Vascular & Interventional Radiology
See inside. Treat through a pinhole.
We use X-ray, ultrasound and CT to reach the problem from the inside, through a puncture smaller than a pencil tip. Most people go home the same day. We will show you exactly what we see, and explain every option.
Every treatment is planned on your own images and watched live on screen.
Our specialties
Every condition and procedure we treat has its own patient page, with videos. Start with the problem you are dealing with.
Vein problems
Care for varicose and spider veins, blood clots, and pelvic and scrotal veins.
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Arterial problems
Treatment for blocked arteries, aneurysms, clots and malformations.
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Embolizations
Prostate, fibroid, knee, varicocele and other embolizations.
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Cancer interventions
Biopsies, tumor ablation, Y-90, chemoembolization and palliative care.
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Pain therapy
Injections, nerve ablation, stimulators, pumps and vertebral augmentation.
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Dialysis access
Fistulas, grafts, dialysis catheters and peritoneal dialysis.
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General IR
Biopsies, drains, feeding tubes, urology, lines and ports.
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Liver disease
TIPS, paracentesis, bile ducts, liver biopsy and tumors.
Explore →Patient education videos
More than a hundred plain-language videos, watched tens of thousands of times by patients and families. Real images, honest answers.
Understanding Y90 Radioembolization
Prostate Artery Embolization
Prostate artery embolization · 7:08
Genicular Artery Embolization vs Nerve Ablation | Which Works Better?
Genicular artery embolization · 6:46
Peripheral Artery Disease Explained Symptoms, Risks — Life-Saving Treatments
Peripheral arterial disease · 6:14
Blood Clots in Your Legs? What Doctors URGENTLY Want You to Know (DVT 101)
DVT and blood clots · 4:44
Understanding Venous Problems: Varicose Veins, DVT, and More
Varicose veins · 18:10
Cancer Treatment Breakthrough: How Histotripsy Transforms Tumor Removal
Histotripsy · 14:23
Quick answers
Myths, facts and questions, in under a minuteFeatured treatments
Treatments we focus on, each with a full guide and videos.
Y-90 radioembolization
Tiny radioactive beads treat liver tumors from inside, with two short outpatient visits.
Learn more →Prostate artery embolization
Shrink an enlarged prostate through a pinhole, without surgery or a hospital stay.
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Genicular artery embolization
Calm knee arthritis pain by treating inflamed vessels, through a pinhole and without surgery.
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Peripheral arterial disease
Leg pain when walking or wounds that won't heal? Learn how blocked leg arteries are treated.
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DVT (deep vein blood clots)
Blood clots in the leg or arm: signs, blood thinners, clot removal and long-term care.
Learn more →Varicose veins
Why leg veins bulge and ache, and how to treat them without major surgery.
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Histotripsy
Focused ultrasound breaks up liver tumors from outside the body. New, and not for everyone.
Learn more →How a visit works
From the first call to follow-up.
Referral or call
Your doctor sends a referral, or you call 650-404-8445 yourself. We gather your scans and records.
Consultation
We review your images together, explain what we see, and go through every option, including not treating.
Procedure
Usually through a pinhole, with numbing medicine and sedation. Most people go home the same day.
Follow-up
We check in after, review results with you and your doctors, and stay available for questions.
Fabio Komlos, MD
“I would rather spend ten minutes showing you your own images than ten seconds telling you not to worry.”
Dr. Fabio Komlos is an interventional radiologist: a doctor who treats disease from the inside, through a pinhole, guided by X-ray, ultrasound and CT. He reviews your scans himself, walks you through them, and performs your procedure.
Preparing for a procedure
Practical guides for before and after any procedure.
What is interventional radiology?
How doctors treat disease from the inside, through a pinhole, using live imaging as their eyes.
Before your procedure
Fasting, medicines, blood thinners, diabetes, a driver and what to bring: your checklist.
Blood thinners and your procedure
Which blood thinners may be paused before a procedure, typical hold times, and how bridging works.
Sedation and anesthesia
Local numbing, twilight sedation and anesthesia: what you feel and why you need a ride.
After your procedure
Puncture site care, activity, showering, driving, pain and when to call after an IR procedure.
Home supplies for drains and tubes
What supplies you need for drains, kidney and bile tubes, and feeding tubes, and where to get them.
Not sure where to start
Call 650-404-8445 and tell us what is going on. We will point you to the right specialist, even if it is not us.