“Easily one of the best doctors I have ever worked with. Dr. Desai is a true professional and has mastered his craft. Excellent communication and great results.”
“One of the best doctors I have ever had. He is a great surgeon and great physician. I highly recommend him.”
“I have never seen someone work so hard for a patient. He is who I would go to if I ever had a vascular issue.”
“I would trust Dr. Desai to take care of me or any member of my family.”
“Dr. Desai did a wonderful job eliminating the clot and making me as good as new again. I’m back doing my wood working in my garage. I tell my friends all the time what a wonderful doctor he is.”
THE SAME QUALITY OF CARE AS LEADING HOSPITALS, WITH A CONVENIENT LOCATION AND PERSONALIZED TOUCH
WHAT IS VASCULAR SURGERY?
ABDOMINAL AORTIC ANEURYSM (AAA) REPAIR
There are two major techniques available for the repair of abdominal aortic aneurysms. Prior to the turn of the century, the most common approach was to complete an open surgical repair. This involves general anesthesia, a long incision in the abdomen, temporarily stopping blood flow above and below the aneurysm, cutting open the aneurysm, and then sewing in a cloth tube between the two ends of the aneurysm.
Since 2000, a minimally-invasive endovascular option exists for some people who have suitable anatomy. In this approach, general anesthesia is used, and two small punctures are made in the groins. Wires and catheters are used to go across the aneurysm, and a special hollow, fabric-covered tube is expanded across the aneurysm to prevent blood flow into the diseased portion of the aorta.
Even more advanced techniques are possible. Previously available only through clinical trials at major university centers, we are capable of using advanced endovascular grafts to repair complex aneurysms using minimally-invasive techniques. For example, both branched endografts and fenestrated endografts are used by our surgeons to offer this option to patients who were previously candidates for only a major open surgical bypass. Please discuss these options with your surgeon to see if you qualify.
CAROTID ENDARTERECTOMY AND CAROTID ARTERY STENTING
Carotid endarterectomy is a procedure done to remove the buildup of plaque within the carotid arteries. After general anesthesia is induced, a vertical incision is made in the neck and the carotid artery identified. Blood is temporarily stopped within this artery, and an incision is made in the artery. The plaque is removed and a patch is sewn in place to avoid narrowing the artery when it is closed. Brain activity is monitored using an EEG and a temporary shunt can be used if there are any EEG changes.
MINIMALLY-INVASIVE ENDOVASCULAR SURGERY
Minimally-invasive endovascular surgery uses a combination of wires, catheters, and X-ray to obtain access to the arterial or venous system, and contrast dye to establish a map of the vascular system. Conditions such as plaque formation within the arteries, complete blockage of the blood vessels, deep vein thrombosis, anatomic malformations, aneurysms, and many other conditions can be treated using this approach.
Some patients may benefit from angioplasty, in which a balloon is used to reopen a blocked blood vessel. Placement of a stent is sometimes indicated to keep the blood vessel open. Advanced techniques such as atherectomy can be employed to physically remove the plaque from within the blood vessel. Other techniques, such as instillation of clot dissolving agents (thrombolysis) can be used for patients with thrombosis.
An aortic aneurysm is a balloon-like dilation of the largest blood vessel in the body. In the same way that a balloon will eventually rupture when it gets too large, aneurysms have an increasing risk of rupture as they grow. If this rupture happens, there is only a 10% survival rate, which is why we recommend anyone over the age of 65 who as ever smoked, has a family history of aneurysms, or has palpable, pulsatile mass or complains of atypical abdominal or back pain should undergo a CT scan to look for an aneurysm.
CAROTID ARTERY DISEASE
Carotid artery disease is due to the buildup of plaque within the main arteries that go to the brain. Fragmentation of this plaque leading to embolization into the brain is an important cause of stroke. Small pieces of plaque can block the flow of blood to vital portions of the brain, leading to inability to move the arms or legs, inability to speak, and even blindness. Patients who have risk factors like smoking, high cholesterol, high blood pressure, a history of cardiac or vascular disease, or a history of prior stroke should have a screening ultrasound completed.
Pain in the legs has a number of different causes. Cramping pain in the back of the calf that gets worse with walking may be a sign of peripheral artery disease due to plaque buildup. Almost 20% of patients over the age of 70 develop this condition.Risk factors include diabetes, age over 60, smoking, obesity, high cholesterol, high blood pressure, and a family history of vascular disease.Vascular claudication can be separated from other causes by checking the ankle-brachial index. Noninvasive Doppler ultrasound is used to check for blood flow and CT angiography can identify peripheral artery disease in the arteries.
“I could barely use my right arm and was at risk for losing my job after that car accident. You did a great job fixing my thoracic outlet syndrome. I am back at work and back to 100%. You are great!”AM
“I am so happy that I went to see Dr. S Desai. He is a very caring and wonderful individual. I had a hard time walking because of how bad my leg arteries had become. Another doctor had recommended an amputation, but that would have destroyed my life. Dr. Desai was able to do a minimally-invasive procedure, digest away the plaque in my legs, and give me my feet back.”LC
“I have lived with severe pain in my legs for years. I actually had an ulcer and gangrene, and had several of my toes removed. Dr. Desai did a bypass in my legs and saved my feet. I can actually walk again and my pain has gone away. Thank you!”FP