Varicose veins and Venous Insufficency

Sclerotherapy for spider veins

Vein ligation and stripping

  • Surgical removal of enlarged, twisted (varicose) veins by pulling them out of the body through small cuts.

Stab microphlebectomy

  • Removal of superficial veins through small slits on the legs done as an outpatient procedure. Learn more.

Endovenous RF/Laser Ablation

  • Removal of tissue using heat from an electric current produced by a radio wave or laser light.
  • Explore more about vein ablation treatment and its benefits.
Learn More about vein diseases and how to have healthy veins.

More on Varicose veins:

Our services encompass a wide range of vascular procedures, from minimally invasive endovascular treatments to complex open vascular surgeries. We specialize in diagnosing and managing conditions such as arterial disease, venous disorders, lymphatic disorders, and more.

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Vascular Disease Screening

Vascular screening tests are recommended for people with risk factors and can evaluate for conditions such as Carotid atherosclerosis, abdominal aorta aneurysm, and Peripheral arterial disease. Learn more about vascular diagnostic tests.

Learn more on  Atherosclerosis

Patient Education

Patients should be informed about the risk factors, symptoms, and complications of vascular disease, as well as the importance of regular medical checkups and adherence to treatment plans. Patients should also be encouraged to make lifestyle changes including Exercise and smoking cessation to manage their condition and prevent complications. Learn more.

Arterial Procedures:

Peripheral artery disease (PAD) Procedures

  • Bypass surgeries for upper and lower extremities

Procedure used to create an alternate pathway for blood flow when the normal blood vessels are blocked or narrowed due to conditions like atherosclerosis. It involves grafting a healthy blood vessel or a synthetic graft to redirect blood around the blocked area. Explore more on Peripheral arterial disease.

  • Aortoiliac reconstruction for occlusive disease

A surgical procedure that aims to restore blood flow to the lower extremities by bypassing or removing blockages in the aortoiliac arteries.

  • Endarterectomy

A surgical procedure to remove plaque or fatty deposits from the inner lining of an artery. This is often done to improve blood flow in arteries that have become narrowed or blocked due to atherosclerosis.

  • Thrombo-embolectomy

A surgical procedure to remove blood clot (thrombus or embolus) from a blood vessel. Blood clots can cause blockages in blood vessels and may lead to serious complications if not treated promptly. More on Acute limb ischemia.

Carotid Surgeries

  • Carotid Endarterectomy: A surgical procedure to remove plaque and fatty deposits (atherosclerotic buildup) from the carotid arteries, which are located in the neck and supply blood to the brain. This procedure is performed to reduce the risk of stroke by improving blood flow through the carotid arteries and preventing the rupture of plaques that could lead to emboli (clots) that might block smaller vessels in the brain. Explore more on Stroke.
  • Carotid artery aneurysm surgery: Surgery involves the repair or removal of an aneurysm in the carotid artery. An aneurysm is a weakened and bulging area in the artery wall that can be at risk of rupture, which could be life-threatening. Surgical intervention is often necessary to prevent potential complications and maintain blood flow.
  • Carotid body tumor surgery: The removal of a tumor located at the carotid body, which is a small cluster of chemoreceptor cells located near the carotid artery bifurcation in the neck. These tumors are usually non-cancerous (benign) but can grow and cause symptoms, such as difficulty swallowing, breathing, or speaking. Surgical removal is often recommended to alleviate these symptoms and ensure the tumor does not become cancerous.
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Open Aortic aneurysms repair :

  •  A major surgical procedure performed by excision of the dilated area of the aorta and the placement of a sutured woven graft to replace the aneurysmal sac with a synthetic graft tube.

Peripheral and visceral aneurysm repair:

  • Peripheral aneurysms occur in arteries other than the aorta, including the arteries serving your pelvis, legs, and arms. Visceral aneurysms appear in the arteries delivering blood to your liver, kidneys, and intestines. Your vascular surgeon follow you with a watchful waiting approach to small aneurysms and monitor the bulge with regular ultrasounds to verify its size to determine the rate at which it enlarges. You also receive treatment for underlying conditions that contribute to aneurysms, such as high blood pressure, high cholesterol, and diabetes. Once the aneurysm reaches a specific size, your vascular surgeon repairs it with surgery by removing the aneurysm and inserting a tube-shaped artificial graft.

Vascular Access and Maintenance:

  • CVC (Central catheter) placement: Involves inserting a long, flexible tube into a large vein, often in the neck, chest, or groin. It is used to provide easy and direct access to the central venous system for various medical purposes, such as delivering medications or fluids, drawing blood, or monitoring central venous pressure.
  • AV-Fistula/graft for dialysis: Arteriovenous (AV) fistulas and grafts are created surgically to provide access for hemodialysis. These connections, typically between an artery and a vein, allow for efficient removal and return of blood during dialysis treatments.
  • PERM (Permanent catheter) insertions for dialysis: Permanent catheter insertions are surgically implanted to provide long-term access for dialysis.
  • PORT (Implantable access devices): Are placed under the skin to provide easy access to veins for chemotherapy, medications, or blood draws. They are often used in cancer treatments and other long-term medical therapies.
  • PICC (peripherally inserted central catheters) insertions: PICC lines are long, thin catheters that are inserted through a peripheral vein (typically in the arm) and threaded into larger veins near the heart. They are used for long-term intravenous (IV) treatments, such as chemotherapy, antibiotics, or total parenteral nutrition.
  • HeRO (Hemodialysis Reliable Outflow) placement: Used in hemodialysis for patients with limited vascular access. It involves the placement of an implantable device that connects a synthetic graft to a central vein, providing a more reliable access point for hemodialysis.

Mesenteric Ischemia Surgeries

  • Embolectomy: A surgical procedure performed to remove an embolus, which is a blood clot or other material that has traveled through the bloodstream and become lodged in an artery, causing a blockage of arteries to the intestine. Embolectomy is done to restore blood flow to the intestines.
  • Endarterectomy/Bypass: A surgical procedure to remove plaque or fatty deposits from the inner lining of an artery. Bypass surgery involves creating an alternate pathway for blood flow. In the case of mesenteric ischemia, these procedures may be used to treat blockages or stenoses (narrowing) in the mesenteric arteries to restore adequate blood supply to the intestines.
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Endovascular Arterial Interventions

  • Peripheral Arterial balloon angioplasty: A minimally invasive procedure that involves inserting a catheter with a deflated balloon into a narrowed or blocked artery. Once in position, the balloon is inflated to compress the plaque or clot against the artery walls, widening the artery and restoring blood flow.
  • Diagnostic angiogram: A medical imaging procedure that uses contrast dye and X-ray to visualize blood vessels. It’s used to identify blockages, stenoses, or other vascular issues in arteries to the legs.
  • Peripheral Arterial stenting: A procedure where a small mesh tube (stent) is inserted into a narrowed or weakened artery to help keep it open and maintain proper blood flow. Stenting can be used in various arterial areas to treat stenoses or obstructions.

Evaluation and Management of Lymphedema

Lymphedema often occurs in the legs or arms, so the most common indicator of this condition is leg swelling. Lymphedema symptoms often respond to a complex physical therapy, which includes manual lymphatic drainage, massage, exercise, compression stockings, multilayer bandaging, or pneumatic pumps.

24/7 Emergency Vascular Services:

Our team will provide a 24/7 Emergency Services for immediate evaluation and management of vascular conditions that threaten limb viability or life. These services are essential for patients with the following conditions.

  • Vascular Trauma
  • Acute limb ischemia
  • Acute cerebrovascular syndromes
  • Iatrogenic vascular injuries
  • Intraoperative exposure difficulty
  • Acutely swollen limb
  • Ruptured Aneurysms
  • Acute Dissections
  • Acute Mesenteric Ischemia

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Wound Management & PRP therapy

  • Venous and arterial wounds in the lower extremities: Venous wounds are typically caused by venous insufficiency, where the blood doesn’t flow properly from the legs back to the heart. Arterial wounds, on the other hand, are often due to poor blood circulation in the arteries. The management of these wounds may involve compression therapy, wound dressings, debridement (removing dead tissue), and addressing the underlying vascular issues.
  • Diabetic foot wound: Diabetic foot wounds are common in individuals with diabetes and often result from neuropathy (nerve damage) and reduced blood circulation. Management includes wound debridement, infection control, offloading pressure from the affected area, and proper wound dressings. It’s essential to manage diabetes and maintain good foot hygiene to prevent complications. Learn more on Foot care in diabetes mellitus
  • Traumatic and non-traumatic non-healing chronic wounds: Traumatic wounds may result from injuries or accidents, while non-traumatic non-healing chronic wounds may include pressure ulcers, surgical wounds, or wounds related to underlying medical conditions. Treatment typically involves wound cleaning, debridement, infection control, and the use of appropriate dressings. For chronic wounds, identifying and addressing the underlying causes is crucial for wound healing.

Other Interventions:

  • Thoracic outlet syndrome surgery: Thoracic outlet syndrome is a condition where the blood vessels or nerves in the thoracic outlet, a space between the collarbone and the first rib, are compressed. Surgery for thoracic outlet syndrome may involve removing the first rib or other structures to relieve the compression and alleviate symptoms.
  • Thrombolytic therapy: A medical treatment that involves the use of medications called thrombolytics or clot-busting drugs. It is used to dissolve blood clots, particularly in cases of acute conditions like acute limb ischemia, deep vein thrombosis (DVT) or pulmonary embolism.
  • Popliteal artery entrapment syndrome (PAES) surgery: Popliteal artery entrapment syndrome is a rare condition where the popliteal artery in the knee area becomes compressed or entrapped during certain leg movements. Surgery may be performed to release the artery and restore normal blood flow.
  • Renal artery stenosis surgery: Renal artery stenosis refers to the narrowing of the arteries that supply blood to the kidneys. Surgery, such as renal artery angioplasty can be performed to restore blood flow to the kidneys and manage conditions like high blood pressure or kidney dysfunction.
  • Vascular malformations: Vascular malformations refer to abnormal formations of blood vessels. These can be congenital (present at birth) or acquired. Treatment may involve embolization, sclerotherapy, or surgical resection, depending on the type and location of the malformation.
  • Vasculogenic Impotence: Vasculogenic impotence, often referred to as vascular impotence or erectile dysfunction of vascular origin, is a condition where blood flow to the penis is insufficient for achieving or maintaining an erection. Treatment options may include medications, Vascular growth factor injections, or surgical procedures like aortoiliac reconstructions.

Other Services

  • Telemedicine Consultations: Telemedicine involves providing medical consultations and services remotely through technology, such as video calls, phone calls, or online messaging. Patients can consult with healthcare professionals without the need for in-person visits, making healthcare more accessible, especially for non-emergency or follow-up care.
  • VIP Concierge Services: Our VIP concierge services offer personalized high-quality medical care with a focus on convenience and privacy. Patients often receive preferential treatment, such as 24/7 access to vascular surgeon, expedited appointments, home based treatments and more personalized care plans.
  • Clinical Research & Education: Our professional team engages in clinical research to advance medical knowledge and improve our patient care. We are also involved in training healthcare providers, educating patients, and disseminating medical knowledge.
  • Collaboration with Multidisciplinary Teams: Many medical conditions require a team-based approach for comprehensive care. Our team collaborates with various disciplines to provide well-rounded care that considers all aspects of a patient’s health.
  • Assisting with major blood vessels exposure, control/ dissection: Our vascular service is available to assist surgical procedures that involve exposing, controlling, and dissecting major blood vessels, which are often necessary for various general and oncologic surgeries to address conditions like blockages, or injuries to major blood vessels.