Poor circulation or blockages in the arteries of the brain (cerebrovascular disease) or in the arteries of the body (peripheral arterial disease) is common and often not recognized by patients. It is estimated that 35% of older patients with high blood pressure, high cholesterol  or history of cigarette smoking have vascular disease.  Patients with vascular disease are at high risk for heart attack and for stroke. Our physicians are expert in the identification of vascular patients and treatment with medications that can significantly decrease heart attack and stroke risk within months. Sometimes medications may not be enough to improve bothersome symptoms or to improve risk of bad outcomes.  Blockages in the arteries of the legs or arms can cause limiting muscle discomfort or fatigue. In severe cases, leg blockages can lead to non-healing wounds or need for amputation. Blockages in the arteries of the brain increase stroke risk. Blockages in the arteries to the kidney or intestines can cause difficult to control blood pressure, kidney failure or malnutrition. Vascular patients are at risk for life-threatening aortic aneurysm. Our specialists understand when doing more than taking medications is beneficial. We have expertise in performing minimally-invasive procedures that can improve quality of life, avoid limb amputation and other complications of advanced vascular disease.

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