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Why should patients focus on Peripheral Vascular Disease?

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Why should patients focus on Peripheral Vascular Disease?

 

Beyond the Heart:

Why Patients Should Focus on Peripheral Vascular Disease. When it comes to cardiovascular health, heart disease often takes the spotlight. However, there is another crucial condition that deserves our attention: Peripheral Vascular Disease (PVD). While heart disease affects the arteries supplying blood to the heart, PVD affects the arteries outside the heart, particularly those that supply blood to the limbs. It’s important for patients to understand the significance of PVD and why it should be on their radar alongside heart disease. In this blog post, we will explore the reasons why patients should focus on PVD in addition to heart disease.

Prevalence and Risk Factors:

PVD is more common than many people realize. It affects millions of individuals worldwide, particularly those over the age of 50. The risk factors for PVD overlap with those of heart disease, including smoking, diabetes, high blood pressure, high cholesterol, obesity, and a sedentary lifestyle. By focusing on PVD, patients can address these risk factors and make positive changes to improve their overall vascular health.

Impact on Quality of Life:

Peripheral Vascular Disease can significantly impact a patient’s quality of life. The reduced blood flow to the limbs can cause symptoms such as leg pain, cramping, numbness, and weakness. These symptoms can make it difficult to walk, engage in physical activities, and carry out daily tasks. By addressing PVD, patients can seek appropriate treatment to alleviate these symptoms and regain their mobility and independence.

Increased Risk of Cardiovascular Events:

PVD is not an isolated condition. It is associated with a higher risk of cardiovascular events, such as heart attacks and strokes. The same underlying process of atherosclerosis, the buildup of plaque in the arteries, occurs in both PVD and heart disease. By managing PVD and its risk factors, patients can potentially reduce their overall cardiovascular risk and improve their long-term health outcomes.

Early Detection and Prevention:

Detecting PVD at an early stage is crucial for effective management. Unfortunately, PVD often goes undiagnosed or overlooked due to its subtle symptoms. However, routine screenings and awareness can lead to early detection and intervention. By focusing on PVD, patients can work closely with their healthcare providers to identify the condition early, initiate appropriate treatments, and prevent its progression.

Holistic Approach to Vascular Health:

Taking a comprehensive approach to vascular health means addressing both heart disease and PVD. By understanding the connections between the two and recognizing the importance of overall vascular wellness, patients can adopt a proactive mindset. This includes making lifestyle modifications, such as quitting smoking, adopting a heart-healthy diet, managing blood pressure and cholesterol levels, and engaging in regular physical activity. It’s about viewing the body’s entire vascular system as interconnected and deserves equal attention.

Peripheral Vascular Disease should not be overlooked or overshadowed by heart disease. By focusing on PVD alongside heart health, patients can proactively manage their vascular well-being, improve their quality of life, and reduce their risk of cardiovascular events. Awareness, early detection, and a comprehensive approach to vascular health are essential for optimal long-term outcomes. Remember, your limbs deserve the same level of care as your heart. Take action today for a healthier vascular future.

 

PAD Checklist

References:

Society for Vascular Surgery: Peripheral Artery Disease (PAD)
Western Vascular Institute: What Is Peripheral Arterial Disease?
Mayo Clinic: Peripheral artery disease (PAD)

Why do I need a vascular surgeon?

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Why do I need a vascular surgeon?

 

Vascular Disease:

If you have been diagnosed with vascular diseases such as peripheral artery disease (PAD), deep vein thrombosis (DVT), varicose veins, aneurysms, or carotid artery disease, a vascular surgeon specializes in the treatment of these conditions.

Circulation Problems:

If you experience symptoms related to poor blood circulation, such as leg pain or cramping during walking or at rest, non-healing wounds or ulcers, or coldness in your extremities, a vascular surgeon can evaluate and provide appropriate treatment options.

Vascular Trauma:

In cases of traumatic injuries that involve blood vessels, such as a severe laceration or damage to arteries or veins, a vascular surgeon can perform surgical procedures to repair and restore blood flow.

Aortic Aneurysm:

If you have an abdominal or thoracic aortic aneurysm, which is a weakened and bulging area in the aorta, the main blood vessel in your body, a vascular surgeon may perform surgery to repair or replace the affected segment to prevent the risk of rupture.

Endovascular Procedures:

Vascular surgeons are trained in minimally invasive endovascular techniques, such as angioplasty, stenting, and embolization, to treat various vascular conditions. These procedures involve using catheters and imaging guidance to access and treat the affected blood vessels from within.

Vascular Access:

If you require long-term dialysis, a vascular surgeon can create and manage vascular access points, such as arteriovenous fistulas or grafts, to allow repeated access to your blood vessels.

With many years of extensive vascular experience, Western Vascular Institute’s providers are able to provide unparalleled diagnosis & management for all venous & vascular diseases as well as exceptional patient care.

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Stroke Awareness & Prevention

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Stroke Awareness & Prevention

 

Introduction:

A stroke is a medical emergency that occurs when blood flow to a part of the brain is interrupted or reduced, depriving brain cells of oxygen and nutrients. This can cause brain cells to die, leading to serious and potentially life-threatening consequences. In this blog post, we will explore the causes, symptoms, types, and treatment options available for stroke.

Causes:

Stroke can be caused by a variety of factors, including high blood pressure, high cholesterol, smoking, diabetes, and heart disease. Other risk factors include age, family history, obesity, and a sedentary lifestyle. Some strokes occur spontaneously without any apparent cause, while others are the result of a specific event, such as a blood clot or bleeding in the brain.

Symptoms:

The symptoms of stroke can vary depending on the type of stroke and which part of the brain is affected. Some of the most common symptoms include sudden weakness or numbness in the face, arm, or leg, especially on one side of the body; sudden confusion, trouble speaking, or difficulty understanding speech; sudden vision loss in one or both eyes; sudden dizziness, loss of balance or coordination; and sudden severe headache with no known cause.

Types:

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs when a blood clot or plaque buildup in an artery blocks blood flow to the brain. Hemorrhagic stroke occurs when a blood vessel in the brain ruptures, causing bleeding in the brain. A transient ischemic attack (TIA) is a mini-stroke that occurs when blood flow to the brain is temporarily interrupted. TIAs usually last only a few minutes and do not cause permanent brain damage, but they are a warning sign of a possible future stroke.

Treatment:

A stroke is a medical emergency, and prompt treatment is crucial to minimize brain damage and prevent further complications. Treatment options depend on the type of stroke and may include medications to dissolve blood clots or lower blood pressure, surgery to remove blood clots or repair a ruptured blood vessel, and rehabilitation to regain lost functions and prevent future strokes.

Prevention:

Preventing stroke involves making lifestyle changes to reduce risk factors, such as maintaining a healthy weight, eating a balanced diet, exercising regularly, quitting smoking, and managing conditions such as high blood pressure, high cholesterol, and diabetes. Regular checkups with a healthcare provider can also help detect and manage risk factors before they lead to a stroke.

Conclusion:

A stroke is a serious and potentially life-threatening condition that requires immediate medical attention. By understanding the causes, symptoms, types, and treatment options available for stroke, you can take steps to prevent stroke and seek prompt treatment if you or someone you know experiences a stroke. With prompt medical attention and appropriate treatment, many people are able to recover from stroke and regain lost functions, highlighting the importance of awareness and education about this medical condition.

What is Peripheral Vascular Disease?

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What is Peripheral Vascular Disease?

 

Peripheral Vascular Disease (PVD) is a condition that affects the blood vessels outside of the heart and brain, primarily in the legs and feet. PVD is caused by narrowed or blocked blood vessels, which can lead to reduced blood flow to the limbs. This can cause a range of symptoms, including pain, cramping, and numbness in the legs, especially during physical activity.

Causes:

The most common cause of PVD is atherosclerosis, a condition where fatty deposits (plaques) build up in the arteries, narrowing the blood vessels and restricting blood flow. Other factors that can contribute to PVD include smoking, diabetes, high blood pressure, high cholesterol, and obesity. In rare cases, PVD can also be caused by a blood clot or inflammation of the blood vessels.

Symptoms:

The symptoms of PVD can vary depending on the severity of the condition. Some people may experience no symptoms at all, while others may experience pain or discomfort in the legs, especially during physical activity. Other symptoms may include numbness, tingling, or weakness in the legs; coldness in the feet or legs; and slow healing of wounds or sores on the feet or legs.

Diagnosis:

To diagnose PVD, your healthcare provider will perform a physical exam and may order diagnostic tests such as an ankle-brachial index (ABI) test, which compares blood pressure readings in the arms and legs, or an ultrasound or angiogram to visualize the blood vessels in the affected area.

Treatment:

The goal of treatment for PVD is to improve blood flow and manage symptoms. Lifestyle changes such as quitting smoking, exercising regularly, and maintaining a healthy weight can help manage PVD and reduce the risk of complications. Medications such as blood thinners or cholesterol-lowering drugs may also be prescribed to manage PVD. In some cases, minimally invasive procedures such as angioplasty or stenting may be recommended to open up narrowed or blocked blood vessels.

Prevention:

Preventing PVD involves making lifestyle changes to reduce risk factors, such as quitting smoking, maintaining a healthy weight, exercising regularly, and managing conditions such as high blood pressure, high cholesterol, and diabetes. Regular checkups with a vascular surgeon can also help detect and manage risk factors before they lead to PVD.

Conclusion:

Peripheral Vascular Disease is a common condition that can cause pain and discomfort in the legs and feet. By understanding the causes, symptoms, diagnosis, and treatment options available for PVD, you can take steps to manage this condition and improve your overall health. Don’t suffer in silence – talk to your vascular surgeon today to learn more about your options for managing PVD.

What is Vascular Surgery?

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What is Vascular Surgery?

Vascular surgery is a surgical specialty that deals with diseases of the blood vessels. It is a relatively new specialty, having been founded in the early 1970s. The first residency program was started at the University of Minnesota in 1973.

The specialty of vascular surgery is divided into two main branches: open surgery and endovascular surgery.

Open surgery is the traditional form of surgery, where the surgeon makes a large incision in the patient’s body in order to access the blood vessels. Endovascular surgery is a newer form of surgery that uses tiny instruments and a camera to access the blood vessels through small incisions.

Vascular surgery is a highly specialized field, and there are only a few hundred surgeons in the United States who specialize in it. The majority of vascular surgeons are based in large metropolitan areas, and there are few rural areas that have vascular surgeons.

 Treating a variety of diseases and conditions, including:

Vascular surgery is a life-saving procedure in many cases. For example, an aortic aneurysm is a life-threatening condition that can lead to a ruptured aorta. If the aneurysm is detected early, it can be treated with surgery. It is a highly specialized field, and patients should seek out a vascular surgeon who is experienced in treating the specific condition that they have.

Amputation Prevention

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Amputation Prevention: Empowering Lives, Preserving Limbs

Amputation is a life-altering event that can have profound physical, emotional, and social implications. However, in many cases, amputation can be prevented with timely intervention, proactive healthcare, and patient education. Let’s explore the importance of amputation prevention and the strategies that can make a significant difference in preserving limbs and improving quality of life.

Early Detection and Treatment:

One of the key factors in amputation prevention is early detection and prompt treatment of underlying conditions that can lead to limb-threatening complications. This includes conditions such as peripheral artery disease (PAD), diabetic foot ulcers, infections, and severe trauma. Regular check-ups, routine screenings, and proactive management of chronic diseases are vital in identifying potential risks early on.

Comprehensive Wound Care:

Effective wound care is critical in preventing infections and promoting healing, particularly in individuals with chronic wounds or ulcers. Prompt attention to any cuts, sores, or wounds, especially in high-risk populations such as diabetic patients, can significantly reduce the risk of complications that may necessitate amputation. This involves proper cleaning, dressing, and close monitoring of wounds, along with the use of advanced wound care techniques and therapies.

Managing Underlying Conditions:

Managing underlying conditions that contribute to limb-threatening complications is crucial in amputation prevention. For individuals with diabetes, maintaining optimal blood sugar control is essential to prevent peripheral nerve damage and impaired circulation. Controlling blood pressure and cholesterol levels, as well as adopting a healthy lifestyle with regular exercise and a balanced diet, can help manage conditions like PAD and reduce the risk of amputation.

Multidisciplinary Care and Patient Education:

Collaboration among healthcare professionals from various specialties is paramount in preventing amputation. A multidisciplinary approach involving vascular surgeons, podiatrists, wound care specialists, physical therapists, and other relevant healthcare providers can offer comprehensive care tailored to individual needs. Patient education plays a vital role in empowering individuals to understand their conditions, recognize warning signs, and actively participate in their own care. Education on proper foot care, self-examination techniques, and lifestyle modifications can significantly contribute to preventing complications.

Prosthetics, Rehabilitation, and Support:

In cases where amputation is unavoidable, comprehensive rehabilitation services and access to quality prosthetics play a crucial role in restoring functionality and improving the overall quality of life for individuals. Adequate support networks, including counseling services and peer support groups, can help individuals navigate the emotional and social challenges associated with limb loss.

Amputation is not always an inevitable outcome.

Through proactive measures, early intervention, and comprehensive care, we can significantly reduce the number of amputations and empower individuals to live fulfilling lives with all their limbs intact. Together, let’s promote amputation prevention, raise awareness, and make a positive impact on the lives of countless individuals.

Introducing Adam Calarese M.D.

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Introducing Adam Calarese M.D.

Please join us in Welcoming Doctor Adam Calarese.

We are pleased to announce the addition of Adam Calarese M.D. to the team of talented Vascular Surgeons here at Western Vascular Institute.

Dr. Calarese is from Boston, MA, and graduated from Boston College with his undergraduate degree. He then earned a post-baccalaureate premedical degree from Harvard University. After Harvard, he attended Drexel University College of Medicine where he received his medical degree.

Dr. Calarese then completed a full General Surgery residency at Atrium Health in Charlotte, North Carolina. Once his General Surgery residency was complete, Dr. Calarese finalized his extensive training with a two-year fellowship in Vascular Surgery from the Sanger Heart and Vascular Institute. He is excited to be in the Phoenix Metro Area and ready to serve all those with vein and vascular issues.

For an appointment with Dr. Calarese, please contact one of our new patient coordinators at (480) 668-5000 ext. 332.

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Wound Care

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Vascular Wound Care: Nurturing Healing, Promoting Recovery

When it comes to wound care, understanding the unique aspects of vascular wounds is essential for effective treatment and optimal healing. Vascular wounds are caused by compromised blood flow, often resulting from conditions such as peripheral artery disease (PAD), venous insufficiency, or diabetes. These wounds require specialized care to promote healing and prevent complications. Let’s delve into the world of vascular wound care and explore key strategies for nurturing healing and promoting recovery.

Assessment and Diagnosis:

Proper assessment and accurate diagnosis are fundamental in vascular wound care. A thorough evaluation by a healthcare professional with expertise in vascular conditions is crucial to identify the underlying cause of the wound and determine the most appropriate treatment approach. This may involve diagnostic tests, such as vascular imaging or Doppler studies, to assess blood flow and identify any arterial or venous blockages.

Optimizing Blood Flow:

Promoting adequate blood flow is a primary goal in vascular wound care. For arterial wounds, improving circulation is crucial. This may involve interventions such as angioplasty or bypass surgery to restore blood flow to the affected area. In venous wounds, managing venous insufficiency and promoting venous return are key. Compression therapy, elevation of the affected limb, and lifestyle modifications can aid in reducing swelling and improving venous circulation.

Wound Cleaning and Dressing:

Proper wound cleaning and dressing play a vital role in vascular wound care. The wound should be cleaned with gentle solutions to remove debris and bacteria without causing further damage. The choice of dressings will depend on the characteristics of the wound, including its size, depth, and level of exudate. Specialized dressings, such as those with antimicrobial properties or those that support moist wound healing, may be used to facilitate optimal healing.

Infection Prevention:

Preventing infection is crucial in vascular wound care. Vascular wounds are at a higher risk of infection due to compromised blood flow and reduced immune response. Strict adherence to sterile techniques during wound care, appropriate use of antibiotics when necessary, and close monitoring of the wound for signs of infection is essential to prevent complications.

Offloading and Pressure Redistribution:

For individuals with vascular wounds, offloading, and pressure redistribution are vital to relieve pressure on the affected area and promote healing. This may involve the use of specialized footwear, orthotic devices, or pressure-relieving cushions to reduce pressure and prevent further tissue damage. Collaborating with podiatrists can ensure the best offloading strategies are implemented.

Multidisciplinary Approach and Patient Education:

Vascular wound care often requires a multidisciplinary approach involving healthcare professionals from various specialties, including vascular surgeons, wound care specialists, podiatrists, and nurses. Collaboration and communication among the healthcare team are crucial to ensure comprehensive care tailored to the individual’s needs. Patient education is essential to empower individuals to actively participate in their care, recognize signs of complications, and make lifestyle modifications to support healing.

Vascular wound care is a specialized field that demands expertise, close monitoring, and individualized treatment plans. By combining advanced techniques, multidisciplinary collaboration, and patient education, we can nurture healing, promote recovery, and improve the quality of life for individuals with vascular wounds.

 

 

Horse Chestnut extract for veins

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Horse Chestnut extract for veins

Horse chestnut extract, derived from the seeds of the Aesculus hippocastanum tree, has been used for centuries in traditional medicine for various health conditions, including venous disorders. It contains a compound called aescin, which is believed to have beneficial effects on veins and blood vessels. Let’s explore the potential benefits of horse chestnut extract for veins.

Improving Venous Circulation:

Horse chestnut extract is commonly used to support healthy venous circulation. It is believed to strengthen the walls of blood vessels and reduce their permeability, potentially improving blood flow and reducing symptoms associated with venous insufficiency.

Relieving Symptoms of Varicose Veins:

Varicose veins occur when veins become enlarged, twisted, and often painful. Horse chestnut extract has been traditionally used to alleviate symptoms associated with varicose veins, such as pain, swelling, and heaviness in the legs. It is thought to reduce inflammation and improve blood circulation, which may help relieve discomfort.

Managing Chronic Venous Insufficiency:

Chronic venous insufficiency (CVI) is a condition in which the veins have difficulty returning blood from the legs to the heart. Horse chestnut extract has been studied for its potential benefits in managing CVI. It may help reduce leg swelling, pain, and itching associated with the condition, improving overall quality of life.

Anti-Inflammatory Effects:

Horse chestnut extract possesses anti-inflammatory properties, which can help reduce inflammation in the veins and surrounding tissues. This anti-inflammatory action may contribute to its potential benefits in alleviating symptoms of venous disorders.

Antioxidant Activity:

Horse chestnut extract contains antioxidants that can help protect blood vessels from oxidative damage caused by free radicals. By neutralizing these harmful molecules, horse chestnut extract may help maintain the health and integrity of veins.

While horse chestnut extract has shown promising potential for vein health, it is important to note that scientific research on its efficacy and safety is ongoing. It is recommended to consult with a healthcare professional before starting any new supplementation, especially if you have underlying medical conditions or are taking other medications.

In summary, horse chestnut extract has been traditionally used to support vein health and alleviate symptoms associated with venous disorders. However, more research is needed to fully understand its mechanisms of action and determine its effectiveness. If you are considering using horse chestnut extract for vein-related concerns, consult with a healthcare professional to ensure it is safe and appropriate for your specific situation.

 

Introducing Daniel Krcelic M.D.

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Introducing Daniel Krcelic M.D.

 

Western Vascular Institute is excited to introduce Daniel Krcelic M.D. has joined our group of exceptional vascular surgeons. We are very grateful for his addition and look forward to the unparalleled vascular care he will provide to the WVI patients.

Doctor Krcelic is trained in all aspects of vascular surgery in both the inpatient and outpatient settings. He completed his fellowship in vascular surgery at Carolinas Medical Center and Sanger Heart & Vascular Institute in Charlotte. Dr. Krcelic said. “I care deeply about my patients, and joining Western Vascular Institute brings another skilled vascular specialist to meet the needs of patients in the Phoenix Metro Area,”.

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