At Premier Vascular Center of Maryland, we provide an extensive range of vascular testing, surgeries, and wound care to treat all types of vascular conditions. Our Board Certified physician delivers personalized, comprehensive care to each and every patient. We help you understand any test results, answer all of your questions, and ensure you are comfortable throughout your treatment process.
Vascular Surgery
We use advanced technology and techniques to perform highly effective outpatient vascular surgery procedures with quick recovery times. Some of the vascular surgery procedures we perform include:
- Angioplasty: We perform an angioplasty procedure to open blocked arteries and restore blood flow. We use a specially designed catheter with a balloon that is inflated in the blocked artery to open it up.
- Hemodialysis catheter: We insert, exchange, and remove hemodialysis catheters in patients undergoing hemodialysis treatment.
- Arteriovenous (AV) fistula creation: Our vascular surgeon creates a surgical connection between an artery and a vein for hemodialysis access. AV fistulas are typically made in the upper extremities or in the groin.
- Fistulogram: A fistulogram is a special X-ray procedure to look for blood flow abnormalities through your fistula that may be causing problems with your dialysis treatment.
- Thrombectomy: We perform thrombectomy surgery to de-clot your AV fistula to restore blood flow within the fistula for proper dialysis.
- Stenting: A stent is a small mesh tube made of metal implanted in arteries or veins to keep them open. We perform intravascular arterial and venous stenting procedures to place a stent in a blocked or narrowed artery or vein in the heart. We also perform renal artery stenting to open the arteries that carry blood to the kidneys.
- Angiogram: An angiogram is an X-ray procedure to view images of blood vessels. We perform carotid and abdominal angiograms to check for aneurysms, stenosis and blockages in the arteries and veins of the neck and abdomen.
- Atherectomy: An atherectomy procedure allows us to remove plaque from arteries to restore blood flow.
- Inferior vena cava (IVC) filter: We place an IVC filter during surgery to prevent blood clots from entering the lungs. We perform this procedure on patients with deep vein thrombosis (DVT) who are at risk of a pulmonary embolism.
- Abdominal endograft: We use abdominal endografts to treat abdominal aortic aneurysms. An endograft is a fabric-covered stent that we place inside the abdominal aorta.
- Femoral popliteal artery bypass: We remove blockages in the femoral artery with femoral popliteal bypass surgery. During this procedure, we use a graft to reroute blood around the blockage.
- Carotid endarterectomy: We perform carotid endarterectomy surgery to treat carotid artery disease. This procedure involves plaque buildup removal in the carotid artery to reduce the risk of a stroke.
Vascular Testing
We use sophisticated imaging technology to test for a wide range of vascular issues. Our vascular testing options include:
- Arterial doppler: This type of ultrasound estimates blood flow through your blood vessels by bouncing sound waves off red blood cells. This type of ultrasound can help diagnose vascular issues like blocked arteries, blood clots, circulation problems and poorly functioning valves. It is often performed to determine if a patient has Raynaud’s syndrome.
- Exercise Arterial doppler: This test is similar to a regular arterial doppler scan, except it is performed while the patient is exercising, usually on a treadmill. Your doctor may order this test if you experience leg cramps during exercise to determine if the arteries are obstructed.
- Ankle brachial index (ABI): An ABI test compares the blood pressure in the lower and upper limbs to determine if the patient has peripheral vascular disease (PVD).
- Arterial duplex: An arterial duplex ultrasound scan captures images of the major arteries in the neck, arms and legs. The scan also shows blood flow through these arteries. This test can help assess if your arteries have plaque buildup or blockages.
- Hemodialysis access duplex evaluation: A duplex ultrasound for hemodialysis access helps doctors determine the best place to put a fistula or graft in preparation for hemodialysis.
- Venous duplex: A venous duplex ultrasound scan shows the veins and the blood flow within them. This test can be performed on the legs, arms, neck and abdomen. It is commonly used to find blood clots, especially in the veins of the legs — a condition known as deep vein thrombosis (DVT).
- Carotid duplex: A carotid artery duplex ultrasound scan reveals how the blood flows through the carotid arteries in your neck. Your physician may order this testing if they suspect you have carotid artery disease, which includes carotid blockage or carotid stenosis (narrowing).
- Aortic duplex: An aortic duplex ultrasound shows the aorta — the artery that runs from your heart through the center of your abdomen — and the arterial branches that deliver blood flow to the body’s major organs. This test is used to detect an abdominal aortic aneurysm (bulging).
- Renal artery duplex: A renal artery duplex scan captures images of the renal arteries, which deliver blood flow to the kidneys, to determine if they are narrow or blocked. These arterial issues can cause kidney problems and high blood pressure.
- Superior mesenteric duplex: This exam shows any narrowing or blockages in your superior mesenteric artery, which supplies blood to the intestines. Your doctor may order this test if you’re experiencing abdominal pain while eating.
- Venous mapping: A venous mapping ultrasound allows your physician to see the size, depth and blood flow in your veins. This imaging helps determine which blood vessels can be used as a bypass graft during surgery.
- Evaluation for Dialysis Access
Wound Care
At our Wound Healing Center, we treat cuts, sores, and ulcerations that are not healing — also known as chronic wounds. We care for all types of chronic wounds, including:
- Arterial
- Venous
- Infected
- Diabetic
- Surgical
- Varicose veins
- Pressure
- DVT
We typically heal wounds through excision or debridement procedures. We also may use skin grafts to cover lost or damaged skin.
Contact Premier Vascular Center of Maryland for Vascular Services
Premier Vascular Center of Maryland is a leader in vascular care. You’ll benefit from our comprehensive services and world-class expertise. Contact us today to learn more about our vascular services or to schedule an appointment.