Vascular Procedures

Arterial endarterectomy (removal of the atherosclerotic plaque) and/or a bypass (blood flow rerouting using your own veins or a prosthetic conduit) are among the most commonly performed surgical procedures for peripheral artery disease. While the patient is under general anesthesia, a small incision is made usually at the groin or medial to the knee area at the location of the...

Angioplasty (ballooning) and stenting is a procedure that is one done without a leg incision. The procedure is performed through a groin puncture. With the use of X-ray guidance and special endovascular wires and catheters guided through the vascular lumen, a balloon or stent (metallic mesh tube) is inserted via the contralateral femoral artery and advanced up and over into th...

Endovenous ablation with either laser or radiofrequency, has largely replaced the traditional surgery (vein "stripping") in the management of venous insufficiency. It is usually used for the great or small saphenous veins, or any other superficial vein that may be insufficient. Both laser and radiofrequency ablation are essentially similar procedures with similar outcomes and r...

Sclerotherapy is the most common treatment for both spider and varicose veins and many times will follow an endovenous ablation procedure or surgery. It is wrong to start with sclerotherapy of spider veins before checking for underlying venous insufficiency that should be treated first. Many spider and some varicose veins will disappear if the deeper and larger veins, that are ...

Mini phlebectomy, also called ambulatory, micro, or stab avulsion phlebectomy is recommended when the size of a varicose vein is too great for sclerotherapy and the skin characteristics of the patient make it difficult for sclerotherapy to achieve the desired cosmetic results. ...