Peripheral Vascular Disease

Peripheral Vascular Disease (PVD) can cause symptoms such as pain or cramping in the legs while walking, non-healing wounds or sores on the feet or legs and changes in the colour or temperature of the legs. Risk factors for PVD include smoking, high blood pressure, high cholesterol, diabetes, and a family history of the disease.

Early diagnosis and treatment are important to prevent PVD from becoming more serious and leading to complications such as gangrene or amputation. Treatment options for PVD include lifestyle changes, such as exercise and a healthy diet, medications to manage risk factors such as high blood pressure and cholesterol. In more severe cases, angioplasty or bypass surgery may be necessary. Dr Hajian can help you determine the best treatment plan for you based on the severity of your condition and other health factors.

Aneurysms

Aortic aneurysms can occur in different parts of the aorta in the chest and or abdomen. Risk factors for developing an aortic aneurysm include age, smoking, high blood pressure, family history of the condition, and certain genetic conditions such as Marfan syndrome. Most Commonly, aneurysms are found incidentally but symptoms of an aortic aneurysm may include back or abdominal pain, a pulsating mass in the abdomen, or a sudden, intense abdominal or back pain if the aneurysm ruptures.

Occasionally aneurysm can also occur in other arteries such as those in spleen, kidney or lower limbs. Treatment options for an aneurysm depend on the size and location of the aneurysm, as well as the overall health of the patient.

In some cases, medication and lifestyle changes may be recommended, while in more advanced cases, surgery may be necessary to repair or replace the affected section of the aorta. It is important to talk to your doctor if you experience any symptoms or have risk factors for aortic aneurysm to determine the best course of treatment for you.

Dialysis Access and Arteriovenous fistula

After the procedure, it is important for the AVF to mature for several weeks before it can be used for dialysis. During this time, patients should follow the care instructions provided by their healthcare provider to ensure proper healing.

AVFs are a common and effective form of access for dialysis, but it is important to discuss potential risks and benefits of the procedure, as well as alternative options for dialysis access, to determine the best choice for your individual needs.

Diabetic Foot

In the management of diabetic foot, a vascular surgeon plays an important role in identifying and treating any underlying vascular problems that may be contributing to the development or progression of the condition.

Dr Hajian and his team may perform diagnostic tests, such as an ankle-brachial index (ABI), duplex ultrasonography or CT scans to assess the blood flow in the legs and determine the extent of any circulation problems. If necessary, he may perform procedures, such as angioplasty or bypass surgery, to improve blood flow and prevent further complications.

In addition, Dr Hajian collaborates with other medical specialists such as wound specialist nurses, podiatrist or infectious disease specialist or orthopaedic surgeons to provide comprehensive and coordinated care for the patient with diabetic foot. It is important for patients with diabetic foot to work closely with their healthcare team to manage the condition effectively and prevent serious complications.

Carotid Disease

Carotid disease may not cause any noticeable symptoms in its early stages, but as the condition progresses, you may experience symptoms of stroke such as weakness or numbness on one side of the body, difficulty speaking or understanding speech, temporary loss of vision in one eye.

The treatment of carotid disease depends on the severity of the blockage and the patient's overall health. Your vascular surgeon may recommend one or more of the following treatments:

Lifestyle changes, medications such as blood thinners or cholesterol-lowering drugs or surgery. If the blockage is severe or have caused stroke, Dr Hajian may recommend surgery to remove the plaque build-up from the carotid arteries and restore blood flow to the brain.