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Tag: Vascular Surgeon

Intravascular Ultrasound (IVUS)

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Intravascular Ultrasound

Intravascular ultrasound (IVUS) is a medical imaging technique that allows for the visualization of blood vessels from the inside. It involves the use of a tiny ultrasound probe that is threaded into the blood vessels through a catheter, providing detailed images of the vessel walls and structures.

Here’s how intravascular ultrasound works and why it is used in clinical practice:

Procedure:

Insertion of the Catheter:

A catheter, which has a small ultrasound probe at its tip, is inserted into a blood vessel, typically through the groin or the arm. The catheter is carefully guided through the blood vessels until it reaches the area of interest.

Ultrasound Imaging:

Once the catheter is in place, high-frequency sound waves are emitted from the ultrasound probe. These sound waves bounce off the vessel walls and other structures inside the blood vessel.

Image Capture:

The reflected sound waves are picked up by the probe and converted into real-time images. These images are then displayed on a monitor and can be recorded for further analysis.

Benefits and Applications of Intravascular Ultrasound:

 

Detailed Visualization:

IVUS provides high-resolution, cross-sectional images of blood vessels, allowing vascular surgeons to assess the vessel size, structure, and any abnormalities present. IVUS provides more detailed information compared to other imaging techniques.

Assessment of Atherosclerosis:

IVUS is commonly used in the evaluation of atherosclerosis, a condition characterized by the buildup of plaque inside the arteries. Intravascular ultrasound also helps determine the extent and composition of the plaque, identify areas of vessel narrowing or blockage, and guide treatment decisions.

Guidance for Interventions:

IVUS is often utilized during various vascular procedures, such as angioplasty or stent placement. IVUS provides real-time feedback to guide the placement of devices and assess their effectiveness in improving blood flow.

Assessment of Stent Deployment:

IVUS can evaluate the proper positioning and expansion of stents within the blood vessels. IVUS helps ensure that the stent is fully expanded and properly apposed to the vessel walls, reducing the risk of complications.

Research and Clinical Trials:

Intravascular ultrasound is also utilized in research studies and clinical trials to investigate new treatment approaches, assess the effectiveness of medications, and gather data on vascular conditions.

IVUS is a valuable tool in the field of vascular medicine. It helps vascular surgeons make accurate diagnoses, guide treatment decisions, and monitor the progress of interventions. The information obtained through IVUS enhances patient care by providing detailed insights into the condition of the blood vessels, allowing for personalized treatment plans and improved outcomes.

Transcatheter Deep Vein Arterialization

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Transcatheter Deep Vein Arterialization

Transcatheter arterialization of the deep vein system is a minimally invasive procedure used to treat chronic limb-threatening ischemia (CLI). CLI is a condition in which the blood supply to the limbs is severely reduced, leading to pain, ulcers, gangrene, and possibly amputation.

Procedure:

In this procedure, a catheter is inserted into a blood vessel in the groin and threaded up to the deep veins in the leg. A small balloon is inflated at the tip of the catheter to create a new pathway for blood flow. A stent, a mesh tube, is then placed in the new pathway to keep it open.

Deep vein arterialization (DVA) is not a novel procedure;  Creating arterial-venous bypass, reverses venous flow, and limb perfusion can restore after the arterialization. It is however a new use of deep vein materialization in its treatment of Critical Limb Ischemia and its use for patients who are not eligible for other treatments such as angioplasty or surgery.

Deep vein arterialization is performed under general anesthesia. The procedure typically takes about two hours. Patients typically stay in the hospital for one to two days after the procedure.

Side Effects:

The most common side effects of Deep vein arterialization are pain, bruising, and swelling at the injection site. Other potential side effects include bleeding, infection, and blood clots.

Deep vein arterialization is a promising new treatment for CLI. It is a less invasive alternative to surgery and angioplasty, and it has been shown to be safe and effective in clinical trials.

Endovascular surgery

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Endovascular surgery, also known as endovascular therapy or intervention, is a minimally invasive procedure performed to treat various conditions within blood vessels, typically in the arteries and veins. Unlike traditional open surgery, which requires large incisions, endovascular surgery involves accessing the affected blood vessels through small punctures or incisions.

What conditions do healthcare providers treat with endovascular surgery?

Atherosclerosis:

It is a condition characterized by the buildup of plaque within the arteries, narrowing the vessel and obstructing blood flow. Endovascular procedures like angioplasty and stenting can be performed to open up the blocked or narrowed arteries and restore blood flow.

Aneurysms:

An aneurysm is a weakened area in the blood vessel wall that bulges or balloons out. Endovascular techniques, such as endovascular aneurysm repair (EVAR) or endovascular coiling, can be used to reinforce the weakened vessel wall or fill the aneurysm with coils to prevent rupture.

Peripheral artery disease (PAD):

PAD occurs when arteries supplying blood to the limbs (usually the legs) become narrowed or blocked. Endovascular procedures like angioplasty, atherectomy, or stenting can be performed to improve blood flow and relieve symptoms.

Deep vein thrombosis (DVT):

DVT is the formation of blood clots in the deep veins, typically in the legs. Endovascular techniques, such as catheter-directed thrombolysis or thrombectomy, can be used to dissolve or remove the blood clot and restore normal blood flow.

Varicose veins:

Endovascular treatments like endovenous laser ablation (EVLA) or radiofrequency ablation (RFA) can be used to close off and seal malfunctioning varicose veins, redirecting blood flow to healthier veins.

Endovascular surgery offers several advantages over traditional open surgery, including smaller incisions, reduced blood loss, shorter hospital stays, faster recovery times, and fewer complications. However, not all conditions can be treated using endovascular techniques, and the suitability of the procedure depends on the specific case and the patient’s overall health. It is essential to consult with a vascular surgeon to determine the most appropriate treatment approach.

How common is vascular disease?

According to recent data, there are approximately 200 million people affected by peripheral artery disease (PAD), one of the most common types of vascular disease. In the United States alone, PAD affects around 8 to 12 million people, with the incidence rising with age. Additionally, another prevalent vascular condition is deep vein thrombosis (DVT), which affects an estimated 900,000 individuals in the United States annually. When it comes to aortic aneurysms, statistics indicate that around 1.5 million people worldwide are living with this condition, with men over the age of 65 being particularly susceptible. These numbers show how common vascular disease is and emphasize the importance of awareness, early detection, and timely treatment to improve patient outcomes.

What happens before endovascular surgery?

During an endovascular procedure, a vascular surgeon uses imaging guidance, such as fluoroscopy or ultrasound, to navigate thin, flexible catheters and medical instruments through the blood vessels to the targeted site. These instruments can be used for diagnostic purposes, as well as for therapeutic interventions.

What happens after endovascular surgery?

After your endovascular surgery, it’s important to continue with follow-up care to ensure your blood vessels heal properly. Before you leave the hospital, your healthcare provider will discuss your post-surgical plan with you. This plan includes regular visits to see your healthcare provider and undergo imaging tests. These visits are designed to check how your blood vessels are healing. Your healthcare provider will review the results of the imaging tests to make sure everything is progressing well. By following through with these follow-up visits and tests, you and your healthcare team can keep a close eye on your recovery and address any issues that may arise, leading to a successful outcome after your endovascular surgery.

Wound Care

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Wound Care and the Role of a Vascular Surgeon

Introduction:

Wound care is a critical aspect of healthcare, especially for individuals with underlying vascular conditions. Vascular surgeons play a crucial role in managing and treating wounds, particularly those related to compromised blood flow. In this section, we will explore the significance of wound care and how vascular surgeons contribute to this field.

Understanding Wound Care:

Wounds can occur due to various reasons, such as injuries, surgical procedures, or underlying health conditions. Proper wound care involves a comprehensive approach to promote healing, prevent infections, and minimize complications. Key aspects of wound care include:

Cleaning and Dressing:

Thoroughly cleaning the wound and applying appropriate dressings help create a clean environment for healing. Dressings may vary depending on the type and severity of the wound.

Infection Prevention:

Preventing infection is crucial for successful wound healing. This involves maintaining proper hygiene, using sterile techniques, and administering antibiotics when necessary.

Debridement:

In some cases, removing dead or infected tissue from the wound (debridement) is necessary to promote healing and prevent the spread of infection.

Moisture Control:

Managing the moisture level of the wound is important. Some wounds may require moisture to aid in healing, while others may benefit from dry environments. Healthcare professionals assess each wound’s needs and employ appropriate techniques.

Offloading and Pressure Redistribution:

For wounds caused by pressure, such as pressure ulcers, offloading techniques and specialized devices are used to relieve pressure on affected areas and promote healing.

The Role of a Vascular Surgeon in Wound Care:

Vascular surgeons play a vital role in wound care, particularly when wounds are associated with vascular conditions. Here’s how they contribute:

Diagnosis and Assessment:

Vascular surgeons assess wounds in the context of a patient’s vascular health. They examine blood flow, identify potential circulation issues, and determine if underlying vascular conditions contribute to delayed wound healing.

Vascular Interventions:

In cases where compromised blood flow contributes to poor wound healing, vascular surgeons may perform interventions to restore circulation. This may involve procedures such as angioplasty, stent placement, or bypass surgeries to improve blood flow to the affected area.

Collaborative Care:

Vascular surgeons work closely with other healthcare professionals involved in wound care, such as wound care nurses, plastic surgeons, and infectious disease specialists. They provide expertise on vascular aspects and ensure a comprehensive approach to wound management.

Long-Term Management:

Vascular surgeons not only address the immediate wound care needs but also focus on long-term management. They develop personalized treatment plans to optimize vascular health, prevent future wounds, and promote overall well-being.

Conclusion:

Wound care is a critical aspect of healthcare, and vascular surgeons play a crucial role, especially when wounds are associated with vascular conditions. By addressing underlying circulation issues, vascular surgeons contribute to improved wound healing and overall patient outcomes. Their expertise in diagnosing, treating, and managing vascular conditions ensures comprehensive and effective wound care. Collaborative efforts among healthcare professionals involved in wound care result in holistic approaches tailored to individual patient needs. If you have wounds associated with vascular conditions, consulting with a vascular surgeon can provide valuable insights and appropriate interventions for optimal wound healing and vascular health.

 

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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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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.

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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Introducing Daniel Krcelic M.D.

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Introducing Daniel Krcelic M.D.

 

Daniel Krcelic, MD a vascular surgeon in Arizona.

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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Western Vascular Institute Voted Arizona’s Best Medical Specialists

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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!