zVascular Surgery

A vascular surgeon is a surgeon who specializes in restoring circulation to arteries and veins that have been affected by disease or injury. Vascular surgeons address a variety of serious health problems including the following:

Abdominal aortic aneurysm (AAA)

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The aorta is the largest blood artery branching off from your heart. It carries the body’s blood supply through the chest. Where this blood vessel reaches your stomach (abdomen) it is then called the abdominal aorta. This abdominal aorta in turn carry the blood supply to the lower portion of the body, separating into two branches, called iliac arteries, for each leg.

Sometimes a portion of this abdominal aorta can expand or bugle. Like a weakened area in a bicycle tire tube, the pressure from the heart pumping blood through this area can cause a bulge in the artery wall. This bulge can be about one inch in size. An abdominal aortic aneurysm can be extremely dangerous because they can rupture causing severe internal bleeding and death.

In other less common cases, this type of aneurysm can also lead to embolization where clots form inside the artery and travel into other blood vessels to clog those vessels. When a blood vessel becomes blocked, it can cause severe pain, and if untreated, the loss of a leg or arm.

Peripheral artery disease

The peripheral arteries are responsible for carrying blood away from the heart to the arms and legs. When the aorta travels down through the abdominal region it branches off into the iliac arteries in each leg. These arteries are then further divided into smaller arteries that deliver blood down the legs and to the toes. Basically the peripheral arteries in your legs are extensions of the largest artery in your body, the aorta.

Healthy peripheral arteries are smooth and unobstructed, allowing blood to flow freely to the legs. Unfortunately, when we age the peripheral arteries build up plague that narrows the passageway within the arteries and causes them to become stiff. Peripheral artery disease (PAD) relates to circulatory problems in the extremities when the peripheral arteries become too narrow or obstructed and limit the blood flow to the legs. This can cause leg pain, difficulty walking, foot pain, sores or infections in the toes or feet, and lead to limb loss in severe cases. Furthermore it can be associated with other arterial conditions leading to heart attacks and stroke.

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When veins become swollen to the point that they can be seen through the skin tissue, they are called varicose veins. Varicose veins look blue, bulging and often twisted rather than smooth and straight. It’s estimated that about about 10% of the American population develops varicose veins with age, typically affecting people between ages 40 and 70. High blood pressure can raise the risk of varicose veins.

There are three kinds of veins in the legs:

  • Superficial veins which lie closest to the skin
  • Deep veins which reside in muscles
  • Perforating veins which connect the superficial veins to the deep veins.

Varicose veins are in the superficial veins in your legs. Because we often spend much of our time walking or standing, the heart has a heavy job pumping blood out to the legs and back. varicose veins treatment Irving, varicose veins dallas, spider veins irving, spider veins dallas, vascular surgeon dallas, vascular surgeon irving

When a person sits or stands for a long time, blood can pool in the leg veins causing pressure in your leg veins to increase. Deep veins and perforating veins are usually able to withstand this increased pressure. However, for some, this pressure can stretch and weaken the walls of your veins, causing unattractive varicose veins.

Mild varicose veins are called spider veins which look like a web of red or blue lines under your skin. Spider veins are not a serious medical problem, but they can be a cosmetic concern.

On the other hand, varicose veins represent serious circulatory issues, causing one’s legs to feel tired and achy. In other more serious cases, varicose veins can cause deep vein thrombosis (DVT) which requires immediate attention by a vascular surgeon.

Varicose veins often get worse without treatment. Elevating the legs for 30 minutes during the day, several times during the day, can reduce leg swelling and relieve some symptoms.
Compression stockings squeeze the veins and stop excess blood from flowing backward. These elastic stockings can help heal some skin sores. However, this is not a cure, as you may be required to wear these stockings for the rest of your life.

Diabetic vascular disease

Diabetes Mellitus is a disease related to the body's inability to control blood glucose. Glucose is a basic form of sugar that is used as the main source to create energy in the body.

There are two types of diabetes:

  • Type 1 Diabetes - Type 1 diabetes usually occurs in children or adolescence when the body starts destroying the pancreatic cells that create insulin. Without insulin the high blood sugar caused kidney damage, coma, neurological damage, cardiovascular damage and damage to the retina.This can result in death if it is not managed correctly.
  • Type 2 Diabetes - Type 2 diabetes occurs when the body produces insulin, but the body does not respond correctly, or becomes insulin resistant. This results in less serious, immediate effects, and can frequently be controlled with a lifestyle change or insulin injections.

Carotid artery disease & stroke

The carotid arteries are located on either side of the neck, and are involved with the crucial flow of blood to the brain. Carotid artery disease is when these arteries in your neck become narrowed or blocked. When this happens, a person can have a stroke, where a portion of the brain is deprived of blood and oxygen, causing temporary or permanent paralysis of facial nerves and an entire side of the body. Stroke is also called a “brain attack” because like a heart attack, the consequences can be severe or fatal.

The risk of carotid artery disease increases as you get older. Only 1% of adults age 50 to 59 have carotid artery problems, but the number grows to 10% at ages 80 to 89.Carotid artery disease treatment in Irving, Dallas, Las Colinas, is when these arteries in your neck become narrowed or blocked. When this happens, a person can have a stroke, where a portion of the brain is deprived of blood and oxygen, causing temporary or permanent paralysis of facial nerves and an entire side of the body. Stroke is also called a brain attack because like a heart attack, the consequences can be severe or fatal.

Young healthy arteries are smooth and unobstructed on the inside, but with age, they can become clogged and narrowed by the build up of plaque. Plaque is a hard substance composed of cholesterol, calcium and fibrous tissue.

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Some plaque deposits can be soft or prone to cracking. A natural reaction of your body is to then flood the area with blood-clotting cells called platelets. Unfortunately, this can form a large blood clot in your carotid artery or one of its branches. If the clot blocks the artery enough to slow or stop blood and oxygen flow to your brain, it results in a brain attack, or stroke.

A more common issue is when a piece of the plaque, or a clot, breaks off from the plaque deposit and then migrates into your bloodstream to get lodged into a smaller artery in your brain, resulting in a stroke.

Limb preservation

A vascular surgeon can become involved when vascular disease threatens a leg or arm.
For example, arteries can become blocked because of problems like diabetes, which can dramatically impact healthy blood circulation. Left untreated a person can be at risk of losing a foot or a leg.

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