Vascular Services of Western New England, P.C. logo  
   
 
 
 
 
 
   
   
Services We Provide
Vascular Laboratory
Hospital-Based Care
What Do We Do?
What We Ask Of You
   
  Copyright © Vascular Services of Western New England, P.C.
vascular surgery, vascular system, vascular disease, surgeons, stroke, diabetes, varicose veins
 
 
 
01 PRACTICE  
 
 
 

Vascular Services of Western New England, PC is one of the largest vascular surgery practices in the northeastern United States. Our goal is to provide the best state-of-the-art vascular surgery care to our patients.

The typical clinical problems we treat include:

   
 
Atherosclerosis throughout the body and its effects, primarily on the extremities:
    Gangrene,
Non-healing ulcers,
Difficulty walking, claudication, and
Leg pain.
     
Aneurysms, or enlargements of major arteries, as found in the:
    Abdominal aorta,
Thoracic aorta,
Peripheral arteries, and
Arteries serving the structures in the abdomen.
     
Carotid artery disease and its manifestations, including:
    Stroke,
Transient cerebral ischemia or ministrokes, and
Some types of vertigo.
     
Venous disease and its effects, including:
    Ulceration of legs,
Varicose veins; and
Painful legs from malfunctioning veins.
     
Edema or swelling of the legs or arms.
Dialysis access care, or surgery to provide sites for hemodialysis to be done.
Cold sensitivity
Wound care
Amputations
Blood clots, including clotting of arteries and phlebitis, or clotting in veins.
   
  We also provide consultative care for many medical problems that are related to the surgery of vascular disease. In fact, the vast majority of new patients we examine are treated “medically” – without surgery – for their problems.

We pride ourselves on being complete physicians, caring for all of the diseases that involve the circulation. We work closely with our referring physicians to provide consultation on the risk factors for developing vascular disease, such as cholesterol elevation, high blood pressure, smoking, and diabetes.

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  SERVICES WE PROVIDE
 

Our physicians and nurse practitioner provide the usual consultative services expected of any specialist office. We are not primary-care physicians, but we work closely with all internal medicine and primary care practices in our region.

Typed consultation reports are sent to your referring physician for the first visit, and periodic reports are sent so your physician can understand your care. Should you require an intervention or surgery, your primary care physician will be notified. We gladly share our records with any other physicians participating in your care. We never charge fees to send records to other providers of medical care for you.

We have two office registered nurses who assist in the coordination of laboratory studies and medications you may require, and they also work with you in the transition from hospital care to home.

Our office has medical assistants to work with the physicians and nurse practitioner to teach you dressing care and to assist with procedures. Our medical assistants are very experienced at wound care, and they are excellent in answering your questions. They also help you obtain prescriptions for medications and dressings.

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  THE VASCULAR LABORATORY OF WESTERN NEW ENGLAND
 

The first noninvasive vascular laboratory in our region was founded by the senior staff of Vascular Services of Western New England. The laboratory is fully-credentialed by the Intersocietal Committee for Accreditation of Vascular Laboratories.

Our nurses and technicians are well-versed in examining the major clinical problems of vascular disease, including aneurysms, carotid disease, blocked peripheral arteries, venous disease, and diseases involving the intestines.

The primary study we do is an ultrasound examination of the circulation, usually called a duplex scan. In addition, we study peripheral arteries using “pulse volume recording,” a procedure based on measurements with blood pressure cuffs. We study venous volume in legs with a slightly different blood pressure cuff measurement, called plethysmography. We evaluate the changes in muscle bundle pressure for people with certain types of leg pain caused by exercise.

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  WHERE WE PRACTICE HOSPITAL-BASED MEDICAL CARE
 

We maintain admitting privileges at…

  Baystate Medical Center
Mercy Medical Center
Holyoke Medical Center
   
  One physician from our staff conducts a monthly vascular clinic at the Wing Memorial Medical Center, Palmer Mass.

Another physician from our staff is a medical director for the Wound Care Center at Mercy Medical Center one day per week. That physician occasionally performs consultations at the Weldon Center for Rehabilitation on the Mercy campus.

We are sorry, but we cannot provide consultative services at other hospitals in the region. We do not provide rounding care (post-hospital visits) at the skilled nursing facilities in our region.

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  WHAT DO WE DO?

Consultative Care: Office and hospital consultations for vascular problems are the commonest activity we do as physicians.

Surgery: Historically, most serious vascular problems were found to be blockages from atherosclerosis, and these were treated with a variety of techniques…

  Bypasses, with your own vein or with plastic or Dacron tubes as “artificial arteries”;
  Endarterectomies, where blocking plaque is removed from the channel of an artery, commonly used for carotid artery disease in the neck;
  Arterial repair, the primary closure of a defect in a blood vessel;
  Aneurysm repair, really a type of bypass, but there are many types of repairs for aneurysms, which are arteries that are weakened and threatening to blow out;
  Vein stripping procedures; and
  Skin grafting and other wound care, such as debridement amputations.
  New procedures: In the last decade, there are many new procedures that we perform, including Catheter-based technologies:
  Angioplasty, to use a balloon to widen an artery or vein;
  Stenting, to keep an artery open by putting a small cage in the channel and fixing it in place with a balloon; and
  Endovenous treatment, with radiofrequency catheters or laser catheters for varicose veins.
  Office procedures:
 

Sclerotherapy, or injections to treat varicose veins and spider veins.

  Endovenous laser treatment: This is done in the office under local anesthesia for large saphenous vein varicosities.
 

Phlebectomy: using small incisions and hooks to remove small varicose veins.

 

Wound care

  Debridement
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  WHAT WE ASK OF YOU...
 

Medical records:
Please try to have your primary physician send your last year’s worth of records to us in preparation of your visit.

Medications:
For each visit, please bring an accurate list of your medications or bring the actual bottles.

X-rays:
If you have had imaging studies, x-rays, ultrasound, MRI from anywhere, please arrange to bring those films for your visit.

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