ReNew Vascular Institute
Physicians at ReNew treat a variety of vascular conditions using the most advanced technology and minimally invasive techniques that can allow you to return to your normal life much faster than traditional surgery — even as quickly as the next day.
Diagnosis
Our expert team comprehensively evaluates you and customizes a care plan best suited for you.
Treatment
None of our treatments are performed with instruments larger than a needle.
Relief
Ideal for individuals who are seeking non-invasive vascular treatment that produces immediate results.
Vascular Conditions and Symptoms
Venous Insufficiency
Venous insufficiency is a condition that occurs when the valves in your veins do not work properly. These valves help to keep blood flowing in the right direction, up towards your heart. When the valves do not work properly, blood can pool in your legs, causing swelling, pain, and other symptoms.
There are a number of factors that can contribute to venous insufficiency, including:
- Age
- Family history
- Pregnancy
- Obesity
- Standing or sitting for long periods of time
- Injury to the legs
- Deep vein thrombosis (DVT)
The symptoms of venous insufficiency can vary from mild to severe. Some common symptoms include:
- Swelling in the ankles and feet
- Pain in the legs, especially after standing or sitting for long periods of time
- Cramping in the legs
- Restless legs syndrome
- Eczema or other skin changes
- Varicose veins
Peripheral Arterial Disease
Peripheral artery disease (PAD) is a narrowing of the arteries that carry blood to the arms and legs. This narrowing can restrict blood flow, which can lead to pain, numbness, and weakness in the affected limbs.
The most common symptom of PAD is pain in the legs that occurs when walking or exercising and goes away with rest. This pain is called claudication. Other symptoms of PAD include:
- Weakness or numbness in the legs or arms
- Coldness or paleness in the legs or arms
- Slow-growing toenails
- Skin sores or ulcers that don’t heal
- Changes in skin color, such as bluish or mottled skin
- Hair loss on the legs or arms
- Erectile dysfunction
If you have any of these symptoms, it’s important to see a doctor to get a diagnosis and treatment. PAD is a serious condition, but it can be treated and managed.
If you have any of these symptoms, it’s important to see a doctor to get a diagnosis and treatment. PAD is a serious condition, but it can be treated and managed.
Varicose Veins
Varicose veins are enlarged, twisted veins that can appear on the legs, ankles, or feet. They are caused by a problem with the valves in the veins that prevent blood from flowing back up to the heart. Varicose veins are more common in women than in men, and they are more likely to occur as you get older.
The most common symptom of varicose veins is a visible bulge in the skin. The veins may also be bluish or purple in color. Other symptoms of varicose veins include pain, swelling, burning, throbbing, itching, skin changes, and ulcers.
If you have any of these symptoms, it is important to see a doctor. Varicose veins can be treated with a variety of methods, including lifestyle changes, compression stockings, medications, and surgery. With proper treatment, most people with varicose veins can live a normal, active life.
Varicocele
Varicocele is a condition in which the veins in the scrotum become enlarged. This can cause a number of symptoms, including:
- A noticeable lump in the scrotum
- A feeling of heaviness or discomfort in the scrotum
- Pain, especially after standing or sitting for long periods of time
- Shrinkage of the affected testicle
- Infertility
In most cases, varicocele does not cause any symptoms. However, if you do experience any of the symptoms listed above, it is important to see a doctor. Varicocele can be treated with surgery, and early treatment can help to prevent complications, such as infertility.
Pelvic Vein Disease/Pelvic Venous Congestion
Pelvic Vein Disease (PVD), also known as Pelvic Venous Congestion Syndrome (PVCS), is a condition that occurs when the veins in the pelvis become enlarged and congested. This can cause a number of symptoms, including:
- Chronic pelvic pain, which is often described as a dull ache or heaviness in the pelvis or lower back
- Irritable bowel syndrome (IBS), which is characterized by abdominal pain, bloating, and diarrhea
- Stress incontinence, which is the involuntary leakage of urine when you cough, sneeze, or laugh
In some cases, PVD may not cause any symptoms. However, if you do experience any of the symptoms listed above, it is important to see a doctor. PVD can be diagnosed with a physical examination and imaging tests, such as an ultrasound or magnetic resonance imaging (MRI).
There is no cure for PVD, but there are treatments that can help to relieve symptoms. If you are experiencing symptoms of PVD, please see a doctor to discuss treatment options.
May-Thurner Syndrome
May-Thurner syndrome (MTS) is a rare condition that occurs when the right common iliac artery compresses the left common iliac vein. This compression can restrict blood flow through the vein, which can lead to a number of symptoms, including:
- Pain in the left leg, especially after standing or sitting for long periods of time
- Swelling in the left leg
- Skin changes, such as redness, warmth, or discoloration
- Thrombosis, or the formation of a blood clot in the vein
- Ulcers on the skin of the leg
In some cases, MTS may not cause any symptoms. However, if you do experience any of the symptoms listed above, it is important to see a doctor. MTS can be diagnosed with a physical examination and imaging tests, such as an ultrasound or magnetic resonance imaging (MRI).
Dialysis Access
Minimally invasive dialysis access is a procedure that creates an arteriovenous (AV) fistula or graft for hemodialysis. It is done using small incisions and imaging guidance, which can help to reduce pain and complications.
There are two main types of minimally invasive dialysis access:
- AV fistula: This is a connection between an artery and a vein in the arm. It is the preferred type of dialysis access because it is more durable and has a lower risk of infection.
- AV graft: This is a synthetic tube that is placed between an artery and a vein in the arm. It is not as durable as an AV fistula, but it can be used if there is not a suitable vein for an AV fistula.
Minimally invasive dialysis access is a safe and effective procedure that can help to improve the quality of life for people who need hemodialysis.
Benefits of minimally invasive dialysis access:
- Less pain: The procedure is done using small incisions, which can help to reduce pain.
- Fewer complications: The procedure is less likely to cause complications, such as infection or bleeding.
- Faster recovery: Patients typically recover from the procedure more quickly than from traditional surgery.
Vascular Treatment Videos
Click on a video below to learn more about some of the treatments and relief we offer at ReNew Institute.
Our Vascular Team
Donald Garbett, MD
Dr. Donald Garbett specializes in Vascular and Interventional radiology. He studied medicine at University of Illinois in Chicago.
Dmitriy Kazimirko, MD
Dr. Kazimirko graduated with honors from Northeast Ohio Medical University followed by postgraduate training in Diagnostic Radiology at the University of Mississippi.
Dariusz Zawierucha, MD
Dr. Zawierucha did his medical training at Stanford Medical School and completed his residency there in diagnostic radiology and fellowship in interventional radiology.
Bernardo Isuani, MD
Dr. Bernie Isuani received his medical degree from the University of Texas and completed his radiology residency at Vanderbilt University Medical Center in Nashville.
Jonathan Jo, MD
Dr. Jo received his medical degree at Weill Cornell Medical College in New York City and completed his Diagnostic Radiology residency and interventional radiology fellowship at UCSF.
Alex Dabrowiecki, MD
Dr. Dabrowiecki (Dom-bro-viet-ski) was born and raised in the Bay Area in Northern California. Prior to medical school he worked as a paramedic – which is how he discovered his love for medicine.