7 ай бұрын
11 ай бұрын
Пікірлер
@LeeMaiden 6 күн бұрын
Excellent video, very instructive, here in a few days they are going to do a Femoral Popliteal Bypass Graft on my left leg, no getting a wire through the dissectional planes it looks like. I was unaware of the layers and being able to utilize that for access. I'm like an old car going in for new belts and hoses, just need a new hose this time, and an oil top off. Thank you for this video.
@mvitv1693 5 күн бұрын
It is our pleasure to share this video! We wish you all the best for your procedure.
@SamerG.AlfonsH. 8 күн бұрын
Varicose veins are an horrible medical issue😢
@mvitv1693 5 күн бұрын
We specialize in varicose vein treatments using the most advanced methods available, and the great news is that they are highly effective!
@PearlieLivesay 16 күн бұрын
I have 50 percent blockage in my lower limbs can anyone tell me what I should look forward to I have diabetes,gerd osteoporosis I can't feel anything from knees down always in pain and I have had this problem for years and I am finally getting the doctors to do something
@mvitv1693 11 күн бұрын
We are happy to know that your doctors are in the process of helping you. Thanks to the advances in vascular surgery, blockage in the lower limbs can be treated effectively. Patients who undergo PAD treatment enjoy restored blood flow and pain relief. We hope that you experience relief after your procedures. We are always here to assist if you are unable to get the relief you were hoping for. Best wishes for successful treatment.
@Joeypeeps69 20 күн бұрын
Great info, great Dr. I have a question. I had a lower femerol bypass for left leg pain. A seroma occured, and they drained it. Then it came back, so I had a clean out. Now it seems to be coming back again. My question is how long does it take to go away. or...would I need another clean out? Theres no infection or redness. Its tracing the tube they installed.
@1marksky Ай бұрын
Truly amazing work.
@mvitv1693 Ай бұрын
Thank you very much!
@arkymelendez4530 Ай бұрын
Great Job!!!
@mvitv1693 Ай бұрын
Thank you!
@anjanapatel4633 Ай бұрын
Is there a before and after pic of leg swelling please?
@mvitv1693 Ай бұрын
Unfortunately, we did not take before and after pictures of the leg.
@anjanapatel4633 Ай бұрын
@mvitv1693 thank you Did the swelling fully resolve? I have been diagnosed with this condition but my docs are reluctant to offer this procedure due to increased DVT risks.
@dorothybrown8859 2 ай бұрын
Should I be concerned about peripheral thrombophlebitis? No one else is.
@mvitv1693 Ай бұрын
In general, superficial thrombophlebitis is not life threatening but there are instances where you should be evaluated and followed closely. In rare cases, extensive superficial thrombophlebitis (a large portion of vein) may be associated with an underlying clotting disorder. Further blood tests may be needed along with serial ultrasounds. That being said, the majority of cases are benign, self limited and should resolve within a few weeks..
@MarcelleLotz-qh1cc 2 ай бұрын
Thank you, very understanding explanation.
@mvitv1693 2 ай бұрын
Glad it was helpful!
@heathercuryer113 2 ай бұрын
I have had three angioplasties Miracle treatments
@mvitv1693 2 ай бұрын
We are happy to hear that. Thank you for sharing!
@natalyazav1842 2 ай бұрын
Just got home from having this procedure! Wow the back pain though. Didn't think recovery was this bad. 😮.my vein was 80/90%shut so I'm glad I got it done 👍
@mvitv1693 2 ай бұрын
Sorry to hear that you had back pain. Typically patients experience very smooth recovery since the procedure is minimally invasive. Best Regards.
@karensuarez2113 3 ай бұрын
Are there any approved venous stents that contain little to no nickel? Diamond coated stents maybe?
@mvitv1693 3 ай бұрын
There are venous stents, including those coated with diamond-like carbon (DLC), that reduce the leaching of metals like nickel and chromium, which can be beneficial for patients with metal sensitivities. While stents typically contain nickel, the DLC coating acts as a protective barrier, minimizing the release of metal ions and providing a more biocompatible solution. However, it is important to consult in depth with your healthcare provider, especially if nickel allergies are a factor.
@horsleyanita 3 ай бұрын
What if the stent is partially blocked by blood clots? What options are there other than staying on anticoagulants and compression stocking for life? Could you name some possible procedures?
@mvitv1693 3 ай бұрын
It depends if the thrombus (clot) is acute or chronic. Some patients might do well with aspirin therapy long term or even low-dose anticoagulation. There are several factors that would guide our decisions such as the cause of the clot, comorbid disease states, and the patients' overall health and mobility. Performing balloon angioplasty may also help open the stent as well.
@karensuarez2113 3 ай бұрын
I will be having this procedure soon and didn’t get a chance to ask this one question- what metal are the stents constructed of? For a person like myself who cannot wear metals other than gold, platinum or stainless steel due to allergic reactions on the skin, if I need a stent, sure don’t want one that could create other issues. Will be looking this up, but am curious if a patient has ever shown reaction to the foreign body/stent being placed.
@mvitv1693 3 ай бұрын
Most self expanding stents are made of nitinol which is a mixture of titanium and nickel. The good news is that adverse reactions involving allergy to metal in stents seems to be very rare.
@karensuarez2113 3 ай бұрын
Do you pre-test your patients for metal allergies? I too am highly allergic to many metals, mostly nickel, and also have two autoimmune diseases. Anything foreign and anything foreign and an allergen - you can tell me it would be ‘rare’ for me to have a systemic reaction? Does the FDA include warnings of nickel allergies in the inserts of nitinol, self expanding stents being used today? 55% nickel and 45% titanium. Other than invasive surgery, if even that would remedy the compression, I will have to wait for newer, coated stents to be approved. As a well controlled type 1 diabetic, the very last thing I would want is to be on steroids for the rest of my life to battle systemic allergic reactions. Thank you for this informative video - I only wish a vascular surgeon could ‘guarantee’ I wouldn’t have issues, and I know this is an impossibility.
@cathylaycock5598 3 ай бұрын
In 2019 I had a procedure done. My vascular surgeon did a right ilio femoral bypass graft. Day 7 after surgery I was taken down for a CT scan and Dr came to my room minutes after. A blood clot showed up by the graft. A few days later a Dr did the stent and removed the clot. Afew days after that I mentioned to my surgeon that the groin dressing from surgery was a funny color. He checked it out and found my incision had dehissed and was infected. Was put on strong IV antibiotics for a week. I finally went home after 21 or so days. Had nurses coming 3x week for a month to change dressings. I also had and still have a partial blockage in right thigh. This year in March I had an angioplasty done. The right ilio femoral artery had narrowed significantly just above graft and stent. The surgeon I have now went through my left elbow to get to right ilio. Just as he said, Cathy you're going to feel a bit of pain, I yelped and I was sedated but I was silly and automatically started squirming. A light dose of fentynol was given. I then slept on and off until they finished stitching my arm. Otherwise is was an easy process for me. I will admit I was terrified going in. I assumed that they would have to go through the heart from left side to get to right side. That freaked me out. Dr explained the procedures the best he could to allay my fears. Still a bit scary. Thanks for explanation. 😊💗🇨🇦
@vlm5723 4 ай бұрын
Does insurance cover this treatment?
@mvitv1693 4 ай бұрын
Most insurance does cover this treatment.
@chuchayabang1111 4 ай бұрын
How much for surgery? I've been struggling with these varicose at the age of 21 😭 I lost my confidence seeing those girls with my age wearing shorts 😭 I looks disgusting they say they kept asking me at my age how come I got theses bulging veins and Idk how to response 🥺
@mvitv1693 4 ай бұрын
Hello, vein treatment can be covered by medical insurance in most cases, depending on your plan. If you are inquiring about self-pay, we cannot give you a quote without seeing you at our office. We would be happy to schedule a consultation with you. Please call us at (203) 418-7386 and we'll be happy to assist you.
@nirmalmrindi2142 3 ай бұрын
Ab aapka vericos vein thik hua ki nahi. Kya apne koi treatment liya h ki nahi please reply dijye 🙏 taki me v apko koi suggestion de saku please please reply...
@PrincessMama-d1o 7 күн бұрын
Go for it we have the same issue I suffered for many years esp cannot wear shorts on summer time. I wished I did it earlier…don’t be afraid as long as you have the best doctor you will be ok
@chaitanyasharma1215 4 ай бұрын
Doctor i live alone can I walk by myself after this surgery and do all my work like cooking after reaching home?
@mvitv1693 3 ай бұрын
Yes, you can perform most activities once you get home, however, I recommend patients take 1-2 hours to rest first as to avoid complications such as bleeding following phlebectomy. Avoid heavy lifting, but most everyday activities are allowed.
@zodel8631 4 ай бұрын
I read somewhere the Anterior accessory saphenous vein is the real culprit. Why do you do ablation on the GSV? Also what happens if you don’t get the entire vein out? If I lay down my veins are barely visible assuming gravity but if you cut off the blood flow like you said upper thigh wouldn’t that mimic laying down? So is cutting out necessary? Any risk of nerve damage? Thank you if you are able to respond 😊
@mvitv1693 4 ай бұрын
Hello, if there is an anterior saphenous vein, yes we will treat it if we think it is contributing to your symptoms. Many patients have insignificant anterior saphenous veins and do not cause symptoms or varicose veins. As a general rule, we always treat refluxing great saphenous vein as they will ALWAYS communicate with the anterior saphenous vein. And yes, taking care of the entire vein is helpful especially if there is a large varicose vein associated with it. Based upon your description, you need more treatment and the anterior saphenous vein may be the causative vein or perhaps, the distal portion of the great saphenous vein (below knee) may need treatment.
@zodel8631 4 ай бұрын
@@mvitv1693 so if the ablation of GSV eliminates the visual then you still recommend removing the GSV? Just to be clear. Thanks
@sophiah8794 5 ай бұрын
I've just been diagnosed with superficial venus reflux from my groin to my ankle. Plus, reflux in a perforator vein. I have a throbbing pain in my groun area every morning that wakes me up. What treatment would you recommend as the least likely for side affects?
@mvitv1693 4 ай бұрын
Although we cannot give you specific medical advice without seeing you, usually when patients have superficial venous reflux, we typically use radiofrequency ablation, Varithena® microfoam injection, VenaSeal™ vein closure procedure, or laser vein ablation. They are all minimally-invasive with quick recovery. You can learn more about venous insufficiency treatment by visiting: www.milfordvascular.com/service/venous-insufficiency-treatment-new-haven-connecticut/
@loveconquersall143 5 ай бұрын
How do you actually fix the leaky valves...???
@mvitv1693 4 ай бұрын
The veins that have leaky valves are closed off using various techniques. The blood circulation improves because the blood no longer pools due to the leaky valves.
@janicevillandre9577 5 ай бұрын
Thank you❤
@mvitv1693 5 ай бұрын
You're welcome 😊
@tanyahouston5635 5 ай бұрын
I’m going for my procedure July 12. I have been complaining for at least 12 years and finally found a PA that listened and sent me for a ultrasound and a vascular specialist. I’m looking forward to the swelling and pain going away in the near future. Thanks for the great and informative vlog.
@mvitv1693 5 ай бұрын
It is our pleasure! We wish you the best possible outcome.
@janetwatters2955 5 ай бұрын
Fabulous Articulated EASY TO UNDERSTAND & TAKE THE FEAR AWAY. GREAT JOB GUYS
@mvitv1693 5 ай бұрын
Our pleasure!
@leejones3219 6 ай бұрын
What is called Conservative Therapy I call inaction. If your in pain who wants to told to keep their legs elevated when surgical treatment is available, Lol. CVI is like a bad tooth. It doesn’t get better.
@mvitv1693 6 ай бұрын
Thank you for your comment. Yes, venous insufficiency is usually quite progressive, however, each patient is unique and conservative therapy may be appropriate in some cases.
@MAdeel-bn8uu 6 ай бұрын
Thanks
@mvitv1693 6 ай бұрын
It's our pleasure!
@hjtomas 6 ай бұрын
Thanks for this very detailed video and explanation about PAD, especially the procedure. My grandfather is scheduled to undergo the same procedure next month. By just watching this video, we were able to understand well why it needs to be treated and how the procedure is done. God bless the doctors! You’re doing a great job!
@mvitv1693 6 ай бұрын
Thank you for your very nice comment. It is our pleasure to help! Wishing your grandfather the best possible outcome.
@elbalopez2091 7 ай бұрын
I had my don two weeks ago ago but I still have pain
@mvitv1693 7 ай бұрын
We would suggest scheduling a follow up with your doctor if the pain continues further than 2 weeks.
@elbalopez2091 7 ай бұрын
How long it takes for the pain to go after the surgery
@mvitv1693 7 ай бұрын
There can be many variables, is the pain from the incision or is it pain in the leg? What procedure did you have? We would suggest if you are having leg pain 2 weeks after the procedure you should call your doctor's office for a follow- up appointment to be evaluated.
@BRAHHHHHH 7 ай бұрын
My stent has been misplaced and is protruding across my IVC. And all the problems it creates as the blood clots on it you can imagine. It can't be removed either.👍
@mvitv1693 7 ай бұрын
We are sorry to hear that. If there is anything we can do to help you, feel free to call us at (203) 418-7386 to schedule a consultation.
@BRAHHHHHH 7 ай бұрын
@@mvitv1693 my stenting procedure had been done here in Italy, Milan. My vascular surgeon also didn't insert a guidewire in my right iliac vein to better understand the position of my vena cava so the stent doesn't go far into the vena cava.
@Noor-wb8pj 7 ай бұрын
دكتور هل يمكن العلاج منها بمضادات التخثر فقط من دون دعامات
@mvitv1693 7 ай бұрын
May-Thurner Syndrome is a physical compression of the iliac vein so anti-coagulants will not solve the problem. Stenting is needed to open up the vein and keep it opened.
@jayhouse3149 8 ай бұрын
Artery walls must be pretty tough! Thank You for sharing this video! I can't wait!
@mvitv1693 8 ай бұрын
You are so welcome!
@jayhouse3149 8 ай бұрын
FASCINATING procedures! I'm having the same done at the end of this month. I'm looking forward to my ankle wounds healing, walking without pain and a more active lifestyle AGAIN!
@mvitv1693 8 ай бұрын
We wish you the best in your procedure!
@bowtech1020 8 ай бұрын
What happens after gsv ablation if the vein recanalization happens? Study's on Internet point to that being a long term issue. Will a clot form? It's scary
@mvitv1693 8 ай бұрын
The risk of clot formation, known as deep vein thrombosis (DVT), after vein recanalization following GSV ablation is generally low but not entirely ruled out. However, the risk depends on various factors, including the extent of recanalization, underlying venous insufficiency, and individual patient characteristics. Studies have shown that vein recanalization after ablation can occur in a small percentage of cases, and it may require additional treatment to address the recurrent symptoms effectively. The recurrence of symptoms such as pain, swelling, or discomfort in the legs may prompt further evaluation to assess the need for additional interventions. It's important for individuals who have undergone GSV ablation and experience recurrent symptoms to consult their healthcare provider for further assessment and management.
@donnacostarella4241 8 ай бұрын
Can you help me I have median Artuate Ligament Syndrome and may turners also gonadal vein reflux
@mvitv1693 8 ай бұрын
Please give us a call at (203) 418-7386 to see how we can help you.
@douglaslane6245 9 ай бұрын
Good video but something less than complete list of alternative treatments. I corrected arterial plaque with zero intrusive procedures, and zero side effects, naturally . I consumed three enzymes for 3 months using Vitamin K2-MK7, serrapeptase and nattokinase. No scars, no pain. Take a moment to research the above enzymes and draw your own conclusions. I have first hand knowledge with clean arteries.
@mvitv1693 9 ай бұрын
When alternative methods and medications are not enough, intervention may be needed.
@Ania-qb3ot 9 ай бұрын
that's all very well unless its so severe that it's crippled me and I cant walk
@mvitv1693 9 ай бұрын
We are sorry to hear that. That is the reason why we encourage people to discover and treat it as early as possible.
@saheilsabah1188 9 ай бұрын
I woke up with my front calvs mucles very cold it felt like it was on ice
@mvitv1693 9 ай бұрын
With this type of leg discomfort, it is a good idea to have your leg circulation checked. At Milford Vascular Institute, we provide free vascular screenings. One of the tests we do is to check the circulation through your legs.
@kcbluebutterfly2182 9 ай бұрын
I had blood clots in my leg and when I had a follow-up ultrasound, my clots were gone but they seen something, so I had a ct, and they seen a block artery, I had a more clear ultrasound at a vascular surgeon, seen my blockage and narrowing, it was clear. They said I was down to %60 blood flow to my right leg. My leg changes horrible color's when I stand, and extremely painful. I have a follow-up appointment next week, what should be the next step. I am on two different blood medications, one a blood thinner and another for the block artery. I also had knee surgery in September in the same knee. A stent has been mentioned more than once.
@mvitv1693 9 ай бұрын
Treatment is really dependent on what symptoms you are having and your physical exam. This is best determined in person by the provider that you are seeing.
@kcbluebutterfly2182 9 ай бұрын
@mvitv1693 Thank you for responding back. At the moment my leg turns purple,swollen and extremely painful. Yesterday I pushed myself with house work my leg is still in so much pain. I'm also having these cold spots throughout my leg, making it feel wet, really cold. I am on blood medications but it's getting worse. First it was my foot turning purple now it's my whole leg smh. Hard to tell what's what because of the patella reconstruction surgery, blood clots, blocked artery. They all cause pain and swelling. I see my vascular surgeon on Friday. But I came across your video while I'm doing research. Thank you for your video and responding back.
@mvitv1693 9 ай бұрын
@@kcbluebutterfly2182 You are welcome. We wish you the best.
@kcbluebutterfly2182 9 ай бұрын
@mvitv1693 I just wanted to update, I seen my vascular doctor and I have a blockaged in my iliac artery along with narrowing so we will be going in to put a stent in. However it will be going in from both sides so it can remove all the block. I guess I will be staying overnight so they can watch me, because of my high risk of blood clots. I'm ready to get it done so I can move on with my life lol thank you again for your video, it definitely helps us not be so scared 😊
@johnpaulporrelli6208 9 ай бұрын
I wish I was near them so I could get the veins in my legs sorted to get rid of my ulcers. But I live in Scotland
@mvitv1693 9 ай бұрын
It would be our pleasure to treat you.
@fakereality3792 9 ай бұрын
We have nothing like this in Ireland either. You guys should come here for a few months. Free Guinness promised !
@mvitv1693 7 ай бұрын
:)
@cormac1000 12 күн бұрын
@fakereality3792 have you tried tallaght hospital.
@anaabendroth3460 9 ай бұрын
I'd like to know what anesthesia you used. Mine was HORRIBLE!! I was AWAKE and got so sick I THREW UP in the middle of the procedure!!
@mvitv1693 9 ай бұрын
Typically for procedures such as these we use a combination of medications through an IV to keep you comfortable. It is termed conscious sedation, so the goal is for you to be conscious and arousable throughout the entire case, but comfortable.
@anaabendroth3460 9 ай бұрын
I need a completely occuded anterior tibial artery re-vasculated . An Angiography was performed May of 2023, with the artery occuding after only 3 months. No stent, only ballooning. (Two stents were placed in the upper leg). DO ANY OF YOU GUYS COME UP TO RHODE ISLAND?? I NEED A NEW SURGEON!!!
@mvitv1693 9 ай бұрын
Smaller vessels in the lower leg are typically treated with ballooning rather than stenting due to the size of the vessel. Factors such as genetics, diabetes, elevated cholesterol, smoking, and lifestyle can lead to these vessels re-occluding. It is important to walk/exercise daily, quit smoking if applicable, manage blood sugar and cholesterol levels and take medications as prescribed to try to prevent this. Come visit us, we would be honored to care for you.
@rafaelastorga5450 9 ай бұрын
excellent video and technique.
@mvitv1693 9 ай бұрын
Thank you!
@Ziegfeld-z2x 10 ай бұрын
Fabulous educational video! Thank you!
@mvitv1693 10 ай бұрын
Our pleasure!
@Zerolimus 10 ай бұрын
I have 2 Questions 1 . Does the patient have to take anticoagulants life long 2. Are there other options that would completely heal without stent. Thankyou
@mvitv1693 10 ай бұрын
The long term treatment is based on the intervention performed. Balloon venoplasty will not necessarily require any long term medication. Most stenting requires at least short term antiplatelet therapy, but this will be based on your physician's recommendations
@Ezq95 10 ай бұрын
This my 2nd time getting this procedure in Memorial hospital Tampa
@mvitv1693 10 ай бұрын
We hope you're doing great now!
@douglaslane6245 9 ай бұрын
Didn’t learn the first time?
@kellygribbins1076 10 ай бұрын
What do you all consider a severe blockage? My moms doctor never gives a percentage just says severe, she’s already had one amputation, bypass, graft and stent, they want to perform an experimental surgery on her other leg and we almost lost her several times and I’m just scared for her. No legs doesn’t leave her with much quality of life after several strokes that has made her weak so moving by arms isn’t an option, she also has been diagnosed with vascular dementia. A lot of this has happened right after we lost my brother and nephew, her son and grandson. It has caused so much stress on me that I had a massive heart attack March 2023. I worry about this everyday! 😢
@kellygribbins1076 10 ай бұрын
She also had an infection set up in the graft that turned septic, it’s just been a mountain of terrible experiences at vascular medicine for us!
@mvitv1693 10 ай бұрын
We are sorry to hear this and wish you the best. To answer your question, the severity is really determined more from the symptoms and physical exam rather than a percentage of stenosis. A severe stenosis would cause pain both with ambulation and possibly at rest and may be causing discoloration of the skin, wounds or tissue damage. Best Regards.