wound care1

Why See A Vascular Surgeon for Wound Care?

wound care san diego

In today’s times, with advertising media everywhere and our never-ending need to look our best, many people associate vascular centers with cosmetic procedures. For example, someone looking for varicose vein treatment  in San Diego, or spider vein removal in Orange County, might not be aware of the depth and breadth of serious conditions treated by vascular surgery centers.

What is a Chronic Wound?

A wound is considered to chronic when it does not heal in the expected time frame consistent with the type of wound. Treating wounds is critical, as improper or lack of wound care can result in amputation or even death. Wound care is an enormous health problem impacting our health care system, and people with chronic wounds must often choose between meeting their work obligations or treating their wounds. Since chronic wounds are usually caused by inadequate blood supply to the wound site, as vascular specialist should be your first choice for care and treatment.



Typically, wounds fail to heal from lack of oxygen and nutrients supplied by the circulation of blood to the affected area, or from infection. Pressure wounds, such as bedsores, must be treated by first removing the cause of pressure resulting in lack of blood flow. Varicose veins can cause ulceration due to lack of blood flow through damaged valves.  It is important to know that when one considers something as seemingly simple as varicose vein treatment in San Diego, for reasons of the fact that varicose veins can be indicative of a larger problem, a vascular surgeon should be your first choice. Ischema, or lack of blood circulation (as with diabetes patients), is also a major cause of chronic wounds.


Types of wounds

  • Acute post- surgery wounds – deep incisions from surgery that must be monitored with care to ensure proper healing
  • Acute wounds from accident – traumatic wounds account for approximately 6% of all emergency room visits, and must be especially treated and monitored due to tissue and circulatory damage resulting from blunt force.
  • Pressure wounds – the most common pressure wound is a bed sore, where continued pressure prohibits circulation and damages tissue. Severe pressure wounds can also lead to bone, muscle and tendon damage.
  • Radiation Wounds – Exposure to ionizing radioactive materials of any type (gamma ray, x-ray, etc.) can lead to wounds by both tissue damage at the site of exposure, and by compromising the immune system to affect the body’s ability to heal.
  • Diabetic ulcers It is imperative that diabetic patients get their feet checked regularly, as they are prone to ulcers that can become chronic or lead to amputation. Neuropathy is also common in diabetics, which is nerve damage that causes one to lose feeling in their feet. Thus, they could have an open wound and not realize it in time.
  • Vascular ulcers- many factors can result in vascular ulcers, both venous and arterial. Hypertension, venous insufficiency, atherosclerosis, certain types of cancer, and obesity can all lead to chronic vascular ulcers that put the patient at risk for amputation.



Chronic wounds should be treated systemically, as the patient’s overall health, nutrition, and underlying diseases must be managed to support the healing process. Vascular surgeons treat and dress wounds, often applying layers of medicated compression bandages, to improve circulation and nutrition to the wound, in a germ-free environment. Irrigation is also standard. Sophisticated analysis would lead them to determine if curettage is required to remove damaged tissue.
The San Diego Vascular Center is the premier vascular treatment center. Whether you are looking for spider vein removal in San Diego, or need a reliable, highly-qualified staff to care for chronic wounds or vascular disease, our team of board-certified doctors is at your service.

Why insist on a vascular surgeon for varicose vein removal?

Spider Vein Removal in San Diego

In addition to vascular surgeons, several other types of providers offer varicose vein and spider vein removal or treatment, such as dermatologists, technicians and ‘med spas’. It is important to know the differences in services and certification, before making a choice for varicose vein removal in San Diego.

While some people will go directly to a vascular care center or vascular surgeon, others might ask their primary care physician for a referral, and others might respond to internet ads for varicose vein or spider vein removal in San Diego.

Here’s why you should insist on a vascular surgeon:

While dermatologists specialize in skin conditions, some also treat varicose veins and spider veins, although they are blood vessels that appear through the skin. While treatments a dermatologist may offer for spider veins often coincide with the same treatments that a vascular surgeon would perform, they are usually limited to one or two types of spider vein removal, such as sclerotherapy for spider veins, or laser ablation for varicose veins. The same goes for technicians or medical spas; their practice may be limited, and care should be taken to assess whether they can meet your medical needs.

While treating spider veins is relatively harmless, a vascular surgeon should be considered for varicose veins. Varicose veins may be harmless in most cases, but they could be indicative of a more serious underlying vein condition.

Vascular Surgeons, on the other hand, specialize in all conditions relating to the vascular systems of arteries and veins, ranging from the more serious aneurysms and atherosclerosis, to varicose veins and spider veins. Their extensive knowledge and experience in the field make them the optimum choice for any vascular issues, including cosmetic procedures.

In some cases, laser ablation is not suitable for varicose veins, particularly if the vein mass has developed into a twisted shape, or if the veins have constricted greatly, which would then require ambulatory phlebectomy. In even more severe cases, such as when the veins begin to ulcerate, endoscopic vein surgery or vein stripping and ligation may be indicated, all of which must be performed by a vascular surgeon.

Here’s a brief review of the different treatments for spider veins and varicose veins. All procedures involve either removing the affected veins, or closing them off to reroute blood through healthy veins.

  • Sclerotherapy: injection of a saline solution into the varicose or spider vein, wherein the resulting scarring of the vein causes blood flow to reroute.
  • Endovenous Laser Ablation: A catheter is used to insert an image-guided laser into the vein, where the vein will be cauterized (closed), so that blood can reroute to healthier veins.
  • Ambulatory Phlebectomy:  A series of very small incisions are made in the skin, through which problematic veins are removed.
  • Vein Stripping and Ligation: The ligation procedure involves the surgical tying off a large vein, whereas vein stripping involves tying off (ligation) of smaller veins that branch off of large veins.

The San Diego Vascular Center is the premiere vascular surgery center  for varicose vein removal in San Diego.

Contact the San Diego Vascular Center.






Deep Vein Thrombosis: What are the signs?

deep vein thrombosis

Signs and Symptoms

DVT (Deep Vein Thrombosis) is caused when a blood clot forms in one of the veins of your body, most often in the legs.  The symptoms of DVT include:

  • Swelling and cramp-like pain in one leg (or arm)
  • Purple, red or bluish skin discoloration
  • Leg (or arm) feels warm to the touch

Contact your doctor or find an emergency medical facility as soon as possible, because you may need treatment right away.


Preventing DVT

  • Keep active
  • Stay in your normal weight range for your height and age
  • Avoid prolonged periods of inactivity, especially sitting. Get up and move around at least once per hour, or do leg raises and other seated exercises.
  • Avoid alcohol
  • Stay hydrated
  • Wear compression stockings while traveling


Blood clots from a Deep Vein Thrombosis and travel to the lungs, causing a pulmonary embolism (PE), which can be fatal.

Pulmonary Embolism:

Signs and Symptoms

  • Sudden shortness of breath
  • Sharp, stabbing chest pain
  • Increased or rapid heart rate
  • Sudden cough, sometimes with blood in mucus

Call an ambulance or 911 immediately for treatment in the ER if you experience these PE symptoms.

Up to 600,000 people in the United States develop blood clots every year.  About 100,000 people in the U.S. die each year from blood clots.


How Do Spider Veins and Varicose Veins Occur?

spider veins

Varicose Veins:

The veins in our body have multiple one-way valves that transport throughout the body. Varicose veins occur when one such one-way valve fails, causing a ‘reflux’ of blood in the channel which in turn results in that vein channel becoming unable to continue carrying blood to its destination. While there may be several factors behind why varicose veins occur, the most common cause is genetics. More than 50% of varicose vein sufferers indicate a family history.

Spider Veins:

Spider Veins occur when blood vessels begin to lose their elasticity, causing them to loose shape and widen. Spider veins are also genetic genetic, so there is little one can do in terms of prevention. Although they are completely superficial, they can sometimes be an indicator of a more deeply-rooted varicose vein issue. This is why, even for what seems to be a simple case of spider veins,  it is  absolutely critical to work with a vascular surgeon or vein specialist from the start.


For more information, or to schedule a consultation, contact The San Diego Vascular Centertoday by calling (760) 739-7666, or visit us on the web at www.SanDiegoVascularCenter.com.


What is Sclerotherapy treatment for spider vein removal?

spider vein removal

spider vein removalDuring the sclerotherapy procedure, your doctor (preferably a vascular specialist or vascular surgeon) injects the spider veins with a harmless solution that closes those veins, causing the blood to reroute through healthier veins. In a few weeks, the spider veins fade or disappear. Sometimes, the same vein may need to be injected more than once to completely remove spider veins, but more often than not, a patient will see lasting results on the first treatment.

Sclerotherapy requires no anesthesia, and can be performed right in your doctor’s office. Side effects are minimal, such as temporary swelling or itching.


For more information, or to schedule a consultation, contact The San Diego Vascular Center today by calling (760) 739-7666, or visit us on the web at www.SanDiegoVascularCenter.com.


Laser Treatment for Spider Veins and Varicose Veins

How does laser treatment work on spider veins and varicose veins?

A laser is a highly focused beam of light, which emits heat. The focused heat from the laser damages the vein it is applied to, forming scar tissue closes the vein. Once the vein is closed, it slowly disappears.

Simple Laser Treatment. Simple laser vein treatments are performed on the outside of the skin. External laser treatments are primarily used to treat spider veins and tiny varicose veins near the skin’s surface. More than one laser session may be necessary to completely remove spider veins, especially if they have formed a tight cluster. If you have poor blood circulation feeding these tiny veins, the larger “feeder” vein must first be treated by means of sclerotherapy or endovenous laser.

Endovenous Laser Treatment. Endovenous laser treatment is prescribed for treating larger varicose veins, such as those in the legs. A laser fiber enters the vein through a catheter, as the doctor views the vein on an ultrasound screen.  Pain is minimal; local anesthesia or a light sedative is all that is needed for laser treatment.


Recovery time after laser treatment is typically short and without pain. You are likely to be able to return to your normal daily routine the same day or day after Simple Laser Treatment.

Recovery after Endovenous Laser Treatment is a bit more extensive. Patients are required to wear compression stockings/garments and get proper rest for at least one week, and usually the doctor would follow up with additional ultrasound to ensure successful venus closure.

For more information, or to schedule a consultation, contact The San Diego Vascular Center today by calling (760) 739-7666, or visit us on the web at www.SanDiegoVascularCenter.com.