Conditions we treat:Peripheral Arterial Disease, PAD
A common problem with multiple risk factors, almost 10 million people in the US are affected. Risk factors include age > 65, diabetes, high blood pressure, high cholesterol level, kidney disease and smoking. It affects the blood flow in the arteries of the lower and upper extremities and these arteries can become blocked. PAD should be monitored, it is managed by medical therapy, minimally invasive endovascular approach and open surgical repair.Varicose veins and Venous Insufficiency
Large bulging veins in the legs that can cause many different types of symptoms. It is a common condition and can cause pain and swelling in the legs and in more advanced cases it can result in a chronic ulcer on the legs. Treatment could be conservative with compression therapy or with minimally invasive office based ablation procedure.Abdominal Aortic Aneurysm:
It is a localized enlargement of the abdominal aorta with diameter greater than 3 cm or more than 50% larger than normal diameter. They usually cause no symptoms except when ruptured. They are usually diagnosed by physical exam, ultrasound, or CT scan. It should be followed closely, it can be treated by minimally invasive endovascular stent placement or by open surgical approach.Thoracic Aortic Aneurysms
An expansion, of a section of the aorta within your chest. They are less common than abdominal aortic aneurysms. It can be treated with minimally invasive stent graft or open surgery.Carotid Artery Disease
The carotid arteries are responsible for the blood flow in the brain. Carotid stenosis “narrowing” can cause minor or major stroke. It can be treated by open surgery, endovascular stent and aggressive medical therapy, it should be followed with carotid ultrasound.Dialysis access creation for patients with kidney disease
Patients with kidney disease who are on dialysis needs dialysis access, multiple options are available depending on each patient anatomy. After the access is created it should be followed and maintained.Mesenteric Ischemia with Renovascular Conditions
Poor circulation to the stomach or intestine or kidneys, this can affect the function of the intestinal system or the kidney function, in the majority of cases they cause no symptoms and they only need medical treatment. In those patients with symptoms both minimally invasive and open surgical approaches are available.