Every procedure explained before, during, and after.
Threading catheters through blockages most patients never knew were closing — and explaining every step in plain language.
Serving retirees, diabetics, and anyone whose legs are trying to tell them something.
Average Rating
Procedures Performed
In Practice
Patient Journeys
Worry. Diagnosis.
Intervention. Relief.
Each story follows the same four beats — because that is exactly what every patient experiences. Nothing is skipped. Nothing is softened.
Robert Ashworth
71 — Retired postal worker, Tucson AZ
"I thought it was just getting older. My left calf would cramp up about three blocks into my morning walk. My wife said I was walking slower. She was right."
Ankle-Brachial Index (ABI) test
A simple, painless comparison of blood pressure at the ankle versus the arm. Robert's ABI of 0.62 indicated significant peripheral artery disease — blood flow to his lower leg was less than 62% of what it should be. No symptoms at rest, which is why it had gone unnoticed for years.
Percutaneous Transluminal Angioplasty (PTA)
A catheter was threaded through a small puncture in Robert's groin. A balloon was inflated inside the narrowed segment of his superficial femoral artery, compressing the plaque. The whole procedure took 47 minutes under local anesthesia. Robert watched the angiogram screen.
"I walked six blocks the next morning. Six. I cried at the end of the street and I don't care who knows it. He explained every single thing on that screen while it was happening."
Procedure Overview
Simplified anatomical illustration — not to scale
Denise Morales-Reyes
58 — Type 2 diabetic, referred by endocrinologist, Dallas TX
"My feet were always cold. I mentioned it every appointment and everyone said it was the diabetes. I started getting small sores that wouldn't heal on my right heel. That's when my doctor finally sent me."
Duplex Ultrasound + CT Angiogram
Duplex ultrasound mapped the velocity of blood flow through Denise's tibial arteries. The CT angiogram provided a three-dimensional roadmap showing two critical stenoses — one in the posterior tibial, one in the peroneal artery — both at greater than 80% occlusion.
Tibial Artery Balloon Angioplasty with Drug-Coated Balloon
Access through the dorsalis pedis artery in the foot. A drug-coated balloon delivered paclitaxel directly to the vessel wall during inflation, reducing the risk of re-narrowing. Denise's two lesions were treated in a single session. Heel wound began healing within three weeks.
"My feet are warm now. That sounds like nothing. It's everything. The wound closed in five weeks. I've had that wound for seven months."
Procedure Overview
Simplified anatomical illustration — not to scale
Marcus Feldstein
44 — Software engineer, Seattle WA — came in about spider veins
"I Googled spider veins and ended up on a forum where someone said they had similar ones and it turned out to be something called venous insufficiency. I booked an appointment mostly to rule it out. I was not expecting to need treatment."
Venous Duplex Ultrasound
With Marcus standing upright, ultrasound measured reflux — backward blood flow — in his great saphenous vein. Valves that should close and hold blood upright were leaking. Reflux duration of 1.8 seconds confirmed moderate-to-severe chronic venous insufficiency, despite minimal visible symptoms.
Endovenous Laser Ablation (EVLA)
A thin laser fiber was inserted into the saphenous vein through a small nick below the knee. Laser energy applied along the length of the vein caused it to seal permanently. The surrounding healthy veins rerouted the blood flow immediately. Marcus drove himself home.
"The heaviness I'd normalized for years — that end-of-day feeling in my legs — was gone in two weeks. I didn't even know it was a symptom until it disappeared."
Procedure Overview
Simplified anatomical illustration — not to scale
Conditions Treated
Is this for you?
Vascular conditions often present as ordinary discomfort. These are the six most common reasons patients walk through our door.
Peripheral Artery Disease
Narrowing of arteries supplying the legs — often felt as cramping during walks that disappears at rest.
Chronic Venous Insufficiency
Faulty vein valves allow blood to pool, causing swelling, heaviness, and skin changes.
Carotid Artery Disease
Plaque buildup in the carotid arteries — a leading cause of stroke if untreated.
Abdominal Aortic Aneurysm
A bulge in the aorta that can rupture without warning. Screening saves lives.
Deep Vein Thrombosis
Blood clots in deep leg veins — treatable and preventable with prompt care.
Critical Limb Ischemia
Severe blockage threatening tissue survival — wounds that will not heal are the hallmark sign.
Unsure which category fits your symptoms?
Vascular Health Assessment
Check Your Vascular Health
Five questions. The same process-first approach we apply to every patient — applied to you, right now.
How often do your legs feel heavy, achy, or cramp during activity?
Think about the past 30 days — walking, climbing stairs, or standing for long periods.
About the Surgeon
Credentials, plainly stated.
No superlatives. No "world-class" claims. Just the training, certifications, and outcomes data — the same information you'd want before any procedure.
Training
- Vascular Surgery Fellowship — Johns Hopkins Hospital, Baltimore MD
- General Surgery Residency — University of Washington Medical Center
- MD — Stanford University School of Medicine
Board Certifications
- American Board of Surgery — Vascular Surgery
- American Board of Surgery — General Surgery
- RPVI — Registered Physician in Vascular Interpretation
Hospital Affiliations
- Regional Medical Center — Chief of Vascular Surgery
- University Hospital — Attending Vascular Surgeon
- Outpatient Vascular Institute — Medical Director
"The angiogram is not a mystery. I turn the screen toward the patient and explain what I see in real time. Every single time. If you can see it, you can understand it. If you understand it, you can decide."
Ready to understand what's happening in your vessels?
First appointments include a non-invasive vascular screening. Most results explained same day.