Vascular disease impacts the arteries and the veins, which carry oxygen and nutrients from the heart to all parts of the body. Blockages caused by a buildup of plaque and cholesterol in arteries affect not only the arteries in the heart but also blood vessels to the brain (that can cause strokes) or blood vessels to the legs (that can cause pain while walking otherwise known as peripheral arterial disease or PAD). Blood vessels can also become enlarged and aneurysmal—leading to the potential for blood vessel rupture. An aneurysm is a weakening in the wall of an artery, typically of the aorta in the abdomen. Eventually, the weakening leads to blood vessel rupture causing internal bleeding that can be fatal.
Vascular Surgeons are specialists who have training in both open surgical and minimally invasive techniques for treating conditions of the circulatory system. By offering the entire spectrum of therapeutic options, our physicians can assure patients they are receiving the most appropriate therapy for their conditions. Of benefit to our patients is our specialty’s ongoing effort to discover, learn and utilize new pathways and procedures to treat patients with vascular disease. An excellent example of this is our increased emphasis on the use of minimally invasive techniques to treat a number of vascular conditions. With nationally recognized and board-certified endovascular surgeons at our practice, we are able to perform minimally invasive procedures from the arteries in the neck down to the smallest arteries in the foot. These procedures are routinely performed on an outpatient basis significantly decreasing the complications and discomfort related to traditional open surgical procedures. These minimally invasive procedures are less traumatic to the patient and the family and result in better patient outcomes. However, should your condition should require emergent or routine open surgery, we are trained and equipped to handle all vascular reconstructions.
Not all blood vessel conditions require endovascular or open surgical treatments. Many are managed through medications and lifestyle modification.
Types of vascular conditions we treat include:
- Abdominal aortic aneurysm
- Aortic dissection
- Aortoiliac occlusive disease
- Arm artery disease
- Carotid artery disease
- Chronic venous insufficiency
- Connective tissue disorder
- Deep vein thrombosis
- Diabetic foot ulcers
- Dialysis access procedures
- Endoleaks (Type I-V)
- Fibromuscular disease
- Giant cell arteritis
- Mesenteric ischemia
- Peripheral aneurysm
- Peripheral arterial disease
- Popliteal entrapment syndrome
- Renovascular conditions
- Thoracic aortic aneurysm
- Thoracic outlet syndrome
- Varicose veins
- Vascular infections
- Vascular trauma
- Visceral artery aneurysm
- Wound care
Vascular conditions early detection and risk factors
We believe that vascular treatment begins with prevention, early management of risk factors and interventions personalized to individuals on a case-by-case basis. Our vascular expert, Dr. Omid Jazaeri is a board-certified vascular surgeon who is specially trained and experienced in the management and treatment of all vascular conditions. Many individuals recognize vascular disease as having to do with heart attacks and diseases related to the heart. However, millions of Americans have some form of vascular disease not related to their heart that goes undiagnosed each year. Common risk factors for vascular disease include being male, family history of vascular disease, high blood pressure, lack of exercise, smoking, diabetes, being overweight and/or having high cholesterol. If you think that you are at risk for vascular disease, it’s important to seek care from a specialist early on to help prevent or manage your condition.
The care of vascular patients often requires a team of specialists from many different disciplines working together to provide care. For example, when vascular conditions progress, reduced blood flow prevents wounds on extremities from healing, leading to possible amputation.
Studies have demonstrated that the five-year mortality rate in patients with diabetes following major amputation is significant — greater even than many major forms of cancer. More recently, research has compared diabetic foot amputations to landmine-related amputations. This comparison emphasizes the silent nature of the “warfare” and the consequences on the life of patients/landmine victims. Diabetes around the globe results in one major limb amputation every 30 seconds with over 2,500 limbs lost per day!
Our approach is dedicated to reducing the need for amputation by providing a comprehensive team of specialists dedicated to prevention of limb loss. Benefits to patients include rapid assessment, improved healing, and enhanced revascularization. Advantages for the physicians include the ability to efficiently manage complex patients with help from the appropriate specialties, an increase in referrals, enhanced identity of the institution, and clinical research and trials
Our team closely collaborates with The Medical Center of Aurora Wound Care Center, which offers immediate and emergency care for patients with extremity wounds and serious conditions that can lead to limb loss.
While our limb salvage team is just one example of how multi-disciplinary care improves patient outcomes, we use the same concept to improve other clinical care pathways such as dialysis access, stroke or aneurysm care.
Endovascular and vascular surgical treatments
With surgical innovation, many vascular conditions can now be treated without the need for a large surgical incision. Whenever possible, our team uses these advanced, minimally invasive procedures. That being said, the gold standard treatment for many vascular conditions still remains open surgery and our providers are equipped to perform these complex procedures. Procedures we offer include:
- Endovascular or open repair of abdominal aortic aneurysms
- Endovascular repair of thoracic aortic dissections
- Carotid endarterectomy, carotid artery stenting and transcervical carotid stenting
- Bypass surgery and endovascular therapy for peripheral artery disease (PAD) - Open surgical and endovascular treatment for peripheral artery aneurysms
- Endovascular surgical intervention, such as angioplasty and stenting in all vascular areas
- Endovenous laser therapy treatment or perforator surgery for varicose veins/venous ulcers
- Endovascular and open surgical reconstruction for deep vein occlusions
- Hemodialysis access including femoral vein fistulas
- Treatment of all aspects of thoracic outlet syndrome
- Treatment of carotid body tumors and other vascular tumors