CORE Vascular Services

CORE Vascular Services performs hundreds of vascular surgeries and procedures each year, including the most innovative, minimally invasive techniques – which usually mean less pain and a quicker recovery for you. Some vascular conditions can be treated through preventive efforts and lifestyle changes. If these aren’t enough, your physician may recommend an endovascular procedure or vascular surgery, depending on the best treatment option for your individual needs. Vascular conditions Our physician is among the most experienced in the region in the diagnosis and treatment of vascular conditions, including: Abdominal aortic aneurysm (AAA) *watch this video: https://youtu.be/Of6NEJ3FtQM Carotid artery disease Deep vein thrombosis (DVT) Mesenteric ischemia Peripheral aneurysm Peripheral arterial disease (PAD) Renal artery stenosis Varicose veins/spider veins We offer a comprehensive array of procedures to address these conditions. Diagnosis of vascular conditions and diseases Endovascular surgery Vascular surgery Minimally invasive vascular treatments Cosmetic vein care Diagnostic tests for vascular conditions We offer a full range of the latest technology for the diagnosis of vascular diseases and conditions: Vascular Lab, including Carotid Duplex, Venous Imaging, Arterial Doppler/Duplex Link to the Vascular Lab page. Magnetic Resonance Imaging (MRI)* and Magnetic Resonance Angiography (MRA)* Angiogram (also called Arteriogram) Computed Tomography Angiogram (CTA)* *These procedures are performed at an imaging center and not at CORE Vascular Services office.

What to expect from the Vascular Lab If you are experiencing signs of peripheral arterial disease or show other symptoms that may be related to vascular conditions, your doctor may recommend one or more tests in CORE’s Vascular Lab. These are non-invasive, ultrasound-based tests that measure the blood flow in major veins and arteries. Vascular Lab tests can reveal blockages caused by plaque build-up in your arteries, blood clots in your veins, as well as possible signs of aneurysm (a weakening or bulging of an artery). Depending on your symptoms, your doctor may recommend any of the following non-invasive tests: Upper and Lower Arterial Duplex Ankle Brachial Index Renal Duplex Lower Extremity Venous Duplex Venous Perforator Mapping Upper Extremity Venous Duplex Carotid Duplex Duplex Scan of Hemodialysis Duplex Vein Mapping Creation Of Hemodialysis Abdominal Ultrasound Preparation for the Vascular Lab There is little or no preparation necessary for most patients who are scheduled to have tests in the Vascular Lab. If your visit will involve tests in the intestines and other structures in the abdomen, you may be asked to refrain from eating or drinking after dinner the night before your test. This restriction would include water, coffee, chewing gum and mints. When you arrive for your test, you may be asked to disrobe and put on a gown or sheet to allow the technician access to the part of the body being tested. After your Vascular Lab visit There is no recovery necessary from these minimally invasive tests. Your physician will receive the results of your diagnostic tests in approximately two business days. If results to these non-invasive tests are inconclusive, your physician may recommend additional tests such as an angiogram or computed tomography angiogram (CTA).

What is Open Revascularization? Open revascularization means placing a graft (synthetic/vein) to bypass a blocked vessel and revascularize a threatened extremity. At Core Vascular Services, open surgical bypass is reserved for patients who are not candidates for endovascular interventions. The open surgical bypasses include but are not limited to: Open abdominal aortic aneurysm repair Aorto-bifemoral bypass A surgical procedure in which the surgeon uses a graft – either a blood vessel from another part of the body or one made of synthetic fabric – to bypass a blockage and restore blood flow to a blocked abdominal aorta. Typically requires a hospital stay of five to seven days. Axillo-bifemoral artery bypass Femoral-femoral bypass A surgical procedure in which a graft is inserted to bypass the blocked area of the femoral artery in the thigh or groin to restore normal blood flow. Typically requires a hospital stay of two to three days. Femoral-popliteal bypass / distal artery bypass A surgical procedure to bypass a blockage in the popliteal artery near the knee, using either a vein from another part of the body or a synthetic graft. A hospital stay of two to three days is usually necessary. AV graft placement/AV fistula creation Subclavian-carotid bypass

What Does Endovascular Mean? Endovascular procedures uses a minimally invasive approach to re-opening blocked vessels and restoring blood flow to a threatened extremity. These procedures were originally designed for patients who are poor candidates for open surgery. Over the years, results have continued to improve and indications have been expanded to all patients. At Core Vascular Services, over 80 % of our patients have been treated successfully with this method reserving open surgical bypass for patients who can not be treated endovascularly. Our primary focus is limb salvage reserving amputation of the limb as a last resort. The endovascular procedures performed include but are not limited to the following: Diagnostic peripheral arteriograms Percutaneous peripheral balloon angioplasty and stent placement Percutaneous peripheral atherectomy Mechanical and chemical thrombolysis Coil embolization of arterial venous malformation Endovascular aortic reconstruction of abdominal aortic aneurysms Diagnostic and therapeutic shuntograms / fistulograms / venograms

The end of painful, unsightly varicose veins and spider veins is closer than you think. Our physician is board certified and intensively trained in the latest minimally invasive treatments to stop the pain, swelling and unsightliness of varicose veins and spider veins. We can help restore your legs to a smoother, more youthful appearance using minimally invasive treatments. Cosmetic vein minimally invasive treatments Procedures are performed in the office of CORE Vascular Services. These procedures include the benefits of: Outpatient treatment Laser surgery Less pain Short recovery times Short return to work Compression Therapy (see video below) Endovenous laser treatments – Insertion of a thin laser fiber that delivers laser energy to seal a varicose vein Sclerotherapy – Injection of a solution that closes and fades varicose vein Vein Wave – An alternative to painful laser and light-based treatments for spider veins. Vein Wave offers unprecedented advantages: No bandaging or bruising No scarring No hypo or hyper pigmentation No hiding from the sun Call our office today for your consultation at (972) 906-1055.

The wellness program was birthed through my wife and practice manager Samantha Pringle. Samantha helped lay the foundation for CORE Vascular Services. She had a passion for women’s health and through her diagnosis of uterine cancer, we gained a greater appreciation of health, wellness and how diet dictates the body’s response to disease. It was through her fight with cancer that I gained a better perspective of the struggles that patients endure battling disease as the husband not the doctor. How it impacts patients physically, mentally and economically. C.O.R.E. Wellness If you or someone in your family is interested in any of these products, please visit our websites below for additional information. Feel free to call our main office at (972) 906-1055 if there are any questions or issues when purchasing these products. Juice Plus Juice Plus Protandim Protandim **Please remember that these products do not give medical claims to cure, treat, heal, diagnose, or prevent any disease or illness. These are simply recommendations that can possibly improve quality of life!