What is Vascular Medicine?
Vascular Medicine deals with all disorders affecting the circulatory system: the arteries, the veins, the microcirculation, and the lymphatic system.
The Vascular Medicine Specialist focuses on identifying, preventing, and treating diseases that can lead to serious acute conditions such as stroke, limb loss, phlebitis (deep venous thrombosis), pulmonary embolism, or chronic diseases such as venous insufficiency of lower limbs and varicose veins.
What are the common Vascular Diseases ?
1- Arterial Diseases
In the legs is the narrowing or blockage of the vessels that carry blood from the heart to the legs. It is primarily caused by the buildup of fatty plaque in the arteries, which is called atherosclerosis.
High Blood Pressure, Diabetes, High Cholesterol, Smoking, Age, Obesity… They are involved in the process of atherosclerosis infiltration and formation of plaque in the arteries.
Results from a blockage or narrowing of the carotid arteries. This narrowing is also called carotid artery stenosis. The carotid arteries are major blood vessels that provide your brain’s blood supply.
An aneurysm is an abnormal bulge in the wall of an artery. Aneurysms form when there’s a weak area in the artery wall. Untreated aneurysms can burst open, leading to internal bleeding. They can also cause blood clots that block the flow of blood in your artery. Depending on the location of the aneurysm, a rupture or clot can be life-threatening.
2- Venous Diseases – Phlebology
Occurs when your leg veins don’t allow blood to flow back up to your heart. Normally, the valves in your veins make sure that blood flows toward your heart. But when these valves don’t work well, blood can also flow backwards (also called venous reflux). This condition can lead to painful, heavy and sometimes swollen legs.
Enlarged, twisted veins that are not competent anymore in allowing the blood to flow back to the heart.
Pelvic congestion syndrome (PCS) is a chronic pain condition that occurs when varicose veins form below the abdomen within the pelvic region.
Blood clots that can occur in the veins of the legs or lungs. In case of suspicion, consultation has to be done in emergency in order to confirm or not the diagnosis and to start the specific treatment if needed (anti coagulation). In some cases, specific tests are needed in order to identify an underlying condition and prevent recidivism.
3- Lymphatic Diseases
- Lymphedema: Swelling caused by an accumulation of protein-rich fluid that is usually drained through the body’s lymphatic system. It most commonly affects the arms or legs.
- Lipedema: condition characterized by a symmetric build-up of adipose tissue (fat) in the legs and arms. It may cause pain, swelling, and easy bruising.
4- Other Vascular Diseases:
- Vascular wound, Venous-arterial or mixed ulcer
- Raynaud Syndrome, Acrocyanosis
- Inflammatory Vascular Diseases: Horton Disease, Buerger Disease, Takayashu Disease
- Vascular Malformation
How do we do the diagnosis?
In order to do the diagnosis, clinical examination will be completed by specific vascular tests including:
Performed at the clinic by Dr Dana SFEIR, our Vascular Medicine Doctor.
It involves using high frequency sound waves to look at the speed of blood flow, and structure of the vessels. It is painless and armless for the body.
Performed at the clinic by Dr Dana SFEIR, our Vascular Medicine Specialist.
The index compares the systolic blood pressures of the arms and legs to give a ratio that can suggest various severity of peripheral arterial disease.
A computed tomography (CT) angiogram is an imaging test to view your blood vessels and tissues. It uses an injection of contrast dye and specialized X-rays.
Magnetic Resonance Angiography (MRA):
also called a magnetic resonance angiogram or MRA – is a type of MRI that looks specifically at the body’s blood vessels.
Prevention and Treatment
Our clinic emphasizes the importance of early diagnosis and intervention. We focus on:
- Lifestyle modifications, including diet, exercise, and smoking cessation.
- Medications and advice to manage cardio-vascular risk factors: blood pressure, cholesterol, and blood sugar levels
- Anticoagulation management
- Minimally invasive procedures for certain conditions.
- Collaboration with vascular surgeons when surgical intervention is needed.
Treatment : SCLEROTHERAPY Performed by Dr Dana SFEIR at the clinic
- Sclerotherapy is the most common vascular treatment for improving the appearance of varicose and spider veins on the legs.
- Technique: Sclerotherapy is the injection of a medication (sclerosant) via a needle into the varicose veins or spider veins. The goal is to irritate and scar the veins from the inside so that the abnormal veins close and no longer fill with blood. As a result, the vein fades within a few weeks.
Schedule an Appointment:
Whether you are experiencing symptoms, have a family history of vascular diseases, or simply want to get a vascular check-up, you can schedule an appointment with Dr Dana Sfeir, Vascular Medicine Specialist and Phlebologist.
Our office is located in:
Dubai HealthCare City
Building 64 – Al Razi
3d floor. Clinic 3016
Dubai – United Arab Emirates