Vascular /Endovascular

Dr. DeCaprio Treats:

Carotid Stenosis

Carotid stenosis results from hardening of the arteries in the neck . This artery supplies the brain with blood flow. Carotid stenosis is a major cause of stroke in the US. Patients who have symptoms from their carotid disease or who have a severe blockage may benefit from surgical intervention (Information on carotid disease)

At Collom and Carney Vascular Associates we believe it is imperative for patients who are at risk for carotid stenosis to be evaluated. When it is in the best interest to have the stenosis treated surgically this can be done with a stent or with open surgery.

Abdominal Aortic Aneurysm

Abdominal Aortic Aneurysm is a dilation of the Aorta in the abdomen. When the aneurysm exceeds 5 cm in size or is symptomatic it requires surgical treatment. The majority of infrarenal Aneurysms ( aneurysms below the kidneys) can be treated with and endovascular repair. This involves incisions in the groin with repair of the Aneurysm with a special stent graft. Collom and Carney Vascular Associates offers open repair for those patients who are unable to have an aortic endograft (AAA patient information).

Peripheral Arterial Disease

Peripheral arterial disease is caused by hardening of the arteries in the lower extremity. In the US 12 million individuals have PAD. It is more common in those individuals who smoke , have diabetes, hypertension, high cholesterol and over the age of 50. The majority of patients are asymptomatic. PAD is strongly associated with heart disease and carotid artery stenosis. The most common symptom associated with PAD is leg pain with ambulation. PAD can be very disabling and in severe cases can lead to limb loss.

Surgery is usually required when PAD is quality of life limiting or when it is limb threatening.

Collom and Carney Vascular Associates performs both endovascular ( ie stent, balloon angioplasty, atherectomies) and open bypass procedures for PAD.

Read more on PAD

Vascular Access

In the United States about 600,000 individuals have End Stage Kidney disease. The majority of these patients receive hemodialysis . At Collom and Carney Vascular Associates we employ a fistula first futility never motto. Every patient that is referred to us for hemodialysis access is evaluated to see if they are a candidate for arterio venous fistula creation. Using state of the art imaging a fistula plan plan can be implemented on a case by case basis.

Other hemodialysis services include Arteriovenous graft creation, duplex surveillance as well as in office fistulogram and endovascular intervention for access preservation.

Read more on hemodialysis access