Advancing Patient Care and the Treatment of Vascular Disease
The symptoms and complications of vascular disease can range from relatively benign, such as mild discomfort or cosmetic needs in the case of varicose veins, to more severe conditions such as blockages of critical arteries that can lead to ischemia, gangrene or stroke.
Fortunately, there are minimally invasive procedures available to treat most vascular disease and help prevent their most serious complications. Our comprehensive approach to patient care begins with optimal medical therapy prior to these endovascular therapies.
Generally speaking, treatments at the Vascular Center at Boston Medical Center fall into six major categories:
Occlusive disease of the carotid, subclavian or innominate arteries can lead to stroke and even death. Angioplasty and stents are effective techniques for restoring blood flow to these arteries thus preventing stroke.
Circulation in the Lower Extremities
Poor circulation to the legs caused by vascular disease in the iliac, femoral, popliteal or tibial arteries leads to pain when walking, called claudication, and also causes foot pain at rest. Poor circulation can also prevent wound healing and lead to gangrene. Angioplasty, stents, covered stents and atherectomy can restore circulation, alleviate pain and improve wound healing.
Renal Artery Disease
Occlusive disease of renal arteries can lead to a host of complications ranging from hypertension to kidney failure. Renal angioplasty and stenting can relieve symptoms and prevent complications caused by renal artery disease.
These localized, arterial dilations can be fatal because aneurysms can rupture. Although aneurysms most often occur in the aorta, they can occur elsewhere as well. Depending on the location, treatment may include stentgrafts or embolization therapy.
Varicose Veins, Venous Insufficiency and Deep Venous Thrombosis
Venous disease is very common. Venous insufficiency (VI) occurs when leg veins cannot pump enough blood back to the heart, causing legs to swell or feel heavy, tired, restless or achy. In some cases, VI may cause varicose veins. Deep venous thrombosis is the formation of a clot in the deep veins of the leg. A variety of minimally invasive procedures are available to treat venous diseases of the legs including angioplasty, stents, radiofrequency ablation, sclerotherapy and thrombolysis.
Endovascular Maintenance of Hemodialysis Access
Patients on dialysis often have problems associated with maintaining the vascular health and patency of their fistulas. To facilitate hemodialysis treatment, we assist with catheter placement, provide arterial venous fistula and graft de-clotting and revision procedures when necessary.