06-22-2022 Primetime Livnig - Flipbook - Page 27
A Special Advertising Section of Baltimore Sun Media Group | Wednesday, June 22, 2022 27
Vascular disease, continued
from previous page
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blood, the legs can swell, become painful
and achy, or develop varicose veins. In
worse cases, the skin can become leathery, flaky or itchy, and ulcers can develop.
Treatment plans for venous insufficiency begin with lifestyle modifications.
Patients are encouraged to avoid long
periods of standing or sitting, exercise
regularly, lose weight and elevate the legs
while sitting and lying down. Skin infections are treated with antibiotics and topical creams like hydrocortisone or antifungal creams to protect the skin, minimize
itching and prevent further infections. In
addition, compression stockings may be
indicated to support the legs and reduce
swelling. The stockings provide pressure
to help the blood flow back up from the
legs.
A proliferation of independent vein
centers exists today, and these centers
are prone to recommending permanent
solutions that can create issues later,
according to Dr. Sarkar. Before embarking
on any permanent treatments, Dr. Sarkar
suggests scheduling a second opinion, as
closing off veins in the leg can prevent the
opportunity for lifesaving bypass surgery
in the future.
Two non-surgical treatments may be
suggested. Sclerotherapy involves the
injection of a salt solution into the small
varicose veins and spider veins that
causes them to collapse and disappear.
The blood flow is rerouted by the body
to healthier veins. Endovenous ablation
uses high frequency radio waves to heat
the affected area. Ablation closes off the
problem veins, but they remain in place.
Minimal bruising and bleeding can occur.
Both treatments restore the leg to better
function and appearance but the impact
on the vein is permanent.
For extreme cases, surgery may be
the indicated treatment. A stent may be
placed in the vein to keep veins open
and prevent obstruction. Another option
rarely required is a bypass procedure,
utilized when other treatments have not
been effective. Grafts are used to bypass
completely blocked veins in patients with
severe symptoms.
Before opting for permanent treatments for venous diseases, patients
should work on lifestyle changes they can
manage on their own.
“One of the most important preventative measures patients can take to minimize vascular issues is to correct the risk
factors,” Dr. Sarkar explains. “Diabetes
needs to be in regular control. There has
to be smoking cessation, regular exercise and good adherence to taking your
prescribed medications like aspirins and
your statins. With regular attention, most
patients with vascular disease can avoid
surgery.”
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