Why Would You See a Vascular Surgeon?

When it comes to our health, we often focus on the more visible aspects of our bodies, such as muscles, bones, and organs. However, the intricate network of blood vessels that carries oxygen-rich blood throughout our bodies plays a crucial role in our overall well-being. When issues arise within this vascular system, seeking the expertise of a vascular surgeon becomes essential. Here, we’ll explore the reasons why you might need to see a vascular surgeon and the conditions they treat.

Understanding Vascular Surgery

Vascular surgery is a specialized field of medicine that focuses on the diagnosis and treatment of disorders affecting the blood vessels, including arteries and veins. Vascular surgeons are highly trained professionals who possess expertise in both surgical and non-surgical interventions aimed at restoring proper blood flow and preventing serious complications.

Reasons to See a Vascular Surgeon

Peripheral Artery Disease (PAD)

Peripheral artery disease (PAD) occurs when plaque buildup narrows or blocks the arteries that supply blood to the extremities, typically the legs. This condition can lead to symptoms such as leg pain, cramping, and weakness, especially during physical activity. Advanced, untreated PAD may lead to non-healing wounds, swelling, and gangrene. A vascular surgeon can diagnose PAD through various tests, including ultrasound imaging, and offer treatment options such as medication, lifestyle modifications, and minimally invasive procedures like angioplasty and stenting dependent on the severity and progression of the disease.

Varicose Veins

Varicose veins are enlarged, twisted veins that often appear as blue or purple bulges beneath the skin, most commonly in the legs. While they may be primarily a cosmetic concern for some, varicose veins can cause discomfort, swelling, and complications such as blood clots or skin ulcers. Vascular surgeons can assess the severity of varicose veins and recommend treatment options ranging from compression stockings and lifestyle changes to minimally invasive procedures like sclerotherapy or radio frequency ablation.

Aneurysms

An aneurysm is a weakened area in the wall of a blood vessel that can balloon out and pose a risk of rupture. Aneurysms can occur in various locations, including the aorta (the body’s main artery) and cerebral arteries (in the brain). A vascular surgeon plays a critical role in diagnosing aneurysms through imaging studies such as ultrasound, CT scans, or MRI scans. Depending on the size and location of the aneurysm, treatment options may include watchful waiting, surgical repair, or minimally invasive techniques such as endovascular aneurysm repair (EVAR).

Carotid Artery Disease

The carotid arteries supply blood to the brain, and blockages or narrowing in these arteries can increase the risk of stroke. Carotid artery disease often presents with symptoms such as transient ischemic attacks (TIAs) or “mini-strokes,” characterized by temporary episodes of weakness or numbness in the face or limbs. A vascular surgeon can evaluate carotid artery disease using imaging tests such as carotid ultrasound or angiography and recommend treatment options such as carotid endarterectomy (surgical removal of plaque) or carotid artery stenting.

Deep Vein Thrombosis (DVT)

Deep vein thrombosis (DVT) occurs when blood clots form in the deep veins of the body, typically in the legs. If left untreated, these clots can break loose and travel to the lungs, causing a life-threatening condition known as pulmonary embolism. Vascular surgeons are skilled in diagnosing and managing DVT using a combination of imaging studies, blood tests, and medications such as anticoagulants (blood thinners). In some cases, procedures like catheter-directed thrombolysis may be performed to dissolve the clot and restore blood flow.

Chronic Venous Insufficiency

Chronic venous insufficiency (CVI) occurs when the veins in the legs fail to efficiently return blood to the heart, leading to symptoms such as leg swelling, pain, and skin changes. Vascular surgeons can assess the severity of CVI using duplex ultrasound imaging and recommend treatment options such as compression therapy, vein ablation, or other treatments such as polidocanol foam or sclerotherapy.

Hemodialysis Access and Access Maintenance

Hemodialysis access and access maintenance patients often require the expertise of a vascular surgeon for several reasons related to their vascular access. Vascular access is crucial for hemodialysis, as it provides a way to remove and return blood during dialysis sessions. The most common types of vascular access used in hemodialysis are arteriovenous fistulas (AVFs), arteriovenous grafts (AVGs), and central venous catheters (CVCs). Vascular surgeons are an important team member for dialysis patients as they create dialysis access, and maintain and repair issues as they arise to maintain good flow rates at their dialysis sessions.

The Vascular System’s Role

The vascular system plays a vital role in maintaining our overall health and well-being. When problems arise within this complex network of blood vessels, seeking prompt medical attention from a vascular surgeon is crucial. Whether you’re experiencing symptoms such as leg pain, varicose veins, a hemodialysis patient, or experiencing signs of a serious vascular condition, a vascular surgeon can provide expert diagnosis, personalized treatment plans, and compassionate care to help you regain optimal vascular health. Don’t hesitate to consult with a vascular surgeon if you have concerns about your vascular health—it could save your life.

With a thorough understanding of vascular conditions and treatment options, individuals can take proactive steps to protect their vascular health and live fuller, healthier lives. To schedule an appointment with Dr. Bradley Hill, board certified vascular surgeon, you may call his office at 408-770-4455 (HILL) or email frontdesk@hillvascular.