If you or a family member are suffering from peripheral arteries disease caused by age, diabetes, renal disease or other variety of factors , we may be able to help. We are experts in the treatment in peripheral vascular disease with a niche in treating critical threatened limb ischemia (CTLI).
If patients suffer from claudication resulting in pain or weakness from walking short distances, we will typically see them in consultation and place them on medical therapy and a supervised exercise program. If the disease progresses to severe claudication or inability to walk or exercise , then we may be able to help in our office with an angiogram with possible angioplasty, atherectomy or stent.
This is a patient who was had a nonhealing wound in her left great toe. She was at risk for an amputation but we were able to take small devices and balloons and open up the severely blocked arteries below her knee to improve the blood flow to her foot, which helped her with wound healing.
We are more aggressive in our treatment for patients, most commonly diabetic or end stage renal disease who have advanced peripheral artery disease resulting in rest pain or nonhealing wounds. In these patients we have the reputation and expertise to treat the small arteries below the knee and ankle with some complicated pedal loop reconstruction. Many of these patients are not given these options and may get a premature amputation of their toes, or even their leg.
We also work closely with our nephrologists to treat many conditions in our patients who are either on dialysis or will need dialysis.
We have just started offering the new BARD WavelinQ procedure where we are able to create an arteriovenous fistula in the outpatient setting in a minimally invasive approach which can serve as an alternative to a more invasive surgery.
We also are able to help mature many failing AV fistula access, maintain many accesses with balloon angioplasty and stent as well as salvage many fistulas and grafts with thrombectomy procedures.
The new BARD WaveLinQ procedure is a minimally invasive procedure for arteriovenous fistula creation. This can be performed in the outpatient setting with local anesthesia and minimal sedation. After careful and thorough vein mapping by our experienced Ultrasound technologists , we will let you know if you meet the proper anatomical criteria for this surgery. The connection between the artery and vein , usually ulnar vein to ulnar artery or radial vein to radial artery, is created using magnetic catheters aligned side by side in the respective artery and vein. Then the fistula is created with high radio frequency energy pulse. The fistula usually will mature and ready for cannulation for dialsysis in 45 days . There are many advantages to this minimally invasive treatment for our renal disease patients than the conventional surgery.
