"Out-of-Office” Endovascular Procedures: Florida’s Innovative Solution Out-of-Office Endovascular Care | South Florida Vascular Associates

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“Out-of-Office” Endovascular Procedures: Florida’s Innovative Solution

Discover how South Florida Vascular Associates is redefining vascular & embolization care

Picture this.

You, receiving advanced vascular treatment—not in a cold hospital ward, but in a warm, spa-like environment where you walk in, receive expert care, and walk out feeling supported and relieved. 

That’s exactly what South Florida Vascular Associates (SFVA) offers under the leadership of William Julien, MD—a true pioneer in minimally invasive endovascular treatments.

With over 30 years of experience and a national reputation, Dr. Julien and his team are redefining how vascular, venous, fibroid, prostate and arthritic-knee pain treatments are delivered in Florida. 

The distinguishing factor? 

Our procedures are performed in an out-of-hospital, office-based endovascular suite—safer, efficient, less disruptive, and more convenient for busy women and men of all ages who simply want relief and a quick return to normal life. 

In this blog, we’ll explore:

  • The benefits of “out-of-office” endovascular procedures
  • Why SFVA stands out
  • The key procedures offered
  • What this means for patients from Florida and the Caribbean alike.

Why choose out-of-hospital endovascular care?

Minimally invasive, maximum comfort

At SFVA, the emphasis is on “minimally invasive” meaning: no large incisions, shorter recovery times, no pain, and the ability to return home the same.

Patients undergoing “office-based endovascular suite” treatments avoid the traditional hospital environment entirely. 

SFVA practice model “allows patients to receive specialized vascular care … without spending any time in the hospital.”

A truly patient-focused experience

What makes SFVA different is not only the medical technology—but the environment and care model. 

From the moment you walk through the door, the staff is committed to making you feel comfortable, informed, and valued. 

The clinical setting feels more upscale, less intimidating—an important factor when you’re considering a “serious” medical treatment but also want to maintain your quality of life, travel schedule or lifestyle.

Ideal for today’s on-the-go patient

For busy professionals—men and women between 35-70 with busy lives—there’s a need for treatment options that don’t derail your schedule or require long hospital stays. 

SFVA’s model supports that. And for patients coming from nearby areas (including the Caribbean region), the facility’s “out-of-town patients” approach makes travel-based care entirely feasible.

Why SFVA & Dr. Julien are the right choice

Leadership in Innovation

Dr. Julien is a vascular and interventional physician who’s board certification is in Interventional Radiology, and a respected leader in his field. 

He was the first in the U.S. to establish a comprehensive minimally invasive office-based endovascular suite back in 2004. 

What this means for the patient is that they are in the care of a provider who has been at the forefront of minimally invasive vascular care—not just adopting a trend, but shaping it.

Proven track record & reputation

SFVA has been providing care in South Florida for over 30 years. They service a broad region (Miami, Fort Lauderdale, Palm Beach) and are welcoming patients from all over Florida and the Caribbean.

Patients regularly highlight the professional, caring team and efficient processes:

Dr. Julien and his people are the most cohesive, personable and professional I’ve ever come across.”

That kind of feedback is especially reassuring when choosing a treatment you might have postponed due to fear or inconvenience.

A setting that feels more like a spa than a hospital

One of the most compelling differentiators: SFVA emphasizes that the outpatient suite offers a “spa-like” experience, combining advanced vascular care with comfort, dignity and minimal disruption. 

For many patients who associate the word “surgery” with hospital stays, pain and long recovery, this environment offers an entirely new frame of mind: “I’m getting treated—but with ease, comfort and back-to-normal quickly.”

Key procedures offered at SFVA

Here’s an overview of the main treatments available at SFVA:

Varicose Vein & Venous Insufficiency Treatment

  • SFVA treats venous insufficiency (where veins—not arteries—fail to return blood effectively) which often causes leg pain, heaviness, swelling and visible varicose veins.
  • Treatments include:
    • Endovenous Laser Treatment (EVLT) for closing problematic veins using a catheter and laser energy.
    • Sclerotherapy (injecting a chemical irritant) for smaller veins.
    • These are outpatient procedures with minimal recovery time.

This is directly relevant to patients between 35-70 who may be noticing leg veins, discomfort when standing, swelling or fatigue in the legs.

Uterine Fibroid Embolization (UFE)

  • Uterine fibroids (benign tumors in the uterus) affect many women in their 30s to 50s. Traditional treatment often required surgery (myomectomy, hysterectomy). SFVA offers the less invasive alternative of UFE.
  • UFE works by blocking blood flow to fibroids, causing them to shrink—preserving the uterus and offering quicker recovery. UFE is a better option for women who want to keep fertility.
  • This is highly relevant for female patients seeking fibroid relief without major surgery.

Prostate Artery Embolization (PAE) for Enlarged Prostate (BPH)

  • For men experiencing benign prostatic hyperplasia (BPH)—symptoms like frequent urination, weak stream, incomplete bladder emptying—SFVA offers PAE as a minimally invasive solution without sexual side effects.
  • The process: under local anesthesia, a catheter is threaded to the prostate-supplying vessels, particles are injected to shrink the prostate. Done outpatient and in office.
  • Ideal for male patients 50+ who want to avoid traditional surgery and hospitalization.

Peripheral Artery Disease (PAD) and Other Arterial Conditions

  • SFVA treats PAD (reduced blood flow in the legs) which can cause leg pain, cramping, non-healing wounds; untreated can lead to serious complications.
  • Interventions: angioplasty, atherectomy, stenting—all minimally invasive and done in the outpatient suite.
  • Particularly relevant for adults in the 35-90 range with risk factors (smoking, high cholesterol, hypertension) or leg symptoms they may be ignoring.

Genicular Artery Embolization (GAE) & Other Joint-Pain Solutions

  • For knee pain (e.g., chronic knee pain not responding to typical therapy), SFVA lists Genicular Artery Embolization (GAE) among its treatments.
  • This offers an innovative “out-of-hospital” option for patients with joint pain seeking alternatives to major surgery.

Do you suffer from any of these health issues and need a real medical solution?

BOOK AN APPOINTMENT NOW

What this means for you 

Relief without hospital time

If you’ve been putting off treatment because you don’t want a hospital stay, large incision or long downtime, SFVA’s model is built for you.  Procedures are done with same-day discharge , outpatient, in office with faster return to normal activities.

A clear, personal consultation process

At SFVA, the team emphasizes detailed walk-throughs: what your condition is, how the procedure works, recovery, and the  outcomes. This clears uncertainty and anxiety—which is often the biggest barrier to decision making.

Great option for regional & international patients

Since SFVA already serves the Caribbean community and out-of-town patients, it’s an excellent choice for men and women in the Bahamas, Jamaica, Puerto Rico, Dominican Republic, El Salvador, Panama who want world-class vascular care within easy reach of Miami. 

Broad spectrum of care

Whether you’re dealing with varicose veins, fibroids, enlarged issues, chronic knee pain, or arterial disease—SFVA covers all of these under one roof. That means you don’t have to go to multiple specialists or navigate hospital complexity.

Ready to take care of your health?

If you or a loved one are experiencing:

  • leg pain, swelling, visible varicose veins
  • heavy menstrual bleeding, fibroid discomfort
  • urinary issues from an enlarged prostate
  • chronic knee pain resistant to conservative therapy
  • or have vascular risk factors (smoking, diabetes, high cholesterol) and want a proactive solution

…then it’s time to consider how SFVA can help. 

Reach out for a consultation—learn your options, ask your questions, see if the “out-of-hospital” model makes sense for you.

BOOK AN APPOINTMENT

Dr. Willian Julien
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Dr. William Julien is a board-certified vascular interventional radiologist and the president of South Florida Vascular Associates. He specializes in minimally invasive procedures to treat conditions like PAD, BPH, uterine fibroids, varicose veins, and aortic aneurysms. Dr. Julien earned his medical degree from Washington University School of Medicine and completed his residency at the University of Minnesota Medical Center, followed by fellowship training at the Miami Cardiac and Vascular Institute. He is certified by the American Board of Radiology with a subspecialty in interventional radiology. Dr. Julien is a member of RSNA and the American Heart Association’s CVRI Council and serves on the Society of Interventional Radiology’s Practice Affairs Committee. He is involved in national device trials and speaks regularly at endovascular conferences. His outpatient endovascular suite is one of the first of its kind in the U.S., allowing patients to receive advanced care outside the hospital.

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