Tag: Vascular Surgeon

Introducing Daniel Krcelic M.D.

Western Vascular Institute is excited to announce that 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 setting. 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,”.

Western Vascular Institute Voted Arizona’s Best Medical Specialists

Lovin’ Life After 50 has awarded Western Vascular Institute as America’s Best Medical Specialist!

We are grateful to be voted as the best medical specialist recommended by readers and peers in the Lovin’ Life after 50 Magazine and website.

Check out our award in Lovin’ Life After 50 (see page 34)!

Visit Western Vascular Institute Today!

If you are in the Phoenix, Arizona area and looking for a vein or vascular clinic, visit Western Vascular Institute today! Our board-certified surgeons specialize in utilizing the latest in technology to provide the best in vein and vascular care. For more information, call (480) 668-5000 and schedule an appointment today!

 

Diabetes Awareness Month

November is Diabetes awareness month. The risk of dying from a vascular disease with diabetes is 3-4 times higher than those without diabetes. It is extremely important for individuals with diabetes to be seen by a vascular surgeon and get the care they need and deserve!

Schedule an Appointment for Diabetes Treatment in Phoenix, Arizona

If you currently suffer from diabetes and are in the Phoenix, Arizona area, call Western Vascular Institute today! Our highly-trained vascular surgeons will take the time to provide you with a comprehensive diagnosis and give you the tools needed to prevent vascular disease. For more information, contact our vascular clinic at (480) 668-5000 and schedule an appointment today!

Common Peripheral Artery Disease Treatments

Peripheral Artery Disease is a severe form of vascular disease that affects the arteries outside of the heart, primarily the lower extremities. Peripheral Artery Disease or PAD is a gradual build-up of plaque on the walls of the arteries. This gradual build-up of plaque hardens the arteries, making them less flexible and narrows the opening for blood to flow from the heart to all the appendages freely. Many PAD patients have burning, aching pain after walking or pain in the calf, thigh, or buttocks. Treatment for PAD is varied and depends on the seriousness of the disease.

Your Vascular Surgeon will discuss an individualized systematic review of all available treatment modalities, generally from the least invasive to most invasive, and suggest the most appropriate treatment based on how the disease has progressed and what is in the best interest of each patient. Vascular Surgeons are the only specialist able to provide all treatment options ranging from medications to open surgical bypass but generally try to provide the least invasive form of treatment first.

Most common treatments for PAD 

Lifestyle Changes:

  1. Walking is one of the most effective measures a patient can take to reduce the symptoms of PAD. Walking has been found to reduce the symptoms and stop further disease progression. Although PAD cannot be totally healed, its progression can be slowed to the point that it does not affect the patient’s activities of daily living. Walking reduces plaque build-up and helps to lower cholesterol and blood pressure, and aids in maintaining a healthy weight.
  2. Smoking cessation – Smoking is one of the main risk factors for PAD. Smoking damages blood vessels and makes it difficult for the blood to flow compressed arteries. Smoking also increases the risk for blood clots by decreasing the movement of cholesterol through the arteries and hardening the arterial walls.
  3. Diet – A healthy diet plays a serious role in overall vascular health. Avoiding foods high in fat and adding fresh fruits and vegetables dramatically reduces the effects of PAD.

Medications Symptom relief medication- Your doctor may prescribe medication to increase blood flow, thin the blood, and assist in widening the vessel body.

  1. Blood clot prevention – Medications such as Plavix are used to reduce the chance of blood clots and improve overall blood flow.
  2. Medication to control blood sugar – For patients with diabetes (Another top risk factor for PAD), reducing sugar levels in the blood is paramount. High levels of sugar in the blood damage the arteries’ lining, making it much more susceptible to atherosclerosis.
  3. Medication for high blood pressure – High blood pressure over time can weaken the arterial walls. Reducing the pressure where/when possible is essential in keeping the arterial walls healthy.
  4. Medication to lower cholesterol – LDL cholesterol is the fatty substance that builds up in your bloodstream and forms a plaque on the arterial walls that reduce the artery’s diameter, making it much more difficult for blood to flow through.

Minimally Invasive (In-office procedure)

When lifestyle changes and medications do not sufficiently reduce PAD symptoms, your Vascular Surgeon may suggest a minimally invasive vascular procedure to widen the artery at the location where the plaque has reduced the flow of blood. These procedures are done in the “In-Office” angiography suite at our Mesa and Phoenix locations.

  1. The first option of in-office PAD treatment is Angioplasty. In an Angioplasty your Vascular Surgeon will insert a small catheter into your artery, using the artery as a raceway, and place a wire within the catheter that has a balloon on the tip down to the disease area. Once in the disease or narrowed area, the balloon is expanded, pressing the plaque against the wall and opening the artery for a more effortless blood flow.
  2. Another treatment offered in the angiography suite is the use of an atherectomy device. An atherectomy device is guided through a catheter inserted into the artery similar to an angioplasty; then, the device uses high-energy laser light to vaporize the plaque blockage resulting in increased blood flow to the peripheral vessels and tissues.
  3. Stents are another minimally invasive in-office treatment offering vascular surgeons use to improve symptomatic PAD patients. Stents are also placed via a catheter in the artery and are guided to the diseased area after ballooning to create a structural scaffold to hold the diameter of the artery wall open for patent blood flow.

These minimally invasive treatments are used in concert to provide patients with minimally invasive yet highly effective treatments for PAD by a Vascular Surgeon. This form of treatment is almost always performed before taking the patient into the hospital, hoping that a less invasive procedure will provide relief and vascular improvement in a more comfortable setting. Patients who have angio procedures in our in-office angiography suite leave the same day as their treatment, generally within a few hours of the operation.

Hospital-based surgical procedures are the last level of treatment when the other treatments options have not been sufficient, or the disease has progressed past their efficacy. Vascular Surgeons are the only “vascular specialist” that can provide all the other procedures and hospital-based open and endovascular surgical procedures. Our surgeons are Board Certified and Fellowship Trained, holding hospital privileges at all local hospitals with vascular capabilities. These in-hospital vascular treatment options are as follows:

  1. Bypass surgery – Your vascular surgeon may choose to perform bypass surgery to treat your PAD. Bypass is accomplished by redirecting the flow of blood around the diseased area. In bypass surgery, a Vascular Surgeon will either use a synthetic graft or the patient’s vein to make a new route around the blocked or narrowed area “bypassing” to the site of best blood flow.
  2. Endarterectomy – A Vascular Surgeon performs this treatment in the hospital by making an incision at the site of the arterial blockage. The blood from the artery will be rerouted around the blocked area during the surgery. The artery is opened at the blockage site and then removed. After removal, the artery is stitched up, and the reroute removed. The artery now has open blood flow throughout, improving the patients’ symptoms.

Schedule an Appointment for Peripheral Artery Disease Treatment in Phoenix, Arizona

Western Vascular Institute’s team of Board-Certified Fellowship-Trained Vascular Surgeons are privileged at all local hospitals with vascular capabilities. Our surgeons can provide individualized and unparalleled care for patients suffering from Peripheral Artery Disease (PAD) throughout Arizona.

If you or someone you know has PAD, or you would like to find out if you have PAD call (480) 668-5000 to schedule a new patient appointment or follow this hyperlink to a Peripheral Artery Disease quiz.

Peripheral Artery Disease Quiz

Introducing Dr. David J. Paolini

Dr. David J. Paolini Vascular Surgeon with Western Vascular Institute. Board Certified Vascular Surgeon

Dr. David Paolini is a Vascular Surgeon with over 15 years of Vascular Surgery experience.  Dr. Paolini recently joined Western Vascular Institute as one of our acclaimed vascular surgeons from the Jobst vascular center in Toledo, Ohio. Dr. Paolini has had a passion for medicine and physics from a young age, feeling that Vascular Surgery is the perfect combination of the two scientific areas. Dr. Paolini completed his medical school training from Temple University (One of the best Medical Schools in the united states) in 1999 and after that moved to New Mexico to begin his residency at the University of New Mexico Health Sciences Center Department of Surgery. After completing a 5-year surgical residency Dr. Paolini then moved to Toledo, Ohio to complete a Vascular Surgery specific fellowship at the prestigious Jobst Vascular Center. Dr. Paolini quickly gained accolades as one of the most innovative and competent vascular surgeons in the area as well as being heavily invested in Vascular Surgery research and publications. Dr. Paolini’s care philosophy is “ to take care of patients like you would want your kids’ taken care of ”. As a father of two wonderful children and supported by his beautiful wife Dr. Paolini is poised to join the ranks of the great caring vascular surgeons here at Western Vascular Institute. Dr. Paolini’s previous patients have described dr. Paolini as being kind, compassionate, & honest. We are excited to have Dr. Paolini as part Western Vascular Institute. Dr. Paolini is now accepting new patients in the Mesa and Payson office locations. For an appointment with Dr. Paolini please contact one of our new patient coordinators at (480) 668-5000 ext. 332

 

What does a Vascular Surgeon do? An Informative Look into Vascular Care

A Vascular Surgeon is a highly trained specialist that focuses on diseases of the vascular system.

Vascular Surgeons treat the arteries and veins responsible for carrying oxygen-rich blood throughout your body and returning it to your heart.

“Vascular surgeons treat every artery & vein of the body except the brain & heart”

More than just surgery, a Vascular Surgeon educates patients on their disease process and helps provide every treatment option available.

Vascular surgeons are trained to know when to perform vascular surgery, but more importantly when not to perform surgery.

Vascular surgeons are trained in complicated open, as well as minimally invasive endovascular procedures.

Because they are able to provide all treatment options they are not biased to perform the one or two procedures within their scope.

 

Western Vascular Welcomes Dr. Dawn Olsen

Western Vascular Institute is proud to welcome Dr. Dawn Olsen D.O to WVI’s esteemed group of Vascular surgeons.

Dr. Olsen is a skilled Vascular Surgeon who has devoted herself to caring for those with vascular disease. Initially, Dr. Olsen became a vascular Physician Assistant (PA) at the Arizona Heart Institute under the tutelage of world-recognized surgeon, Dr. Edward B. Diethrich. After years of unparalleled service as a vascular PA Dr. Olsen further realized her dedicated passion for vascular medicine, and in 2008 returned to school to gain her medical degree of osteopathic medicine at the University at Buffalo.

Dr. Olsen is residency-trained in peripheral and endovascular surgery, and also certificated in both wound care and non-invasive vascular ultrasound. Dr. Olsen has co-authored nearly 30 peer reviewed publications including book chapters, and has presented at meetings across the United States and abroad. Having more than 14 years of diverse experience, she has returned to the Arizona and is excited to help improve the lives of those suffering from venous and vascular diseases and conditions.

Dr. Olsen is seeing patients at all three Western Vascular Institute locations

Including:

  • Phoenix
  • Mesa
  • Payson

Call to schedule an appointment with Dr. Olsen at (480) 668-5000

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