Our Services

Women’s Health

Women have unique health issues. Some of these unique health issues can include pregnancy, menopause, and conditions of the female organs. ..

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Working together with clinical oncologists, our physicians at the Vascular Institute of Virginia have developed procedures to treat many cancer patients and to improve their quality of life…

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Prostate Artery Embolization (PAE)

Enlarged prostate (BPH) affects a large percentage of men over the age of 65. We offer an innovative, outpatient procedure to treat this condition by our world-class physicians…

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Dialysis Access/ESRD Services

From surgical creation of dialysis access (AV Fistula or AV Graft) to minimally invasive procedures to help maintain a healthy access, our expert staff will help navigate you through your journey ..

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Varicose Vein Treatment

An estimated 40 percent of people in the United States have chronic venous insufficiency. The Vascular institute of Virginia is a trusted vein treatment center of excellence. Venous insufficiency can present itself as a spider or varicose veins ..

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Men’s Health

Men have unique health issues. At the Vascular Institute of Virginia, we specialize in treating some of these unique conditions that can affect the male population…

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Our Doctors

Anish P. Shah, M.D. FASN

Dr. Shah is the medical director and founder of the Vascular Institute of Virginia, LLC …
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Rachel Piechowiak, D.O.

Dr. Rachel Piechowiak is a Board-Certified Vascular & Interventional Radiologist ..
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Joshua Washer, M.D.

Dr. Joshua Washer is Vascular Institute of Virginia’s Vascular & Interventional Surgeon. He is a dedicated …
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William D. Yu, M.D., FASN

Dr. William Yu is a Board-Certified lnterventional Nephrologist at the Vascular Institute of Virginia. He specializes in …
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Alexander Kieger, M.D.

Dr. Alexander Kieger completed subspecialty training in Vascular and lnterventional Radiology at Chicago’s Northwestern …
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With the Magellan Robotic System, patient Yvanna underwent a Uterine Fibroid Embolization (UFE) procedure to treat uterine fibroids.


A patient suffering from enlarged prostate is treated with the Magellan Robotic System.
The Prostate Artery Embolization (PAE) procedure with the Magellan was used to treat enlarged prostate, or Benign Prostatic Hyperplasia (BPH).

The doctor’s office is never a pleasant place to visit because you normally are not feeling well. However, Dr. Washer and his team are the best; my experience has always been pleasant and prompt.


Everyone here is wonderful and they all have been so good to my mother,and now she feels like a new woman…..Thank you


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What is Peripheral Arterial Disease (PAD)?
Peripheral Arterial Disease is a disorder that affects the arteries outside of the heart and brain. According to the American Heart Association, controllable risk factors for PAD include cigarette smoking, obesity, diabetes mellitus, physical inactivity, high blood cholesterol, and high blood pressure.
Does my insurance cover Varicose Vein Treatments?
Some insurance companies do cover treatment. Our in-office insurance coordinator will verify your insurance coverage, on your behalf, prior to your treatment.
What can I do to keep my dialysis access healthy?
Examine your access daily to ensure there is a thrill and keep the site clean. Wash skin daily with soap and water. Avoid sleeping on your access arm, carrying heavy objects and checking blood pressure in your access arm.
What if I have a catheter?
Keep the site clean and dry. Dressing changes will be done at dialysis center. Plan on transitioning to a fistula or a graft as soon as possible.
How soon can I be seen?
Same or next day appointments are available.
Will my procedure hurt?
No. We will give you sedation to ensure that you are comfortable throughout your procedure. Please be sure not to eat or drink anything on the day of your procedure so that we can administer sedation.
How long is my recovery time?
Depending on the type of procedure, patients generally recover within 30 minutes-2 hours and are able to be discharged.
What is Prostate Artery Embolization (PAE)?
PAE, which can be performed under light anesthesia, involves a treatment called embolization, which entails temporarily blocking blood flow to the arteries that supply the prostate.

A Statement from the Vascular Institute of Virginia Regarding COVID-19

Recently our community, both locally and globally, has been impacted by the novel coronavirus, COVID-19, as it has been declared a pandemic by the World Health Organization (WHO) and Centers for Disease Control and Prevention (CDC). We at the Vascular Institute of Virginia continue to …
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The Vascular Institute of Virginia Celebrates One Year at Fredericksburg Location

Press/Media Release
For Immediate Release
Contact: Alex Rynkiewicz, Associate Marketing Representative, Vascular Institute of Virginia
Phone: 703-763-5224
Email: info@teamviv.com
FREDERICKSBURG, VA – On January 21, 2020, the Vascular Institute of Virginia celebrates
the one-year anniversary of the opening of …
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The COVID-19 pandemic continues to disrupt our lives and threaten the health of our patients and communities.  We receive daily updates, guidelines and recommendations from the DOH and CDC and we will continue to adapt. We at the Vascular Institute of Virginia (VIV) will continue to help limit the spread of this illness as best we can, for our patients and healthcare workers.  To that end, VIV will provide support by continuing to provide urgent and emergent comprehensive care at our outpatient vascular centers in Woodbridge and Fredericksburg. We remain open at both of our locations and taking same-day/next-day appointments for urgent cases including:


  • End Stage Renal Disease (ESRD) access issues
    • Fistulagram
    • Thrombectomy
    • HD Catheter Placement/Exchange/Removal
  • Mediport Placements for patients that need to initiate chemotherapy
  • Arteriogram for Critical Limb Ischemia (CLI)
  • Peripheral Arterial Disease (PAD) Consultations
  • Deep Vein Thrombosis (DVT) scans
  • Other urgent vascular evaluations as needed


We understand that patients who have ESRD, PAD/CLI, cancer or are suspected of having DVT can often not wait for diagnosis and treatment. Our local hospitals, and our entire health-care system, are being overwhelmed by the impact that COVID-19.  We are fully prepared to continue to support our community and to ease the burden on our hospitals. And where appropriate, we are able to offer telehealth evaluations for patients by simply calling our office to schedule.

Our phone number for both offices is 703-763-5224 and our fax number is 703-763-5374. We have also added our referral/scheduling forms to the Resources page of our website.

Our locations:

VIV Woodbridge
14085 Crown Court
Woodbridge, VA 22193

VIV Fredericksburg
1440 Central Park Blvd
Suite 108
Fredericksburg, VA 22401

Please do not hesitate to reach out to us for any support that we can provide to you at this time.

The Vascular Institute of Virginia