966 Hwy 36
142 Hwy 35, Suite 106
Hazlet NJ 07730
Eatontown NJ 07724
Office Hours: Monday and Thursday, 8
a.m. to 5 p.m.
is peripheral vascular disease?
impairment of blood flow because the artery is narrowed or
are some of the symptoms?
symptoms can range from mild pain upon walking (also called claudication)
to severe pain associated with non-healing ulcers or gangrene.
do we treat mild symptoms?
- Stop smoking
- Walk a minimum of 30 minutes daily
- Control underlying medical problems including cholesterol,
hypertension and diabetes
- Vitamin therapy to slow down atherosclerosis (folic acid, B-complex)
if I have gangrene or ulcers?
addition to the above treat of mild symptoms, you may require
more aggressive treatment with either
angioplasty, stenting, athrectomy or distal
Minimally Invasive Vascular Center strives to improve
patient outcome by complimenting conventional surgery. It can often
reduce hospital stay and minimizes patient discomfort.
provide alternatives with patients who have:
1. Renal Access Problems
2. Venous Thrombosis
3. Abdominal Aortic Aneurysm
4. Aortic, Iliac, Femoral, Popliteal, and tibial vessel stenosis.
This Is the
restoration of blood flow to a limb that is compromised due to plaque
build up in the artery. This plaque build up limits the amount of flow
to the limb causing ulcers not to heal or tissue to die. One method of
eliminating the narrowing is to go inside the blood vessel and to open
the area of narrowing using a variety of methods.
In this patient,
these techniques were used to salvage a patient's limb and heal the
wound on the foot.
Angioplasty and Stenting Completion
A bypass is
the redistribution of blood flow around an area of disease using either
ones own vein (the greater saphenous vein from the leg) or a synthetic
tube. These two illustrations show a synthetic tube sown to the
target artery that was chosen.
are a number of factors influencing the choice of conduit used to
perform the bypass. As a general rule, the greater saphenous vein is
usually chosen because it tends to last longer. However, if the vein is
poor quality (less than 3 mm in diameter) or not adequate in length to
perform the bypass, then a synthetic tube will be chosen for the
procedure. Bypasses are chosen only when less invasive procedures
cannot be done or are inappropriate for your disease problem.
our armamentarium, we can use the intravascular ultrasound devise to
better evaluate the vessel, the area of disease and the result post
intervention. This device is a small ultrasound mounted on a tube
which is inserted through a puncture in the blood vessel.
case illustrates the usefulness of the intravascular ultrasound (IVUS).
The patient was seen in the office for a second opinion. The workup
included a physical examination, followed by a non-invasive arterial
doppler study (PVR) and a magnetic resonance image angiography (MRA).
Because the symptoms were far worse than the findings on the imaging
study, an angiogram was performed with IVUS use. The aorta is seen in
B-mode imaging (left), as
well as, with color flow imaging (right).
Similarly, the left iliac artery narrowing was confirmed and a stent was
placed to open the disease artery. In addition the IVUS devise was used
post stent placement to confirm complete stent opening and optimal
How can you reach us?
speak with a staff member, call between 9
a.m. to 5 p.m., Monday