July 25, 2019

Dr. Richard Hsu of The Vascular Experts was recently featured on Connecticut News 12. The segment focused on his work with patients suffering from median arcuate ligament syndrome, or MALS, a rare condition when the diaphragm sits too low on the celiac ganglion. It traps the nerves, making digestion extremely painful. Dr. Hsu is one of the few surgeons across the county who can treat this syndrome.

Watch the segment 


May 17, 2019

Dr. Albert D. Sam has had a chapter featured in a new book titled “Ischemic Stroke: Diagnosis and Treatment.” Below is an excerpt from his chapter titled “Treatment of Symptomatic Carotid Stenosis”:

Epidemiology of Carotid Disease and Stroke

The percentage of ischemic strokes resulting from atherosclerotic debris that embolizes from the extracranial carotid artery into the cerebral circulation is 20% to 30%(1,2). Atherosclerosis results from the adverse impact of modifiable risk factors, resulting in inflammation within the circulatory system that causes endothelial injury whose end result is calcium deposition within the arterial wall. These risk factors for developing carotid atherosclerotic disease include smoking, hypertension, hypercholesterolemia and diabetes.

 

Read More


January 31, 2019

LONG-TERM CLINICAL OUTCOMES AND TECHNICAL FACTORS WITH THE WALLSTENT FOR TREATMENT OF CHRONIC ILIOFEMORAL VENOUS OBSTRUCTION

CHICAGO, Illinois – January 2019 – A single-center experience using the Wallstent for iliofemoral venous obstruction reveals excellent outcomes.

Placement of large diameter stents has become the mainstay treatment of symptomatic iliofemoral venous occlusion. However, factors affecting the clinical outcome and durable stent patency remain incompletely understood.

Perhaps the most common and time-honored stent to be used in such a scenario is the Wallstent (Boston Scientific). Although initially created to treat biliary tract obstruction, this device has been used extensively in the endovascular treatment of venous occlusive diseases because of its large diameter.

While the use of the Wallstent in venous disease has been widespread, shortcomings such as less radial force at the ends and significant shortening remain issues in its deployment. As such, long-term assessment of its usage is now appropriate given first generation, dedicated venous stents are currently in clinical trial.

As reported in the January edition of the Journal of Vascular Surgery: Venous and Lymphatic Disorders, researchers from The Vascular Experts in Darien, Connecticut, led by vascular surgeon Paul Gagne, MD, have performed a retrospective review of their experience with the Wallstent to treat iliofemoral venous obstruction. Herein they present their results of 77 limbs in 67 consecutive patients treated from 2007-2014.

Their series of patients were characterized as:

  • 55% male,
  • Median age 63 (range 47-83 years),
  • 62% left-sided, with a
  • Median baseline Venous Clinical Severity Score (VCSS) score of 9 (3-23).

The deployed Wallstents ranged in:

  • Diameter from 10-22mm, and
  • Length from 40-90mm, with
  • 82% being 14-18mm in diameter.

Additionally, 22% of stents were deployed into the common femoral vein while 8% involved the inferior vena cava.

With regards to patency, at 72 months, those treated for:

  • Non-thrombotic disease had a:
    • Primary patency 97%
    • Primary assisted patency 100%
    • Secondary patency 100%, while those treated for:
  • Thrombotic disease had had a:
    • Primary patency 75%
    • Primary assisted patency 88%
    • Secondary patency 88%.

At a median follow up of 26 months, 68% of patients showed a >4 point VCSS improvement, with none with worse symptoms.

Multivariate regression analysis revealed that only common femoral vein involvement predicted loss of primary patency (4.4 times more likely). Post-thrombotic lesions had loss of primary patency 6.9 times more likely, but this did not reach statistical significance (P value of 0.07).

“Our experience found that stenting of chronic iliofemoral venous obstruction resulted in excellent long-term patency rates and significant clinical improvement for a majority of patients. Although the Wallstent presents certain technical challenges, we have optimized our technique to work through these challenges to achieve good result,” notes Dr. Gagne.

He further states that, “The analysis of most and least improved limbs found that improved outcomes were observed in patients who presented with more severe venous disease. The most improved subset was disproportionally composed of C6 patients with open ulcers, whereas one-third of the C3 patients treated in the overall series were among the least improved.”

Until randomized clinical trials confirm better efficacy for dedicated venous stents than conservative management, this important well documented series brings additional evidence to the long-term patency and clinical improvement afforded patients following use of the Wallstent for iliofemoral venous obstruction.


October 4, 2018

Existing Greenwich office moves to larger Stamford location.

 

STAMFORD, CONN. (October 4, 2018) – The Vascular Experts, the largest group of Board-certified vascular surgeons in the nation, has moved its Greewich office to a new office location in Stamford. Effective October 1, 2018, The Vascular Experts Greenwich office has been relocated to the new Stamford office location at 215 Stillwater Ave., Unit A.

The larger, new location supports the group’s ongoing growth and expansion efforts. Patients will continue to have access to advanced technology, including an onsite Outpatient Angiography Center along with the expert team of Board-certified surgeons led by Dr. Stephen M. Bauer, Dr. Taras V. Kucher, Dr. Timothy M. Manoni, Dr. Ben U. Marsan and Dr. Jonathan N. Bowman. Furthermore, Board-certified Physician Assistant Janine Tedesco has also moved to the new location.

“The new location offers us more resources and services for both our patients and physicians,” said Trina Muro, Vice President of Operations at The Vascular Experts. “As the group continues to grow and expand, it’s important for our physicians to see patients in spaces that help them provide expert artery and vein care services. We’re confident we have achieved that in the new office and look forward to welcoming patients in the greater Stamford area.”

To schedule an appointment at the new Stamford office location, patients can call 1-844-4-VASCULAR. For more information, please visit www.thevascularexperts.com.

About The Vascular Experts

Founded in 2001, by one surgeon, The Vascular Experts has nearly 30 clinical providers and more than 20 Board-certified vascular surgeons. With a commitment to deliver expert vascular medical and surgical care to communities in Connecticut, Rhode Island and New York, it is the largest group of Board-certified vascular surgeons in the country. With state-of-the-art facilities in multiple locations, The Vascular Experts deliver the latest minimally invasive vascular procedures including angioplasty, endovascular surgery, vein ablations and sclerotherapy to treat vascular disease. For more information, please visit www.thevascularexperts.com or call 1-844-4-VASCULAR.


June 7, 2018

Vascular Groups’ Expansion Marks Significant Growth Throughout Greater New England Area

WESTERLY, R.I. (June 6, 2018) – The Vascular Experts, the largest group of Board-certified vascular surgeons in the nation, announced today the opening of a new office location in Rhode Island, marking the first office opening for the group in the state. The new office is located in Westerly, Rhode Island at 35 Wells Street, Unit 2, bringing the vascular group offices to a total of 12.

Committed to providing the highest quality of vascular care, The Vascular Experts offers patients the latest diagnostic and minimally invasive procedures for treating problems related to blocked leg arteries, deep vein thrombosis (DVT), dialysis fistulas and grafts, aortic aneurysms and carotid stenosis.

“We are excited about this office location as we are now able to provide the outstanding artery and vein care services we are known for to the Westerly community,” said Dr. Bart Muhs of The Vascular Experts. “The office opening in Rhode Island marks our continued growth and expansion throughout the greater New England area.”

The Vascular Experts vascular surgeons practicing at the new office location are Harry Ma, MD, PhD and Stratton G. Danes, MD.

“The team at The Vascular Experts take great pride in the care and treatment of patients,” said Dr. Ma. “The opening of our new Westerly office allows us to further expand the group and portfolio of available services to those in need of vein treatment.”

The experienced team of Board-certified surgeons at The Vascular Experts maintains surgical privileges at numerous local hospitals throughout the state with access to specialized medical technology. Office locations throughout Connecticut include Danbury, Darien, Fairfield, Greenwich, Manchester, Meriden, Middletown, New London, Old Saybrook, Southbury, Stratford and now Westerly, Rhode Island.

To schedule an appointment at the new Westerly office location, please call (401) 315-9575. For more information, please visit www.thevascularexperts.com.

About The Vascular Experts
Founded in 2001, by one surgeon, The Vascular Experts has nearly 30 clinical providers and more than 20 Board-certified vascular surgeons. With a commitment to deliver expert vascular medical and surgical care to communities in Connecticut, Rhode Island and New York, it is the largest group of Board-certified vascular surgeons in the country. With state-of-the-art facilities in multiple locations, The Vascular Experts deliver the latest minimally invasive vascular procedures including angioplasty, endovascular surgery, vein ablations and sclerotherapy to treat vascular disease. For more information, please visit www.thevascularexperts.com or call 1-844-4-VASCULAR.


June 6, 2018

MIDDLETOWN, C.T. (June 4, 2018) – The Vascular Experts, the largest group of Board-certified vascular surgeons in the nation, has moved its Middletown office to a larger, new location to support the group’s ongoing growth and expansion. Effective June 4, 2018, The Vascular Experts Middletown office will be relocated from 540 Saybook Road, Suite 210 to the new office location at 400 Saybrook Road, Suite 110.

The new, larger location will allow The Vascular Experts to enhance the level of care for patients, while meeting the growing healthcare needs of the greater Middletown community. Patients will continue to have access to advanced technology, including an onsite Outpatient Angiography Center along with the expert team of Board-certified surgeons led by Dr. Bart E. Muhs, Dr. Megan F. Shue and Dr. Albert D. Sam.

Furthermore, the experienced and knowledgeable team of Physician Assistants – Ann-Marie Williams and Kristine C. Lane – and Nurse Practitioner, Nicole L. Mills will also be moving to the new location.

“We’re excited to be moving into a new office space that will not only enhance our efficiency and care for patients, but also accommodate the community in the Middletown area,” said Dr. Muhs. “Our vision is to continue to grow and expand throughout Connecticut and beyond, while providing the expert artery and vein care services we are known for.”

To schedule an appointment at the new Middletown office location, please call 1-844-4-VASCULAR. For more information, please visit www.thevascularexperts.com.

About The Vascular Experts
Founded in 2001, by one surgeon, The Vascular Experts has nearly 30 clinical providers and more than 20 Board-certified vascular surgeons. With a commitment to deliver expert vascular medical and surgical care to communities in Connecticut, Rhode Island and New York, it is the largest group of Board-certified vascular surgeons in the country. With state-of-the-art facilities in multiple locations, The Vascular Experts deliver the latest minimally invasive vascular procedures including angioplasty, endovascular surgery, vein ablations and sclerotherapy to treat vascular disease. For more information, please visit www.thevascularexperts.com or call 1-844-4-VASCULAR.


April 30, 2018

Join us for an educational symposium!

Innovations in Aortic Surgery: An Update in Current Treatment

Hosted by

Brian J. Kelly, MD and John A. Pietropaoli Jr., MD, FACS, RPVI
Board-certified General and Vascular Surgeons

Thursday, May 10, 2018
6:00 p.m.
Mill on the River Restaurant
989 Ellington Road
South Windsor, CT 06074

Kindly reply by May 3 to Ashley Luongo at 203-290-6154 or aluongo@thevascularexperts.com

Event sponsored by

Endologix


April 11, 2018

Free Ultrasound Screenings and Health Seminars

The Greens at Cannondale & Wilton Meadows Rehabilitation and Health Care Center
435 Danbury Rd., Wilton, CT 06897

MAY 3 / 5–7:00 P.M.
ANEURYSMAL & CAROTID ARTERY DISEASE
Dr. Hsu
Many aneurysms and carotid artery disease go undiagnosed and generally are without symptoms until they become life threatening. An ultrasound is the first step to diagnosis.



MAY 24 / 5–7:00 P.M.

VARICOSE VEINS
Dr. Goldstein
Venous Disease often goes undiagnosed for years with a wide range of symptoms such as leg swelling, bulging, varicose veins, and more. Deep venous thrombosis (DVT) is a clot that most commonly forms in the leg and can travel to the lungs, causing pulmonary embolus.



JUNE 14 / 5–7:00 P.M.

PERIPHERAL ARTERY DISEASE (PAD)
Dr. Gagne
The primary cause of PAD is hardening of arteries and symptoms may include: leg cramping with walking, slow healing wounds, leg discoloration and cold feet. Learn about detection and treatment.


Pre-registration is required for free ultrasound screenings at each event.
For information or to register, call Danielle Ancona at 203-834-0199 x6113 or email daniellea@wiltonmeadows.com


April 11, 2018

The Vascular Experts’ Dr. Harry Ma, will be speaking at The Elms Open House & Speaker Series on Saturday, April 14th from 11:00am to 2:00pm. Dr. Ma, Chief of Vascular Surgery for Yale New Haven L&M/Westerly Hospitals, will be speaking about vascular disease, how it is diagnosed and the latest treatments. There will be free ultrasound screenings for vascular diseased offered at this event. To RSVP for the Open House & Speaker Series, please call 401-596-4630.

Dr. Harry Ma speaking The Elms


Copyright by The Vascular Experts 2019. All rights reserved.