An Angiography (Angio) Suite is an innovative medical space fully-equipped with advanced imaging technology that allows you to undergo certain vascular procedures in an outpatient setting. It is often used to assess or increase blood flow, examine the condition of blood vessels after a trauma or surgery, and perform other angiographic surgeries. 

With our Angio Suites, patients can complete the entire perioperative process, including pre-op, the procedure itself, and recovery — all right in our Marietta and Austell offices.

What’s Included in an Angio Suite?

An Angio Suite is a fully functional, sterile environment equipped with an image-guided system that doctors use to perform real-time diagnostics and therapeutic procedures. The space has all of the tools and technology of an operating room found in conventional hospitals, without the need to go through hospital procedures or stay there overnight. Most Angio Suites feature an x-ray generator, image intensifier, a rotating operating table that enables easy patient positioning, and are fully-stocked with all necessary surgical tools.

What Procedures Can Be Performed in an Angio Suite?

A number of vascular procedures can be performed in our Angio Suites, including:

• Groshong catheter placement
• IVC filter Insertion and removal
• Mesenteric artery angioplasty and stent placement
• Peripheral arterial atherectomy, balloon angioplasty and stent placement
• Permacath placement
• Portacath placement and removal
• Renal artery angioplasty and stent placement
• Shuntogram, including balloon angioplasty and stenting of dialysis access
• Thrombectomy (declot) of dialysis access
• Venogram and venous stenting

What Are the Benefits of an Angio Suite?

In the past, patients with conditions such as peripheral artery disease often had to go to hospitals just to receive minimally invasive procedures. It was also necessary for them to see multiple different caregivers in different areas of the hospital for a diagnosis, procedure, and follow-up care. Even in outpatient settings, the pre- and post-op care could result in many hours spent at the facility. 

Angio Suites revolutionize outpatient procedures and are better able to adjust to evolving clinical demands by giving surgeons a dedicated space for these minimally-invasive, image-guided procedures. Patients benefit by avoiding extended hospital stays, which are sometimes linked to increased risk of infection, and may also add further emotional stress to the situation. 

Angio Suites also enable expedited perioperative times and superior outcomes by reducing wait and procedure times, and simplifying scheduling and check-in. The current development of Smart Angio Suites also combines audio-video technology and internet connectivity, which allows for even more expert communication and collaboration during procedures. 

Here at Vascular Surgical Associates, patient health and satisfaction is our number-one priority, which is why we offer state-of-the-art Angio Suites to make the entirety of your procedure as comfortable as possible. Our Angio Suites provide a smooth and relaxed outpatient experience, with the added peace of mind that you’re in the care of our board-certified vascular surgeons. We use the same safety protocols and cutting-edge technology as hospitals do, but you get the benefit of reduced wait times and no hospital stay. As a result, you get to recover in the comfort of your own home sooner.

To determine whether you may be eligible to have your procedure in one of our Angio Suites, connect with us online, or schedule your appointment by calling (770) 423-0595. 

Varicose and spider veins are a common frustration for many people, as it’s estimated that up to 35% of people in the U.S. experience them to at least some degree. While most individuals consider these venous problems to be simply an unsightly nuisance, it’s possible they could also be indicative of a more serious medical condition. Here’s a closer look into when vein issues are a medical problem versus simply a cosmetic concern.

Cosmetic vs. Medical Vein Issues

Both varicose veins and spider veins are types of a medical condition known as venous insufficiency. This occurs when the valves or walls in the leg veins don’t work properly, making it harder for blood to return to the heart. As a result, blood pools in the veins, which can lead to uncomfortable symptoms such as swelling, aching, ulcers, and the telltale sign of the condition — more pronounced varicose veins.

A combination of factors may underlie varicose veins, including a family history, long periods of sitting, inactivity, pregnancy, and being overweight. Women and older adults are also more likely to develop them.

Spider veins are the earliest sign of venous insufficiency, but can develop later into varicose veins, which indicate the condition has progressed. Spider veins are smaller than varicose veins, and resemble small threads, branches, or spider webs. They can typically be seen just beneath the skin’s surface and may be red, blue, or purplish in color, but they do not cause bulging, as varicose veins do.

The most common sites for spider veins are the face and legs, while varicose veins can develop anywhere in the body, most commonly in the legs.

Treating Vein Issues

Both spider veins (which are mainly a cosmetic issue) and more serious varicose veins can be treated. Addressing varicose veins is important; otherwise, pressure and swelling can continue to increase, putting strain on the walls of the veins and leading to further valve damage. This can then progress into other issues such as tissue damage, ulcers, and infection. In rare instances, varicose veins can also develop into blood clots, which are medical emergencies that call for immediate treatment.

In the case of both spider and varicose veins, nonsurgical treatments such as sclerotherapy may be used to collapse the affected veins. This prompts the blood to reroute itself through healthy veins. Other treatment options include laser therapy, which can close veins through guided ultrasound imaging and laser energy, as well as radiofrequency closure, which uses radiofrequency energy administered via a catheter.

Although spider veins may be too small for needle injections, they can still be removed for cosmetic purposes. Using lasers, doctors can destroy the affected vein without damaging the skin. Following the treatment, some small spider veins may disappear immediately. For others, it may take several weeks for them to gradually fade and then disappear altogether.Whether you have veins that are a cosmetic concern, medical issue, or both, Vascular Surgical Associates can help. Find out more about our available treatment options here. Or schedule a consultation at one of our nine convenient locations by calling (770) 423-0595.

Vascular Surgical Associates is delighted to announce that four of our physicians appear on the 2022 Top Doctors list in the May issue of Georgia Trend magazine.

The list features Drs. Arun Chervu, Shariq Sayeed, Michael Corey, and Charles W. Wyble Jr.

Georgia Trend’s third annual listing of the state’s top doctors was created in partnership with DataJoe Research. The process included peer voting and a review of government sources.

Congratulations to our Georgia Trend magazine Top Doctors, who serve as a shining example of Vascular Surgical Associates’ commitment to outstanding patient care.

Blood circulation is vital to your health and well-being, as it delivers oxygen and nutrients to your organs, while also removing toxins. Poor circulation can cause various health issues, including fatigue, varicose veins, joint pain, cognitive dysfunction, and digestive problems. 

To maintain a healthy blood flow, compression socks can be a highly effective tool. But, how do you know if they are right for you? 

What Are Compression Socks?

Compression socks (or compression stockings) are socks or sleeves designed specifically to apply gentle pressure to your legs. Though they do not cut off blood flow or circulation, they are tighter than regular socks, with a snugger fit. The mild pressure they apply promotes circulation, helping with healthy blood flow.

Compression socks come in various forms and strengths, depending on your need. A “graduated fit” may mean they are tighter at the ankle and looser as the sock moves up your leg. Others come in the form of a “tube” shape, surrounding the leg with nothing over the foot. Consultation with your doctor or vein specialist will help determine the right type for you. 

How Do Compression Socks Help?

Compression socks help improve the function of the muscle pump system in your calf, and  minimize the pooling of blood in your legs. This can bring relief in a multitude of areas, including: 

• Reduced leg swelling
• Prevention of blood clots (either post-surgery, or during extended periods of inactivity) 
• Reduced varicose veins
• Reduced leg cramping
• Reduced risk of deep vein thrombosis (DVT)
• Reduced risk of lymphedema

Compression socks can also be helpful to athletes, as they enhance performance and potentially reduce the risk of injury. Pregnant women may also benefit from their use.

Do I Need Compression Socks?

You may want to try compression socks if you:

• Experience pain in your legs
• Have leg swelling
• Sit or stand for long periods
• Experience pain after traveling

As orthopedic foot surgeon Dr. Georgeanne Botek told Cleveland Clinic Health Essentials, one of the positive aspects about compression socks is that anyone can try them. You don’t need a doctor’s approval, and there are few risks to experimenting with their efficacy.

However, it is always a good idea to talk with your doctor about your vein health concerns, especially if you feel you are at risk of blood clots, lymphedema, or diabetes. Compression socks may help with these conditions, and your doctor can prescribe them and advise you in the process. And if prescribed by your doctor, you may also be able to apply insurance benefits. 

Tips For Wearing Compression Socks

As you start to wear compression socks, there are a few things to remember:   

• Have clean, dry skin, and sit down when putting them on.
• Protect your compression socks from damage by wearing socks or shoes over them.
• Check your legs daily for skin color changes or irritations.
• Replace your compression socks if they are damaged. Tears or runs compromise their fit. 

If you have a venous concern or need help deciding if compression socks are right for you, our specialists can help. Contact Vascular Surgical today to schedule a consultation online or call 770-428-0595.

Between 30 and 60% of adults have varicose or spider veins — so if you are experiencing them, rest assured the condition is not uncommon.  

Varicose and spider veins occur naturally based on certain circumstances, and do not have to hinder your summer enjoyment. There are a few ways to treat and prevent these venous diseases as the weather warms up. 

What are Varicose and Spider Veins? 

Varicose and spider veins are both venous diseases, but they have a few distinct differences: 

Spider veins are small, and can sometimes appear at first glance as though they were drawn on your leg with either a red, purple, or blue colored pen. They may cause some itching or discomfort, but they do not swell, and won’t cause harm to your circulatory system. 

Varicose veins, on the other hand, bulge from under the skin, and are both more uncomfortable and concerning. “Varicose veins cause fatigue of the legs, swelling and general discomfort. They can also be a warning of long-term health risks including: deep vein thrombosis, blood clots, poor circulation and leg swelling,” Luis Navarro, MD, founder and medical director of The Vein Treatment Center in New York City tells Woman’s Day. They may also be a symptom indicating Chronic Venous Insufficiency (CVI), which prevents proper blood flow to your heart, so it is important to discuss varicose veins with your doctor. 

What Causes Varicose and Spider Veins? 

Varicose and spider veins are both caused by complications in the circulatory system. Your veins normally have one-way valves that help your blood flow throughout your body. If these valves do not close properly, it can cause blood to flow backward, unable to reach the heart, and consequently enlarge the affected vein or veins. 

How Can You Treat Varicose and Spider Veins? 

If you have a mild case of spider or varicose veins, your doctor may suggest compression socks (or compression stockings) specifically designed to fit snugly around your legs and promote blood flow. This lessens the visibility of varicose or spider veins. 

Maintaining a healthy weight, staying active, and reducing the salt in your diet can also reduce the swelling of your veins. 

If at-home treatment doesn’t provide results, your doctor may recommend a non-surgical procedure called sclerotherapy. This procedure involves the injection of a saline solution to slowly reduce the appearance of the veins over three to six weeks. 

Other options to treat these venous diseases include: 

• Endovenous laser treatment: Pulses of laser light are administered to collapse the affected vein.  
• Radiofrequency closure: A radiofrequency is delivered to the affected vein wall via a catheter, causing the vein to heat up, collapse, and seal shut. 

In extreme cases, your doctor may suggest a more invasive surgery, which involves tying off and removing the impacted vein with small incisions. This surgery is usually an outpatient procedure involving local, spinal, or general anesthesia, and without the need of stitches.

How to Prevent Varicose and Spider Veins 

If you do not currently have either spider or varicose veins, but wish to prevent them before the summer, consider these tips:

• Avoid sitting or standing for long periods of time
• Periodically keep your legs elevated
• Maintain a healthy weight 
• Quit smoking tobacco 
• Periodically use compression socks 
• Avoid tight-fitting clothing

The professionals at Vascular Surgical Associates can help answer any further questions you may have regarding spider or varicose veins. We’re eager to help you find the best treatment for your condition, and give you tips for prevention in the future. Visit us online to schedule an appointment, or call us at 770-423-0595.

Different types of wounds come with different options for wound care. Cuts, grazes, punctures, lacerations, and any necessary surgical incisions can cause problematic complications if not treated properly. The right wound care is key to avoiding infection and long-term complications.

Vascular surgeons have specialized expertise in treating wounds and understanding potential complications that may occur. Their knowledge and skill can provide you with individualized solutions. Here’s a bit more to help you understand what we do. 

What is a Vascular Surgeon?

Vascular surgeons are doctors who have specialized in veins, arteries, and lymphatic circulation. As vascular systems are key to the body’s function and healing, these health care professionals are incredibly knowledgeable about the human body, and have particularly studied the intricacies of tending to wounds. They understand the consequences of failing to treat a wound properly, and carry out the safest and most helpful procedures for wound care.

How Does a Vascular Surgeon Perform Wound Care? 

A vascular surgeon’s choice of wound treatment depends on the wound type. Through diagnostic testing, your vascular surgeon will decide which treatment is best. There are many surgical techniques vascular surgeons can perform to promote healing, but nonsurgical options are also available based on each individual case. In general, cleaning and dressing a wound (sometimes with stitches) will allow it to heal on its own. But for chronic wounds that last longer, vascular surgeons may employ: 

• Compression therapy such as stockings or bandages to offset pressure on the veins.
• Wound debridement, or minor surgery that is meant to remove any non-living tissue surrounding the wound.  
• Hydrogel or hydrocolloid dressings to help ulcers heal. 
• Hyperbaric oxygen therapy to stimulate oxygen concentration and improve blood supply to the wound area.  
• Vacuum-assisted closure so that the wound is exposed to continuous suction to promote heating.  
• Skin grafts in instances where a wound is so large it is unable to close on its own.

Other treatment options including topical antibiotics and alternate wound dressings may also be considered based on your wound’s type, severity, and location. 

Why Is Quality Wound Care Important?

Adequate wound care from a vascular surgeon helps you avoid the risk of infection. Compared to cardiovascular health or cancer treatment, wound care may be seen as trivial, but dangerous bacteria can invade and infect even a small wound. 

Infection even in otherwise healthy people can lead to serious health issues — and in the worst cases, even amputation. Those with complications such as diabetes especially need good wound care, since high blood sugar can impede their ability to heal. 

But even if a wound does not become infected, if left untreated, it can also cause more pain and limit mobility. If a wound does not heal sufficiently in 4 weeks after the primary assessment and treatment of the wound, it can require more care.At Vascular Surgical Associates, our team is here to listen to your questions and address with care any worries you may have. Our professionals are experts not only in wounds, but in veins, arteries, blood, and lymphatic circulation. We can answer any questions you may have about your wound, and how to care for it properly. Call us at 770-423-0595 or visit us online to book an appointment.

Venous insufficiency is a condition characterized by poor circulation and the pooling of blood in the legs. Patients with this condition frequently experience tired, achy, heavy legs at the end of the day, night cramps, and swelling in the feet and ankles.

Varicose veins are clusters of swollen, tangled veins, and they often bulge above the surface of the skin. These veins often fill with blood and can become tender or inflamed.

Spider veins, which are small, thin veins seen at the skin surface, often form from years of venous insufficiency and can be a sign of venous disease below the skin surface.

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Author: Arun Chervu, MD, FACS, RVT, MBA, MHA, Board-Certified Vascular Surgeon

Types of Venous Diseases

Spider Veins are the small, visible veins which often have the appearance of having been drawn on the skin, with a fine pen.  They do not bulge out beyond the skin, but can be unsightly, and can also be associated with itching or discomfort, though they are considered cosmetic.

Varicose Veins are the bulging veins, often seen on the thighs and legs.  As they grow larger, they can cause more pain, itching, burning, fatigue, and become more unsightly.  Varicose veins are not just a cosmetic issue but can often be a sign of an underlying vein condition known as Chronic Venous Insufficiency (CVI).

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