Also serving the communities of De Luz, Rainbow, Camp Pendleton, Pala and Pauma
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End stage renal disease vascular access options When kidneys stop cleaning the blood effectively, known as end-stage renal disease (ESRD), vascular access for dialysis becomes essential for patient survival and quality of life. There are several vascular access options available, including central venous catheters, arteriovenous (AV) fistulas, and AV grafts. Each option has its advantages and disadvantages, but AV fistulas are generally considered the gold standard due to...
Limb preservation with revascularization Vascular surgeons work hard to keep limbs on bodies. Often, folks with diabetes, kidney disease, high blood pressure, or a history of smoking present to us with diminished or absent blood flow to their feet, causing pain in or even wounds on their feet. This disease process is chronic limb-threatening ischemia (CLTI), part of the peripheral arterial disease (PAD) spectrum. Intervening to improve blood flow, relieve pain, and heal...
When asked by the surgery department chair as a medical student why I wanted to treat vascular patients, my response was to be useful, useful to people with a challenging systemic disease that often results in stroke, amputation, and death. Often, wounds that haven't healed for months on a foot or a hand, or persistent leg pain provoked by walking or simply laying in bed are subtle indicators that Peripheral Arterial Disease (PAD), a vascular health challenge affecting many...