Arterial & Venous Duplex: Ultrasound testing is one of the best and most widely used techniques to diagnose any arterial or venous disease. Our office has a readily available vascular lab that provides these services. Our expert ultrasound technicians are under the direct supervision of Dr. De Jesus.
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When a person's kidneys fail, they will usually end up needing dialysis.
To receive dialysis the individual will need either a catheter (usually placed at the base of the neck, or a fistula. The Fistula is by far the best and safest way to receive the treatment.
Arterial Venous Fistula (AV Fistula): This is a surgical connection between an artery and a vein. This will usually be created in the non dominan arm (in a right handed person, the left arm would be the preferred place to do the surgery). On occasion, the surgeon may use a "plastic" graft to do the surgery.
Treatment for Spider Veins
Sclerotherapy: The use of a very fine needle to inject a "sclerosant" into the spider vein. Very effective in eliminating the unsightly veins. Usually requires more than one treatment to get desired result.
Most common complication is "browning". This is staining of the skin at injection site.
Unfortunately around half of spider veins may return within 6 months after injection, even after successful treatment. Treatment may be repeated even after veins recur.
Insurance may cover this treatment but for the most part this will be an out of pocket expense.
We provide this treatment as a 30 min session where we may cover both lower extremities if time allows. It is safely performed in the office.
Treatment for Large Bulging Varicose Veins
Phlebectomy: Surgical removal of the Bulging vein. These veins may remain even after successful Laser ablation. They may be painful. Under light sedation and local anesthesia, a very small incisions performed and the vein is removed in segments. It is very well tolerated in Experts hands. Results may be very dramatic, in a GOOD way.
Insurance covers this procedure.
It is safely performed in the office.
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Treatment for "PAD" Peripheral Arterial Disease
Angioplasty & Stenting: PAD is commonly refers to as Bad circulation in the legs. It can present with pain after walking, or in more extreme cases Ulcers or even Gangrene. It becomes more common and prevalent in our aging population. Common risk factors include: 1- Diabetes, 2-High Blood pressure, 3- High cholesterol, 4- Smoking, 5- Lack of exercise.
As a Vascular & Endovascular Surgeon Dr. De Jesus is an Expert in treating these conditions.
Vein & Vascular Experts' state of the art Facility has an on-site Cathlab. We are able to perform an angiogram of the arteries to your legs to specifically diagnose the blockage. We are also able to, right then and there, perform an angioplasty (place a balloon to open the artery) or place a stent as necessary.
Results are excellent in returning patients back to functional lives and alleviating pain on walking.
Screening and treatment of PAD will prevent most amputations from ever happening.
These interventions are covered by most insurance companies.
Dr. Gus De Jesus
Board Certified Vascular Surgeon
Treatment for Varicose vein disease
Endovenous Ablation: The use of a fine laser or RFA catheter to close off the diseased superficial vein. It improves symptoms caused by Varicose Vein disease almost instantly. Usually takes about 10-15 minutes to perform. Minimal discomfort. Most people can return to work within 24 hrs after the procedure.
The most serious common complication (extremely rare) is extension of the ablation into the deep venous system (DVT formation). This is exceedingly rare in the experts hands of a Vascular Surgeon.
Insurance covers this treatment. It is safely performed in the office.
Carotid Artery Disease
The Carotid arteries provide blood flow to the brain. They can develop "plaque" build-up within their walls. This is an important cause for stroke.
Carotid Endarterectomy: This is a surgery where a Vascular Surgeon re-establishes blood flow to the artery by removing the plaque from the wall of the artery and in most cases then repairs the wall with a patch (See illustration).
This operation is done in the hospital and requires General Anesthesia.
In patients that are not candidates for surgery, Dr De Jesus also provides Carotid Artery Stenting
Abdominal Aortic Aneurysm
The Aorta is the main artery in the body. It originates at the root of the heart and courses thru your entire body to distribute blood to all your organs and tissues.
An Aneurysm is when the artery wall is damaged and begins to dilate. If it reaches a certain size there may be a risk for rupture.
Abdominal Aortic Aneurysms are an important cause of death in our aging population.
Endovascular & Open Aneurysm Repair: As a Vascular Surgeon Dr. De Jesus is an Expert at repairing these both by Endovascular (stent placement) and by open surgery.
Office Based Cath-Lab
Angiography: If during your diagnostic workup we find that you have an arterial blockage, we are able to further diagnose and treat you right in the office setting. We are able to perform an arteriogram in our facility and if needed, perform an angioplasty or stent during the same procedure.
Venogram: Some patients may present with severe venous disease not explained by varicose vein disease. This may be a symptom of a condition named May Thurner Syndrome. By performing a Venogram we may be able to diagnose and treat these individuals right in our office.
Our Lab is licensed, certified, and inspected by the Florida Department of Health.
Lower Extremity Bypass Surgery
Some patient are not candidates for Lower Extremity Endovascular Surgery (Angioplasty, Stenting).
As A Vascular & Endovascular Surgeon, Dr. De Jesus is an Expert at doing open Bypass surgery to improve or restore blood flow to the lower extremities.
Lower Extremity bypass surgery may be crucial for wound healing as well as preventing amputation.
This kind of Surgery is done in the hospital under General Anesthesia.
Dr. De Jesus is currently credentialed to do these kind of operations at Lakeland Regional Hospital and Bartow Regional Hospital.