Premier Vascular Center of Maryland is a full-service vascular access center in the Baltimore area. Our team of certified, experienced physicians provides comprehensive vascular care services in a friendly, relaxed atmosphere. We treat your medical needs at all stages of life, working closely with you to help you achieve your best physical state possible. Our unique benefits include:
Wounds can happen anywhere on the body and come in two main types: acute and chronic. Acute wounds are typically caused by an unexpected injury, but they heal normally at an expected rate. When an acute wound fails to heal during an average time frame, it can become a chronic wound. Chronic wounds typically require special wound care treatment. If your wound has not improved after a few weeks, you should consider wound care treatment. Healing can be impeded by things like infection, pressure on the wound, swelling and lack of blood flow.
Thoracic outlet syndrome (TOS) is common after a traumatic event like a work injury or motor vehicle accident. Compression of the blood vessels or nerves in the space under your collarbone causes TOS.
TOS can also develop from repetitive activity. If your job requires you to repeat a movement continuously — such as lifting things or typing — your body’s tissue can wear over time, causing compressed nerves and blood vessels. Athletes like swimmers and baseball pitchers can also develop TOS from years of repeated movements. Even consistently poor posture can lead to TOS, as holding your head in a forward position and drooping your shoulders can cause compression in the thoracic outlet area.
Pregnant women and people with joint issues are also more susceptible to TOS.
Common symptoms of TOS include the following:
Have questions about our services? Want to learn more about vascular health? Browse the Frequently Asked Questions section of our website to learn more about vascular care and what Premier Vascular Center of Maryland has to offer.
At your first appointment with a vascular surgeon, they will examine your abnormal blood vessels. After performing the exam, your surgeon will ask you questions about your symptoms, lifestyle and medical history.
A vascular surgeon will then diagnose your condition, recommend treatment and help you develop a treatment plan. If this plan involves surgical intervention, you can usually schedule surgery at the end of this appointment.
Treatment options include:
Signs that you may need to see a vascular surgeon include:
Vascular surgeons treat complications from:
A unique ultrasound technique, a Doppler bounces high-frequency sound waves off circulating blood cells to estimate blood flow through a blood vessel. Vascular flow studies will show abnormal flow within a vein or artery.
A complete venous Doppler exam takes approximately 45 minutes to an hour to perform. A specially-trained sonographer will carry out the procedure before a vascular physician reviews it.
This noninvasive test may help identify:
Duplex ultrasound is a noninvasive test that evaluates the flow of blood through your veins and arteries. The results from this test help your vascular surgeon outline a treatment plan and make a sound diagnosis.
The types of duplex ultrasound exams vary and can include:
“Dr. Annous and his staff at the surgery center make me feel so comfortable and welcome. I actually enjoy coming here for my procedures”
“My dialysis center tries to send me to the access center, but I will not let anyone else touch my fistula except Dr. Annous”
“Dr. Annous has been my wife’s and I Vascular Surgeon for almost 10 years. We would not trust anyone else!”
“Dr. Annous and his staff saved my life. I was very scared at the time, but knew I was in great hands with Dr. Annous”
“Dr. Annous saved my leg and has provided me a new lease on life”