Venous ablation and varicose veins management
Venous disease can be another source of leg pain. This could be large cord-like veins along different sides of the legs and thighs. It could also be from small dilated spider shaped veins that could be improved shortly after sclero-therapy. Venous disease can cause leg swelling and leg pains and when fixed there is complete resolution of the disabling symptoms. Sometimes ablation or closure of the extensively dilated painful veins might improve the pain and improve the cosmetic appearance.
Peri-operative Risk Assessment and Clearance
Although there is no guarantee regarding the absolute safety of any procedure. There are studies and data to help guide physicians to predict the overall risk of complications around non cardiac surgeries. Prior Heart attacks is a strong predictor of future Heart attacks. We try to optimize the overall cardiovascular status to have the best chances of tolerating and coping with different surgeries and procedures. We try to facilitate and coordinate the overall preoperative period. We communicate with your surgeon directly with your permission. We supply you with clearance letter during the same visit if at all possible to avoid delays or cancellation in your surgery. We strive to see you as soon as possible to expedite your clearance process.
Vascular and Endo-vascular Interventions
Peripheral Vascular Disease is one of the most common syndromes we deal with, sometimes it is asymptomatic and sometimes it cause legs pain with walking, It can cause resting pain, if severe enough it can cause leg/feet ulcers and unless we attempt to open the blockages it might not heal any open wounds. Intervening on these arteries improve the ability to walk free from pain. We also coordinate care afterwards in synchrony with wound care centers to help expedite the healing process and to evaluate the improvement of ulcers, woulds and walking capacity.
Invasive and Interventional Cardiology
This is the most definitive way of diagnose and to an extent grade coronary artery disease. This is the science of intervening on coronary artery disease with balloon angioplasty with stent placement. Stents act as a scaffold to keep the artery open and to avoid collapse or recoil of the ballooned segment. This requires extra fellowship training and commitment for the cardiologist to be available timely and to be swift and meticulous, available and prompt in these periods of a major heart attack. We follow the guidelines and the appropriateness criteria to be compliant with all the data and research in this field. We communicate with you and your family with your permission immediately after intervening on your coronary arteries. We attempt to secure follow up after such a procedure to evaluate and rule out any potential complication and to ensure the full resolution of your symptoms and satisfaction of our patients.
Prestige Cardiology Consultants
It is always recommended to attempt to prevent the disease before it occurs. This is usually done by aggressive risk factor modifications and controlling the other diseases that might affect the cardiovascular integrity. Diabetes Mellitus, Hypertension, Hypercholesterolemia along with family history of premature vascular disease are all significant risk factors for having heart attacks early in life. Tobacco use in all its forms is one of the most significant modifiable risk factors that would cause us cardiovascular events prematurely.
This is a non invasive test using ultrasound technology to evaluate the strength of the heart, the size of different chambers of the heart and helps diagnose the severity of valve disease. It does not involve needles. The regular echocardiography scanning of the chest wall is a simple and extremely useful tool to diagnose and follow a host of cardiac and vascular problems. Sometimes with the challenging body habits and when we are interested in evaluating certain areas of the heart we proceed with a TransEsophageal Echo or TEE. This is done in the hospital as an outpatient procedure with moderate sedation. This test gives us the most detailed and accurate information regarding the structure and the function of the heart.
This diagnostic test allows us to evaluate and diagnose Coronary Artery Disease and to direct us to proceed further workup to investigate chest pain. It is a semi-invasive test using a treadmill and sometimes includes a nuclear radio tracer to evaluate the blood supply of different walls of the heart and compare them with each other. Sometimes, due to arthritis or peripheral vascular disease the patient is unable to exercise on a treadmill, we then proceed with another form of stress test which is a pharmacological test that does not require the exercise on the treadmill.