Deep veins are vital blood vessels that return blood from extremities and organs to the heart and lungs to be oxygenated. There are a multitude of conditions that can affect these important structures and lead to significant discomfort and complications such as chronic edema, pain and even ulceration and wounds. Early symptoms can be minor but early diagnosis and treatment is of paramount importance to prevent progression to irreversible damage and significant disability. Dr. Vargas has developed a special interest in venous disease which has been traditionally ignored and poorly understood as the focus has been placed in arterial disease. As the medical community has become aware of the importance of venous disease and recent research has shed light on these conditions, new technologies have become available and are offered by Dr. Vargas in her Windermere office.
Deep Vein Thrombosis:
A condition where a blood clot forms in a vein and limits venous return leading to swelling, pain and discoloration. Blood clots can break off and travel to the lungs. The diagnosis is readily made by physical examination and ultrasound evaluation of the affected extremity and if confirmed, usually requires blood-thinning medication (anticoagulation) unless contraindications exist. In severe and extreme cases, an invasive procedure to remove the clot can be performed in the hospital setting but few patients require this. Patients can present to our office and be evaluated and diagnosed in a calm and friendly environment while avoiding long wait times in busy emergency rooms as well as costly hospital bills. Primary care offices as well as specialty clinics such as orthopaedic surgery, gynecology and oncology among others will benefit from expedited evaluation of their patients and peace of mind that communication of results and recommendations will be delivered without delays.
Inferior Vena Cava Filter Placement and Removal:
In situations where anticoagulation is contraindicated due to intolerance or abnormal bleeding, and in situations where anticoagulation has to be stopped temporarily in preparation for surgery or a procedure, placement of an inferior vena cava filter may be indicated. Our office is equipped with a brand-new procedure room where filters can be placed, and then removed when no longer needed. Patients and referring physicians will enjoy the world-class care of our Board-certified physicians in a friendly environment that offers ease of scheduling and avoids the complexity of the hospital environment.
Iliac Vein and Inferior Vena Cava Obstructive Disease:
Patients who have suffered from deep vein thrombosis in the past are at risk of abnormal venous return if the clot does not completely recanalize. Other patients may have obstruction of the veins due to compression from other surrounding organs or structures such as neighboring arteries or scar tissue. This chronic deep venous obstructive pathology can go undiagnosed for years as these conditions are not in the main list of diagnoses for many physicians. A thorough history and examination followed by ultrasound testing will facilitate the diagnosis. At our office and outpatient procedure room we have the capability of evaluating the inside of these veins with the use of intravascular ultrasound as well as of stenting if indicated (placing a metal scaffold within the vein so it remains open). This procedure is done as outpatient in the comfort of our office and patients can return to their routine after a short recovery and bedrest.