputation or even death and 2 times more likely to develop a pulmonary embolism which can also be fatal. With so many minimally invasive, non surgical vein treatments available there is no reason to risk your health.

As quoted in the article;


  • Varicose veins increase the risk of deep vein thrombosis (DVT) by five times
  • DVT is a clot in the legs, which can lead to amputation or even death 
  • Varicose veins make people twice as likely to develop a pulmonary embolism
  • This is a clot that travels to the lung and can be life-threatening
  • Varicose veins double peripheral artery disease’s risk, which reduces blood flow

Read the full article here more: