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Physicians from the Vascular and Endovascular Surgery Group at Washington Hospital Center have joined the medical staff at CalvertHealth to form the Center for Vascular Care--a partnership which will make the region's top vascular surgeons locally accessible. These board-certified vascular surgeons are nationally recognized for their excellence in the cardiovascular field. Their expertise and the advanced technology available at CalvertHealth allow the same level of care at metropolitan hospitals, close to home.

The CalvertHealth vascular team includes: Dr. Josh Dearing, Dr. James Salander & Dr. Arthur Flatau.

Prevention and Wellness

CalvertHealth offers daily free screenings for vascular disease in our Vascular Lab. Participants will be screened for AAA (Aortic Abdominal Aneurysm), peripheral artery disease and carotid disease. To make an appointment, call 410-414-4539.

Symptoms

  • Do you feel pain, tightness, tiredness or weakness in your legs when you walk?
  • Do your legs feel better when you stop walking?
  • Has a physician ever told you that your have poor circulation in your legs?
  • Have you ever been told that you have blockage in your carotid arteries?
  • Have you recently experienced TEMPORARY:
    • Loss of vision in one eye?
    • Slurred speech?
    • Difficulty understanding what is being said to you?
    • Weakness or numbness of an arm or leg on one side of your body?
  • Do you have high blood pressure?
    • If yes, for how long? ___Years
    • Has it been difficult to get your blood pressure under control?
    • Are you taking more than two blood pressure medications now?
  • Do your legs swell?
  • Have you had problems with blood clotting or phlebitis?
  • Have you had or do you have an open sore on your legs, feet or toes that doesn't heal?
  • Do you have a family history for enlarged arteries or aneurysms? 

Causes and Risk Factors

Vascular disorders can happen to anyone; however, research has identified factors that may increase your risk. These risk factors include:

  • Cigarette smoking
  • Diabetes
  • High cholesterol and lipid levels
  • High blood pressure
  • Older than age 50
  • Inherited genetic trait
  • Obesity
  • Elevated blood levels of homcysteine (an amino acid)
  • Heart disease
  • High-stress lifestyle

Diagnosis/Tests

The following diagnostic tests are used to measure and evaluate vascular disease:

  • Abdominal aortic ultrasound
  • Angiography
  • Ankle-brachial Index
  • Arterial duplex scan
  • Arteriogram
  • Computerized tomographic angiography (CTA)
  • Doppler
  • Ultrasound

Non-Invasive Vascular Studies

Non-invasive Vascular Studies

At CalvertHealth, we use non-invasive approaches (no needles or injection of dyes). The vascular diagnostic specialist in the full service vascular lab uses ultrasound or high frequency sound waves to detect blockages in arteries and veins. The lab is equipped to assess a range of vascular disorders including cerebrovascular disease, peripheral arterial disease, disease of the veins and impotence. For scheduling and information, you can reach the vascular lab at 410-414-4539 or 301-855-1012 ext. 4539. Our Non-Invasive Vascular Lab is accredited through the IAC (Intersocietal Accreditation Commission for Non-Invasive Vascular Laboratories.)

Interventional Radiology

Interventional radiology (IR) is a subspecialty of radiology in which minimally invasive procedures are performed with imaging guidance. The images provide roadmaps that assist the interventional radiologists as they guide instruments through the body to reach diseased areas. Here at CalvertHealth, we have two interventional radiologists who perform procedures that can often be used to avoid hospitalization and/or surgery.

Common IR procedures may include:

  • Angiography
  • Kyphoplasty
  • Vertoplasty
  • CVAD or PICC lines
  • Radioembolization
  • TIPS shunts
  • Nephrostomy tubes
  • Dialysis catheters
  • Uterine fibroid embolizations
  • Drainages
  • Biopsies
  • Blood clot filters
  • Foreign body extraction
  • Thrombolytics
  • Cancer treatments
  • Radiologically implanted tubes

Treatment/Procedures

Treatment of vascular disease includes lifestyle modifications, or making changes to diet and exercise habits. Your vascular surgeon may also prescribe medication. In some cases, surgery may be the only option to treat the condition or illness.

Medications
Because most peripheral vascular disease is associated with atherosclerosis, medications may be prescribed to reduce the overall risks of atherosclerosis, such as heart attack or stroke. Medications to reduce atherosclerotic risk might include:

  • Cholesterol-lowering medications
  • High blood pressure medications
  • Medication to better control diabetes
  • Medications to prevent blood clots, such as aspirin
Procedures to treat vascular disease

  • Angioplasty
  • Arterial Bypass surgery for legs
  • Endartectomy
  • Endovascular aneurysm repair
  • Endovascular therapy
  • Endovenous ablation
  • Open (conventional) aneurysm repair
  • Stent
  • Surgical vein stripping
  • Thoracic endovascular aneurysm repair
  • Thrombolytic therapy

Helpful Resources

Vascular Web Society for Vascular Surgery (vascularweb.org)
Washington Hospital Center - Vascular Services (whc.org)

CalvertHealth Center Transforms Vascular Care