In what cases is consultation with a vascular surgeon required?

NECHAYEV Pavel Igorevich

Surgeon, mammologist Areas of training: oncology, surgery, ultrasound diagnostics, plastic surgery

SAVINA Lyudmila Grigorievna

Procedure nurse

ROKHVADZE Ekaterina Yurievna

Cosmetologist

SAZHNIKOV Oleg Vasilievich

Traumatologist-orthopedist

GONCHAROV Evgeniy Nikolaevich

Orthopedist, Candidate of Medical Sciences

Kohout Korbinian

Osteopath IA, Physiotherapist

ELOVSKAYA Svetlana Nikolaevna

General practitioner

FILIPPOVA Marina Nikolaevna

Neurologist

RYZHOVA Anna Alekseevna

Nurse anesthetist

SHASHINA Anna Igorevna

Obstetrician-gynecologist

TSVETNOVA Elena Andreevna

Procedure nurse

CHUDAEV Evgeniy Alexandrovich

Ultrasound diagnostics doctor.

KOSTRITSA Andrey Nikolaevich

Traumatologist-orthopedist, kmn.

Multidisciplinary clinic in Troparevo

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Hospitalization center at Volyn hospital

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20.10.2017

A huge thank you to the entire team of your hospital; I have never once regretted coming to your clinic. Thanks to you, I stopped believing in jokes about medicine. There are also people who sincerely love and know how to do their job.

Andrey Nikolaevich is simply smart, good luck to him in everything, I send all my friends to him! I especially wanted to mention the nurse anesthetist Olesya, I never cease to be amazed at how a catheter can be placed without the patient even noticing. Thanks everyone! Surnin A.

WITH.

14.10.2017

We express our sincere gratitude to all the clinic staff for their care and attention. Many thanks to Dr. Andrei Nikolaevich Kostritsa, anesthesiologist Alexander Stepanovich Kapustin, nurses and everyone who took care of us and helped us. We wish everyone good health and prosperity.

With gratitude, Likhnovich A. and Likhnovich E.

Source: https://www.vashdr.ru/departments/xirurgiya/sosudistaya-xirurgiya/

Vascular surgeon

Consultation with a vascular surgeon or angiosurgeon is necessary for patients with diseases of the vascular system. Various treatment methods can get rid of such ailments: medication, surgery, laser or radio wave therapy. Modern treatment methods make it possible to make small incisions with a low level of trauma.

A vascular surgeon treats pathologies of the vascular system

Key Features

All organs and tissues are supplied with blood, so any disturbance in the functioning of blood vessels and arteries can provoke the development of negative consequences. Since more vulnerable vessels are located in the legs, the most common problems are varicose veins and thrombosis.

If such illnesses are ignored, the consequences can be extremely dangerous, because diseases lead not only to disability, but also to death.

A vascular surgeon studies the processes that occur in lymphatic and blood vessels, analyzes their condition, and the possibilities of normal functioning.

To do this, he can use conservative treatment methods, and in extreme cases, proceed to surgical intervention.

Most often, patients with varicose veins turn to a vascular surgeon.

A cardiovascular surgeon is obliged to eliminate pathologies of organs that are involved in blood circulation. Modern medicine can effectively prevent the development of myocardial infarction. Specialists perform complex, combined operations, combining different surgical methods.

Among the many names, not everyone knows how to correctly call the specialties of cardiology. So, for several years now such names as pediatric vascular surgeon, phlebologist and angiosurgeon have no longer existed. The following specialties are now used in medicine:

• cardiovascular surgeon;
• pediatric and adult cardiologist;

Thoracic surgeon performs operations after injuries

Cardiologists do not perform surgical interventions, but limit themselves only to drug therapy. Thoracic surgery allows suturing of blood vessels if a person is diagnosed with amputation of a limb due to injury.

These same doctors can restore the functioning of an arm or leg. A pediatric vascular surgeon diagnoses and treats problems of young patients, performs prosthetics, and implants blood vessels after burns or injuries.

Major diseases

It is necessary to make an appointment with such a specialist if the patient has a vascular tumor, aortic aneurysm, myocardial infarction, phlebitis or thrombosis, atherosclerosis, or other vascular pathologies. A cardiovascular surgeon deals with varicose veins, phlebectomy, and vein removal.

The help of a vascular surgeon will be required if thrombosis develops

Before you sign up, you should undergo an examination and consult with doctors who can eliminate the problem with the help of medications.

And only if there are no results from such treatment, you can go to this specialist. The services of a vascular surgeon will be needed if the disease has reached the final (advanced) stage.

In addition, the doctor will advise patients with heart defects (mechanical structural disorder).

A cardiovascular surgeon can relieve a patient from the following diseases:

• ruptures of interventricular septa during myocardial infarction;
• acute mitral valve insufficiency and angina pectoris;
• resuscitation for cardiogenic shock, during sudden cardiac arrest;

A vascular surgeon will help get rid of arterial stenosis

• arterial stenosis;
• infective endocarditis;
• heart failure;
• arrhythmias that can be corrected with a pacemaker.

You should go to a vascular surgeon for an appointment if there is swelling and redness in the extremities, if the patient occasionally feels tingling and numbness in the arms or legs, notes a burning sensation in the feet, or finds lumps on his legs.

A feeling of tingling or burning in the legs is a reason to consult a vascular surgeon

In addition to these symptoms, the patient may be bothered by an unreasonable headache, tinnitus, or lose consciousness. Sometimes such people experience dizziness and ophthalmic manifestations. Patients will have to undergo tests immediately if they experience blackening or necrosis of the fingertips or gangrene.

Common Research

A cardiovascular surgeon in his practice uses different methods for diagnosing the disease. In addition to the usual blood and urine tests, the patient is checked for a hemostasiogram, creotine kinase MB, homocysteine, adrenaline and norepinephrine. They conduct a blood test for infections, but this test is done only when necessary.

The following diagnostic methods are important for a doctor:

• ultrasound examination of organs (most often the kidneys, thyroid gland, adrenal glands);

The doctor will be able to make an accurate diagnosis based on the results of the ECG.

• ECG;
• tomography;
• endoscopy;
• duplex sonography of blood vessels;
• echocardiography;
• blood pressure and ECG examination per day.

To diagnose diseases, a vascular surgeon performs an ultrasound

How does an appointment with a doctor work?

The vascular surgeon's appointment begins with the patient's story and analysis of all test results that were done previously. When a patient consulted more than one specialist, but came to this doctor by referral, it is better to go to him with a set of the most important tests. This will speed up the treatment process, and in some cases, will gain time.

After the information block, the doctor begins a direct examination of the damaged area of ​​the body. Then he must formulate a treatment strategy, and for this he may need the results of certain tests. The patient will be prescribed conservative treatment or surgery.

Surgery

Before going to such a specialist, the patient must understand the criticality of his case. Therefore, you need to come to your appointment mentally prepared. In some cases, the doctor will solve the problem quickly and categorically. The patient must be ready to make the decision to undergo surgery.

During surgery, the doctor performs stenting of blood vessels

If a person has a heart defect, a cardiovascular surgeon will perform surgery on the valve apparatus of the organ. To do this, he will install a prosthesis or perform valve surgery. The most severe cases are operated on even on infants, but not very critical ones can be postponed until the child is 10 years old.

To dilate the vessels, a stenting procedure is performed, when an expansion spring is inserted into a certain place in the vessel.

To restore blood flow to the ischemic area of ​​the myocardium, the physician uses a prosthesis or the patient’s veins to create a bypass path.

In addition, the patient can have a pacemaker installed, which adapts to the rhythm of the heart and uninterruptedly maintains the heart rate, connecting if necessary.

For diseases of the extremities, treatment depends on the stage of the disease. So, at the first signs of varicose veins, doctors remove spider veins using microsclerotherapy. Sclerosing substances are injected into the veins with ultra-thin needles or fine foam is injected to improve the effect. An ozone-oxygen mixture, laser devices and percutaneous coagulation can help solve this problem.

Sclerotherapy is used to treat spider veins on the legs.

In the second stage of vein disease, they will have to be removed. This may be an operation under general anesthesia with an incision in the groin or leg. In this case, rehabilitation will be long and difficult. And if doctors use radiofrequency obliteration, the process will not be so painful.

Trophic ulcers form at the third stage of development of varicose veins. Not all surgeons immediately take decisive action; many wait and treat with conservative methods. Others combine different treatment methods, eliminating altered main trunks using radiofrequency, miniphlebectomy, and at the same time treating with medications.

Doctor's recommendations

When making an appointment, a person must understand the seriousness of the situation. Don’t delay treatment and believe in a fairy-tale cure with just one pill. Only a healthy lifestyle, the absence of bad habits, active physical training and proper nutrition will help reduce the risk of developing problems with blood vessels and arteries.

At the first manifestations of vascular disease, you must make an appointment with a doctor.

Even a healthy person should undergo a medical examination from time to time to identify the problem at an early stage. If the patient has the symptoms listed above, and his condition worsens every day, he should immediately seek qualified help, and not use folk remedies that cannot cure the patient.

Watch the video to see how a vascular surgeon conducts an appointment:

Source: http://bolezni.com/spravochnik-vrachi/konsultaciya-sosudistogo-xirurga.html

What does a vascular surgeon do?

Who is a vascular surgeon

Vascular surgery is a surgical branch of medicine that deals with the development and implementation of effective surgical methods for treating pathologies of vascular structures of the blood circulation, which include the arterial and venous systems.

The surgical profile of an angiosurgeon involves the use of various surgical methods for the treatment of pathological phenomena, however, it does not exclude the possibility of using conservative therapy in cases where conservative treatment makes sense and allows eliminating the disease without surgical intervention.

This is the difference between an angiosurgeon and an angiologist.

An angiologist is a therapeutic doctor, that is, he uses exclusively conservative methods of therapy, and if a disease is identified for which conservative methods of treatment will not have the desired result or are completely meaningless, he refers the patient to a vascular surgeon.

In addition, the development of modern technologies allows the use of minimally invasive treatment techniques that help eliminate pathological processes with minimal damage to the integrity of soft tissues.

Microsurgery is one of the modern minimally invasive surgical techniques and is widely used not only in angiosurgery, but also in neurosurgery, gynecology, ophthalmology, etc. Microsurgery involves the use of specific magnifying devices and special microsurgical equipment, including special suture materials, during the operation.

What does a vascular surgeon do and what does he do?

A vascular surgeon carries out professional activities in various medical institutions (for example, in a hospital), in vascular surgery departments, in specific medical institutions (for example, a vascular surgery center), and can also provide a range of medical services in private medical institutions. The functions of a vascular surgeon include:

• Providing information and consulting assistance to patients. If necessary, the angiosurgeon provides information support to the personnel of the medical institution in matters related to his direct competence;
• Drawing up an optimal plan for diagnostic measures, taking into account the rationality of using certain diagnostic methods to obtain in the shortest possible time a sufficient amount of information to make an accurate diagnosis;
• Interpretation of the obtained diagnostic results, on the basis of which the diagnosis is made;
• Drawing up an individual treatment plan, including surgical treatment methods. If necessary, adjust the treatment course;
• Conducting a surgical operation and subsequent monitoring of the patient in the postoperative period in a hospital setting or according to an established visit schedule in case of outpatient observation;
• Drawing up and implementing a set of rehabilitation procedures for the speedy restoration of health and functions;
• Exercising control over the implementation of medical procedures;

You can get an appointment with a vascular surgeon on your own, or by referral from a generalist (for example, a surgeon or therapist) or a specialist (angiologist, for example). The consultation with the angiosurgeon takes place according to the following scheme:

• Initially, the doctor conducts a conversation with the patient, during which the angiosurgeon asks questions regarding the disease, symptoms, lifestyle, etc. In parallel, the doctor studies the medical history;
• Inspection of the problem area (if any);

Regardless of whether there is a possibility of making a diagnosis without the use of hardware diagnostic methods and tests, these measures are mandatory, as they allow us to collect much more information about the patient’s health status, the course of the disease, etc.

Diagnostic methods and tests

Of course, everything depends on the specific case, so the list below will be subject to serious changes in certain situations. What instrumental diagnostic methods and laboratory tests are provided in vascular surgery:

• UAC and OAM;
• Angioscopy is a method of endoscopic examination by introducing an angioscope into a vessel and subsequent assessment of the structure of the vessel;
• Blood chemistry. This research method helps to obtain detailed data by which it is possible to determine the degree of predisposition of the body to atherosclerosis, assess the condition and functional parameters of internal organs, as well as assess the content of homocysteine, which leads to thinning of the walls of blood vessels and, of course, some indicators of cholesterol (HDL, triglycerides) etc.);
• MRA (magnetic resonance angiography) is a method that allows you to obtain an image of the circulatory system using a magnetic resonance imaging scanner;
• Fibrinogen level analysis;
• Angiography is an X-ray method for studying blood vessels with the preliminary introduction of a radiopaque contrast agent into the blood vessels;
• Dopplerography is an ultrasound method that allows you to identify disturbances in blood flow in vascular structures, thickness, elasticity, pathological narrowing of blood vessels and much more;
• Serological blood tests allow us to identify the presence of infectious processes in the body by assessing specific immunoglobulins;
• Coronary angiography is an invasive diagnostic method that allows you to determine the state of coronary blood flow and arterial structures;
• Test for prothombin time and its derivative (prothombin index);
• Ultrasound examination of the endocrine glands makes it possible to assess the functioning of the endocrine system and determine the stability of hormonal levels;
• Echocardiogram and electrocardiogram;
• Anthropometry, etc.;

What does a vascular surgeon treat?

The diseases that an angiosurgeon treats are widespread among people of all ages. They can be congenital or acquired. In addition to diseases, a vascular surgeon deals with the following situations:

• Surgical intervention for traumatic amputations of limbs (replantology);
• Treatment of damaged vessels as a result of a traumatic situation (mechanical damage), as well as prosthetics of vascular structures when it is impossible to restore integrity;
• Surgical interventions for malignant tumors spreading to blood vessels;

Treatment of the following diseases is within the scope of professional influence of a vascular surgeon:

• Dilatation of the veins of the spermatic cord (varicocele);
• Stricture (narrowing) of the carotid artery;
• Arterial fistulas;
• Takayasu's disease;
• Raynaud's disease;
• Arterial thrombosis;
• IHD;
• Atherosclerosis;
• Damage to the heart muscle due to impaired blood supply (myocardial infarction);
• Goodpasture's syndrome;
• Buerger's disease;
• SAH (subarachnoid hemorrhage);
• AVM;
• Hyperabduction syndrome;
• Encephalopathy;
• Lymphedema;
• Embolism of arterial and/or venous structures;
• Hepatic vein obstruction syndrome, etc.;

When should you contact a vascular surgeon?

It is necessary to visit an angiosurgeon in the cases indicated in the list below:

• There is a presence of periodic persistent headaches, unaccompanied by symptoms characteristic of acute respiratory infections;
• There is periodic occurrence of abnormal noises in the hearing organs/head;
• Pain in the legs that occurs with light, short-term exertion;
• There is a burning sensation and/or colic in the extremities (arms/legs) or other parts of the body;
• There are persistent pain sensations that occur with a certain frequency in the chest, side or lumbar region. The pain syndrome can radiate to the clavicular or interscapular region, as well as to the upper limbs (arms) and groin;
• Spasms that become more frequent, usually at night;
• Hemorrhages in any location of the body/extremities;
• Ulcerative lesions that do not heal for a long time, in any part of the skin tissue;
• Reduced/absolute loss of sensitivity of the limbs or any individual area of ​​the skin;
• Dizziness;
• Sharp darkening of the eyes, loss of consciousness;
• There is deformation of the venous structures of the circulatory system;
• When turning the head or abruptly changing position, “dots” flicker in the eyes;
• The skin tissues of the fingers have a bluish tint or a darker color than the rest of the skin;

Source: https://hirurgi.su/article/chto-delaet-sosudistyj-hirurg

Consultation with a vascular surgeon

Vascular surgeons at the Innovative Vascular Center are experienced doctors - practitioners who daily encounter a variety of vascular pathologies in patients of different ages. Our clinic has developed a diagnostic technique that allows for a thorough examination of all major vascular systems, studying circulatory data using Dopplerography, and studying the ankle pressure index in patients with critical ischemia. You can make an appointment for varicose veins of the lower extremities and pelvis, critical ischemia and gangrene of the legs in Moscow, Klin, Voronezh, Tver and Pskov. Visits are conducted by doctors of the highest category who perform high-tech operations for vascular pathology.

How does a consultation with a vascular surgeon proceed?

The initial appointment with a vascular surgeon requires special preparation for the patient. To facilitate the work of the angiosurgeon, the data from studies of the vascular system that you have undergone previously will help.

Try to bring with you to your consultation extracts from other hospitals where you were treated for this disease. It is advisable to take with you the data of ultrasound examinations, MSCT or angiography disks.

If you are consulting a relative on documents, be sure to bring with you photographs of the sore leg and a video interview with the relative:

• What worries him
• When he got sick
• Has he tried treatment?

Examination by an angiosurgeon at the Innovative Vascular Center

The consultation begins with interviewing the patient and examining complaints.

If there are complaints of pain in the lower extremities, their nature is clarified, whether they appear when walking or are present at rest; if there is a history of ischemic stroke, the symptoms that preceded it are clarified (dizziness, loss of consciousness, noise in the head). It is imperative to find out whether there is pain in the abdomen and behind the sternum, to exclude serious vascular pathology.

After the interview, a general examination is carried out. The neck, shoulder girdle, abdominal wall, groin and popliteal areas must be examined. Attention is drawn to the presence of a pulsating protrusion.

The feet and hands are examined, their color, vein fullness, and skin temperature are assessed. Visible saphenous veins are assessed and their consolidation is noted.

The volume of active and passive movements in the large joints of the limbs must be determined.

After the examination, the doctor begins palpation. The main task is to feel the pulse at standard points, identify pulsating protrusions that may indicate aneurysms, the presence of compactions along the veins and muscle density. The absence of a pulse at any standard points may indicate a violation of the patency of the arteries above this point.

Auscultation (listening) of the arteries is carried out at standard points. On the neck in the projection of the carotid arteries, in the axillary fossae, in the groin areas, in the navel area and in the popliteal fossa area. The presence of noise over these areas may indicate atherosclerotic narrowings or the presence of aneurysms.

After consultation

To clarify the diagnosis, the cardiovascular surgeon prescribes additional examination methods. First of all, this is an ultrasound diagnosis of the arteries or veins of the area that is the subject of the patient’s complaints and other areas in which the vascular surgeon may have suspected pathology during the examination.

Based on the results of the consultation, the doctor may prescribe medication therapy, or physical therapy treatments, therapeutic walking, or follow-up care. In some cases, urgent or planned hospitalization for surgical treatment is suggested. After surgical treatment, observation by a vascular surgeon is necessary for a year.

Additional examination methods

Based on the results of the outpatient consultation and diagnosis, the patient may be offered further examination with or without hospitalization. Most often, the angiosurgeon prescribes arterial imaging methods:

• Ultrasound of arteries and veins of the extremities, head, abdomen
• Multislice computed tomography with arterial contrast
• Contrast angiography or magnetic resonance imaging.
• In order to prepare for surgical treatment, the doctor may order laboratory tests
• Chest X-ray
• Endoscopic examination of the stomach.

Advantages of treatment in the clinic

Experienced Practitioners

Practice in leading clinics in Germany and Denmark

Unique technologies for microsurgical treatment

Source: https://angioclinic.ru/metodiki/konsultatsiya-sosudistogo-hirurga/

Why is it important to see a vascular surgeon?

Angiosurgery is a field of surgery that deals with the treatment of lymphatic and blood vessels.
Timely contact with an angiosurgeon can prevent serious consequences of vascular diseases - amputation of limbs, strokes, thrombophlebitis, trophic ulcers, thrombosis, acute renal failure, etc.

The main risk factors for cardiovascular diseases are physical inactivity, poor diet and smoking. This behavior in 80% of cases leads to coronary heart disease, cerebrovascular disease and other diseases of the cardiovascular system.

The effects of insufficient physical activity and an unhealthy diet can include high blood pressure, high blood glucose levels, high lipid (fat) levels, and excess weight or obesity.

They indicate an increased risk of developing heart failure, stroke, heart attack and other cardiovascular diseases.

It has been proven that reducing salt intake, stopping tobacco use, consuming vegetables and fruits in combination with regular physical activity, and avoiding alcohol consumption reduce the risk of developing cardiovascular diseases. Also, cardiovascular risk can be reduced through timely treatment or prevention of hypertension, high levels of lipids in the blood, and diabetes.

Symptoms of diseases in the field of vascular surgery include: swelling and heaviness in the legs, spider veins, headaches, dilated veins, noise in the head, dizziness, muscle cramps in the limbs, hemorrhages of any location, pain in the legs when walking. If you find the listed symptoms, you need to be examined by specialists, because prevention is much better than treatment.

Who should be examined by an angiosurgeon first?

Patients with diabetes mellitus

Vascular complications (micro and macroangiopathies) are among the most common complications of diabetes. Unfortunately, patients with diabetes mellitus often turn to an angiosurgeon in the later stages of the disease with complications in the form of trophic ulcers.

The course of atherosclerosis in diabetes mellitus is much more aggressive, the frequency of critical ischemia is much higher than in the rest of the population. Trophic disorders develop in 10% of elderly patients with diabetes mellitus. About 40-50% of lower limb amputations for peripheral arterial insufficiency are performed in patients with diabetes.

Major amputations are resorted to 11 times more often in diabetes mellitus than in other patients, and amputations are required in young people.

Patients with varicose veins of the lower extremities

Among diseases of the human cardiovascular system, the first place is occupied by varicose veins of the lower extremities. This disease affects mainly women, which is associated with genetic predisposition, pregnancy, childbirth and hormonal levels.

It is characterized by stagnation of blood in the dilated veins, the appearance of a feeling of heaviness and fatigue in the legs at the end of the working day, followed by swelling, discoloration and thickening of the skin of the legs, and trophic ulcers of the legs and feet may open.

It is necessary to timely determine the indications for surgical treatment - removal of dilated veins, and also differentiate this pathology from other clinically similar diseases - post-thrombotic disease of the deep veins of the lower extremities, congenital anomalies of the venous system.

Patients with damage to the lymphatic system

Diseases of the lymphatic system are not as widespread as diseases of the arteries and veins. However, lymphedema of the lower or upper extremities significantly reduces the quality of life and requires long-term regular treatment.

Lymphostasis is manifested by persistent, gradually increasing, up to very large, swelling of the limb, caused by congenital disorders of the structure of the lymphatic system or repeated inflammation of the skin and subcutaneous tissue of the limbs.

Lymphostasis of the arm often develops after radical removal of the mammary gland in women due to cancer.

Patients with aortic aneurysm

The aorta is the most powerful and largest artery in the human body. The aorta originates from the left ventricle of the heart, from where it receives oxygen-enriched blood. Then the blood passes through the aorta, entering all the arteries departing from it, which in turn supply oxygen to all tissues and organs.

An arterial aneurysm is a formation (sac) in any part of an artery that forms as a result of weakening of the arterial wall. Typically, the formation of an aneurysm takes several years.

Patients at increased risk of stroke

Today, stroke is the leading cause of disability and mortality. In Russia, 450 thousand people develop stroke annually, a third of them die in the acute period of the disease, 80% of survivors have motor and speech disorders.

In most cases, a stroke or acute cerebrovascular accident develops with severe atherosclerosis of the arteries supplying blood to the brain.

Atherosclerotic narrowing or blockage of the carotid arteries leads to temporary or permanent brain damage by cutting off part of the brain from the blood supply.

The risk of developing a stroke increases as atherosclerosis progresses, the atherosclerotic plaque grows and its “instability” forms, that is, a condition when there is a risk of ulcer formation, destruction of the internal lining of the artery, and the risk of thrombosis on the surface of the damaged vessel increases significantly.

When a blood clot or part of an atherosclerotic plaque breaks off, it travels through the carotid arteries into the brain and blocks the flow of blood to a certain area of ​​the brain.

Depending on the size of the particle and where it ultimately ends up, the patient develops a transient (minor stroke or transient ischemic attack) or permanent cerebrovascular accident (stroke).

Classic signs of a cerebrovascular accident include partial vision loss, speech problems, sensory loss, weakness or paralysis of one side of the body or face, and problems with balance and coordination.
A thorough examination of the condition of the carotid arteries using ultrasound methods (primarily duplex scanning) allows us to answer the question of what measures need to be taken to prevent a stroke or its recurrence. Only timely treatment prescribed by a specialist, which includes eliminating possible risk factors, taking medications that improve cerebral blood flow and slow down the further progression of atherosclerosis, can help avoid a stroke.

Patients with obliterating atherosclerosis of the vessels of the lower extremities
This widespread pathology consists of narrowing and blocking of the arteries with atherosclerotic plaques, causing a decrease in blood supply and the appearance of symptoms of “arterial insufficiency” of an organ (brain, kidneys, etc.) or limb (legs, arms).

Normally, the inner wall of arterial blood vessels is smooth, which allows blood to flow to human organs without difficulty. With pathology, the inner wall of the arteries becomes uneven, and then, due to deposits of cholesterol and other lipids, it thickens over time. This pathological process is called atherosclerosis, or “hardening” of the artery wall.

As the atherosclerotic process progresses, narrowing or blockage of the arteries occurs, which leads to a significant decrease in the flow of blood to human organs. Significant narrowing or blockage of arteries by atherosclerosis causes stroke, heart attack, and gangrene of the lower extremities. The task of vascular surgeons is to prevent serious disabling complications of atherosclerosis.

If the disease is recognized at an early stage, it can be treated conservatively (droppers, tablets); in a more advanced stage, only surgery on the arteries will help. In advanced cases, with the development of gangrene, the need for amputation of the limb arises.

Currently, the vascular surgeon is greatly assisted in making the correct diagnosis at the prehospital stage by such a widespread and safe method as Doppler ultrasound examination of blood vessels.

This method allows you to assess the condition of the vessel wall, its patency, the degree of narrowing, the structure of the atherosclerotic plaque of the artery, the presence and nature of a blood clot in the veins of the extremities, and the functioning of the valve apparatus of the veins. All this contributes not only to competent diagnosis, but also to timely decision-making on the choice of treatment and prevention method for each individual patient.

You should contact an angiosurgeon if:

• You suffer from constant or recurrent headaches or sudden dizziness.
• You notice a sudden or gradual deterioration in your vision.
• You have suffered a stroke, or recognized the symptoms of a stroke: numbness of the arms, legs, parts of the face, impaired speech, coordination, weakness.
• You have high blood pressure, which may not be reduced by taking medications.
• An ultrasound of your kidneys revealed a narrowing or blockage (occlusion or stenosis) of the renal artery.
• During physical activity, you experience a feeling of excessive fatigue in your arms and legs.
• From time to time you experience numbness, tingling, and coldness in your toes and hands.
• When measuring your blood pressure, you notice a difference in blood pressure on your left and right arms.
• Small veins and stars are visible on your legs.
• You experience significant swelling in your legs.
• On your legs there is redness and thickening of the skin, dark spots, and bulging subcutaneous veins are visible.

It is very important that the formation of certain principles and attitudes is of great importance for the success of therapy and surgery of vascular diseases.
Smoking is the most important factor in the progression of vascular lesions.

Quitting smoking leads to an increase in pain-free walking distance by 1.5-2 times, even without drug treatment. It is important to remember about moderate physical activity - even training walking promotes the development of lateral bypass pathways and reduces the need for vascular operations.

Remember that timely consultation with a specialist can prevent a number of diseases of the cardiovascular system.

Source: https://mammae-clinic.ru/pochemu-vazhno-obratitsya-k-sosudistomu-xirurgu/

Vascular surgeon

Turning to angiosurgeons is sometimes associated with the need to save the patient’s life - for example, in case of a threat of stroke or pulmonary embolism.

What diseases does a vascular surgeon treat?

Basically, modern vascular surgeons specialize in performing minimally invasive surgical interventions (microsurgery).

However, they are also involved in the full supervision of the patient - his rehabilitation and recovery, selection of conservative (in particular, preventive) treatment, correction of nutrition and lifestyle, dynamic monitoring of the state of the vascular system.

The angiosurgeon treats the following pathologies:

• Atherosclerosis in all forms and stages;
• Stroke and post-stroke disorders;
• Vascular malformations;
• Aortic aneurysm;
• Varicose veins;
• Myocardial infarction;
• IHD (coronary heart disease);
• Angina;
• Arterial or venous stenoses;
• Thrombosis (acute and chronic);
• Thrombophlebitis;
• Arteriovenous fistulas;
• Raynaud's syndrome;
• Buerger's disease (thromboangiitis obliterans);
• Angiopathy (including diabetic);
• Aortoarteritis;
• Arteritis and polyarteritis;
• Vasculitis;
• Endarteritis;
• Vascular hypertension (hypertension);
• Trophic ulcers;
• Lymphedema (lymphostasis).

Detection of symptomatic manifestations of one or more of these diseases should prompt you to seek professional medical help. Observation and treatment by competent vascular surgeons will significantly improve your quality of life.

When is it necessary to contact an angiosurgeon?

An appeal to vascular surgeons should take place in the presence of subjective complaints and suspicions of relevant pathologies.

Persons over 45-50 years of age should undergo regular scheduled examinations with cardiologists, phlebologists and angiosurgeons to prevent and timely detect possible vascular pathologies.

This age category of patients is automatically included in the risk group for various venous and arterial diseases.

This is especially true for those who lead an unhealthy lifestyle with bad habits, irrational nutrition and physical inactivity, as well as those who have provoking chronic diseases (diabetes mellitus, thrombophilia, etc.).

Contact your vascular surgeon if you notice the following symptoms:

• Severe swelling of the legs, especially in the evening or at night;
• Night cramps in the lower extremities;
• Feeling of heaviness, fullness, burning and itching in the calf muscles;
• Intermittent claudication;
• Fatigue of the legs with an objectively low load;
• The appearance of spider veins and protruding venous nodes on the legs;
• Regularly recurring headaches of unknown origin;
• Blood pressure disorders (hypo- or hypertension);
• Tendency to hypertensive crises;
• Changes in the shade and structure of the skin of the extremities (as well as ring pigmentation on the legs);
• Burning in the feet when walking long distances;
• Feeling of tingling, numbness and severe cooling of the extremities without objective reasons;
• Pulsation in the abdominal area;
• Spontaneous repeated fainting and syncope (short-term loss of consciousness);
• Transient paresis and paralysis;
• Loss of sensation in the upper or lower extremities;
• Constant dizziness and nausea;
• Visual disturbances (transient blindness, the appearance of floaters and light spots in the field of vision, peripheral vision disorder);
• Short-term disorders of speech functions;
• Unsteadiness of gait, frequent states of numbness;
• Blackening or blueness of fingers;
• Long-term non-healing wounds, fistulas and ulcers.

If such symptoms are present, the therapist can make a pointless diagnosis, so if they are detected, it is advisable to contact a highly specialized specialist. In addition to a vascular surgeon, we recommend that you consult a neurologist and cardiologist.

Vascular surgeons deal with both congenital and acquired diseases of the cardiovascular system.

What does a specialist do?

A vascular surgeon works in the following areas:

• Diagnosis, treatment and prevention of vascular (arterial and venous) diseases;
• Timely detection of oncopathologies (when a malignant tumor is localized in close proximity to large vessels);
• Treatment of vascular lesions that occur due to severe injuries;
• Prosthetics of vessels damaged due to injury or surgery;
• Performing full and minor surgical interventions on veins and arteries;
• Removal of genetically determined vascular abnormalities (malformations, hemangiomas, etc.);
• Replantology (microsurgical intervention aimed at complete or partial reconstruction of limbs or their fragments after radical amputation);
• Prevention aimed at preventing the development of vascular diseases in patients at risk.

The prognosis of treatment directly depends on the degree of qualification of the specialist, his clinical experience, skills, as well as the timeliness of the patient’s contact with him.

Appointment with an angiosurgeon

A consultation with a vascular surgeon does not require any special preparation. Before going to the clinic, take a hygienic shower and put on clean underwear. Don't forget to bring a medical card with your medical history.

During the interview, the specialist may need the results of previously conducted examinations and tests, so if you have any on hand, take them with you. Tell the specialist your family history if your closest blood relatives have had acute or chronic diseases of the veins or arteries.

For a full diagnosis and final diagnosis, you may be prescribed the following studies:

• Laboratory blood tests (general, biochemical, lipid profile, prothrombin time, detailed coagulogram, etc.);
• Electrocardiogram;
• Echocardiogram;
• Ultrasound duplex scanning of blood vessels;
• Doppler ultrasound;
• Angiography (including cerebral and coronary);
• Ultrasound, CT, MRI;
• Endoscopy;
• Sonography.

The specialist conducts anthropometry directly during a face-to-face visit (the patient’s height and weight, body mass index, body fat density, constitutional body type and other indicators are assessed).

The angiosurgeon may require the opinion of related specialized specialists, to whom he will refer you if necessary.

Treatment by a vascular surgeon

The decision regarding therapeutic tactics is made on the basis of the collected medical history, the results of additional studies, and the opinions of other specialists. The vascular surgeon evaluates the course of the disease, its form and causes (exogenous and endogenous). When choosing any treatment method, possible contraindications and limitations are taken into account.

Typically, vascular treatment becomes combined and combines conservative and surgical therapy.

After completing the main treatment, angiosurgeons begin preventive measures.

The supervising specialist gives the patient recommendations regarding diet, limiting bad habits, and treatment of the main provoking disease.

Timely treatment of blood vessels is an important step towards achieving health and longevity. It should only be trusted to professionals.

Source: http://angiodoctor.ru/informatsiya-dlya-patsientov/stati/sosudistyj-hirurg/

Vascular surgeons in Moscow

An angiosurgeon or simply a vascular surgeon is a broad specialization in the field of diseases of the veins, blood vessels, and arteries. A phlebologist deals with narrower issues. Both specialties have common goals of restoring and preserving the functionality of the vessels of patients who turn to them.

Angiosurgeons and phlebologists are specialists in clinical medicine. They are engaged in the diagnosis, prevention and treatment in Moscow of the progression of vascular diseases of the arteries and veins.

Various forms of leg vein diseases have been studied since ancient Egypt. They are currently found in almost half the population of developed countries.

In Moscow, a huge number of patients need medical care.

What do vascular surgeons do?

According to statistics, more women suffer from vein diseases than men. Varicose veins are especially common in pregnant women. Vascular surgeons began to call it “a disease of civilization.”

Everyone knows that varicose veins disfigure the legs, but they can also cause serious complications that threaten a person’s health, even life. Blood thickening and venous congestion increase the risk of blood clots - thrombi - forming in the veins.

You cannot put off a visit to a vascular surgeon who practices in Moscow.

Specialists will conduct a diagnostic study and prescribe comprehensive treatment for vascular diseases using the following methods:

• laser therapy;
• physiotherapy;
• thermotherapy;
• sclerotherapy;
• complex treatment.

A vascular surgeon in Moscow provides prevention and treatment of the following diseases:

• Varicose veins;
• aortoarteritis;
• telangiectasia;
• reticular varicose veins;
• diabetic angiopathy;
• lymphostasis;
• thrombophlebitis;
• postthrombotic disease;
• trophic ulcer;
• thromboangiitis;
• obliterating endarteritis and atherosclerosis and many others.

In what cases is it necessary to contact a vascular surgeon?

If you experience discomfort in your legs, make an appointment with a vascular surgeon. It could be:

• heaviness or constant fatigue in the legs,
• swelling,
• the appearance of spider veins or spider veins,
• strengthening of the venous pattern,
• cramps or pain in the calves,
• dilated veins,
• inflammation of the veins,
• trophic ulcer and so on.

Do not try to get rid of such a cosmetic defect as spider veins or spider veins on your own, without examination. To identify the causes of their appearance, be sure to consult a phlebologist or angiosurgeon. They will evaluate the causes of this vascular condition and recommend effective treatment methods.

When you begin to fight seemingly ordinary cellulite, consult a specialist first. The above symptoms lead to the development of a rather serious disease, which is atherosclerosis of the arteries of the lower extremities (chronic venous insufficiency). Early diagnosis and preventive treatment are the key to healthy feet.

Factors that increase the risk of developing the disease include:

• fatty, fried, spicy, smoked foods;
• high blood cholesterol levels;
• smoking, drinking alcohol;
• constant stress;
• sedentary lifestyle;
• presence of diabetes mellitus;
• frostbite of the extremities and other negative factors.

Where in Moscow can I get this specialty?

Becoming a vascular surgeon in Moscow is quite simple. All major medical universities in the capital train in this specialty. You can apply to the department of vascular surgery and become a professional angiosurgeon in:

• Institute of Cardiac Surgery named after. V. I. Burakovsky;
• MONIKI;
• National Medical and Surgical Center named after. N. I. Pirogova;
• MGMSU;
• RNIMU and many others.

Famous Moscow specialists

Angiosurgery has been developing for several centuries. She owes a lot to such prominent Moscow scientists as Pirogov, Ekka, Tikhov, Yasinovsky, Napalkov. Orlov, Zeidler, and Tsege-Manfeitel made enormous contributions to science in the 19th century.

Sabaneev was the first in the world to attempt to remove an embolus from the femoral artery, and Vreden successfully performed an embolectomy from the aortic bifurcation.

In the 20th century, scientists Davydov, Grekova, Feitelberg, Dinaburg, Zhmur, Gulyaev and many others worked in the capital.

Source: https://ProDoctorov.ru/moskva/sosudistyj-hirurg/