Vascular surgery is an integral part of a complete multi-disciplinary wound healing center. Wounds need sufficient blood supply to deliver oxygen, nutrients, medications, and immune cells to the wound bed to ensure maximal healing. Maximal wound healing also involves proper venous return from the extremities so the wound is not bathed in excessive fluid and become congested. Vascular intervention can optimize both arterial and venous function and we work side-by-side with our colleagues at the wound healing center to ensure the fastest healing rate for your wound possible.
When risk factors such as obesity, diabetes, renal failure, smoking, heart disease, and stroke are present, the arteries to the wound may be blocked and insufficient to meet the demand. Vascular intervention can either open these vessels up with balloons, stents, or “rotor-rooter” type of device called atherectomy, through often minimally invasive techniques that do not require any hospital stay. More than 95% of our patients return home the same day of the procedure, and we have performed these procedures for patients well into their 90’s. If endovascular techniques are not possible due to anatomical constraints, we are the only vascular interventionalists who can also perform open bypasses. This minimizes the delay of care by avoiding the need to see multiple doctors.
Veins have the difficult task of returning blood against gravity, and functional valves in the veins are needed to bring blood flow back up to the heart. When the valves are damaged, gravity pulls blood down and traps blood at the calves and ankles, causing swelling and congestion. This can make the wound weepy and difficult to control, and the surrounding skin is often macerated. Through same-day office-based procedures for >95% of our patients, vascular intervention can correct these dysfunctional valves and improve wound healing.
By physically working side-by-side with our wound care, infectious disease, podiatry, and plastic surgery colleagues at the wound healing center, we have created a truly multi-disciplinary center that offers the best wound healing rates with the most convenience to the patients.