Cranley Surgical Associates, Inc.


	Vascular surgeons at Cranley Surgical Associates specialize in the diagnosis and treatment of diseases of your veins, arteries, and lymphatic channels. Our vascular surgeons excel in using diagnostic tests to determine the adequacy of blood supply to an organ or extremity. If inadequate blood flow is diagnosed, the condition may be improved by a variety of procedures including simple lifestyle changes, medications, medical appliances, or surgical/endovascular intervention. Cranley Surgical Associates vascular surgeons have the training and experience necessary to offer you all the options and better care in treating all types of vascular disease. Our vascular surgeons offer advanced techniques in Minimally Invasive Vascular and Endovascular Surgery, Traditional (Open) Vascular Surgery, Vein Surgery and Treatment, Wound Care and Spine Exposure supported by our ICAVL Accredited Vascular Laboratory.

Minimally Invasive Vascular and Endovascular Surgery

� Annually, nearly 200,00 people in the US are diagnosed with AAA.
� Nearly 15,000 of those have AAA threatening enough to cause death if left untreated.
Fortunately, when diagnosed early, AAA can be treated by our vascular surgeons with
highly effective and safe treatments.
� �Minimally Invasive Vascular Surgery Saves Lives�

� Peripheral Angiography evaluates the presence of plaque build-up in the peripheral
   arteries - meaning the arteries to the lower abdomen, kidneys, arms, legs, and feet.
� Peripheral Angiography is an invasive diagnostic test using a catheter to inject dye into
   peripheral arteries. X-rays are taken of the dye within the arteries, allowing clear
   visualization of the blood flow inside the artery where Peripheral Vascular Disease
   occurs.

� Carotid angioplasty is a non-surgical procedure that treats carotid artery blockages.
� Currently approved for patients who are deemed high risk for carotid endarterectomy,
carotid stenting offers a less invasive approach.
� Carotid stenting is performed while the patient is awake, reducing recovery time and the
risk of complications and re-narrowing.
� �Minimally Invasive Vascular Surgery Saves Lives�

� Intermittent Claudication, the most common symptom of mild-to-moderate peripheral
   artery disease, occurs in the muscles of the legs during exercise, causing leg pain felt
   as cramping in the hips, thighs or calves.
� Patients who fail conservative therapy may respond to minimally invasive techniques
   provided by a Cranley Surgical Associates surgeon. These procedures can produce
   excellent results compared to traditional bypass surgery.
� �Treatment for Intermittent Claudication�

Traditional (Open) Vascular Surgery

� A Carotid Endarterectomy is the gold standard and has a proven track record for patients
   with significant carotid artery disease.
� During carotid endarterectomy, an incision is made in the neck at the site of the carotid
   artery blockage. The artery is isolated and the plaque and diseased portions of the artery
   are surgically removed. Then, the artery is sewn back together to improve blood flow
   to the brain.
� �Preventing Stroke through Carotid Endarterectomy or Carotid Stenting�

� Surgical bypass treats your narrowed arteries by directly creating a detour, or bypass,
   around a section of the artery that is blocked.
� Your vascular surgeon creates a new pathway for blood flow using a graft. This graft can
   be a portion of one of your veins or a man-made synthetic tube that your surgeon
   connects above and below a blockage to allow blood to pass through it and around
   the blockage.
� A vascular surgeon uses bypass grafting to treat peripheral arterial disease (PAD).

� A balloon-tipped catheter is inserted into a blood vessel and maneuvered to the clogged
   portion of the artery. There, it is threaded into the blockage and inflated, compressing the
   plaque against the arterial walls.
� A stent is a metal sleeve that when opened holds the artery open and may be used if the
   balloon dilation alone is not sufficient.

Vein Surgery and Treatment

� If the valves inside your veins become damaged as a result of venous disease,
   the valves may not close completely, allowing blood to leak backward or flow in
   both directions.
� Your Cranley Surgical Associates physician provides non-surgical and surgical
   treatment options for venous diseases, such as blood clots, deep vein thrombosis,
   phlebitis, and chronic venous insufficiency.

� The physicians of Cranley Surgical Associates offer the latest techniques and innovative
approaches for the relief of painful varicose veins and undesirable "spider veins�.
� Treatment options may include compression stockings, sclerotherapy, VNUS Closure
procedure or complete vein stripping.
� �Solutions to Painful Varicose Veins and Varicosities�

� The VNUS Closure procedure is an alternative treatment option to the older more
   traditional vein stripping surgery.
� The VNUS Closure procedure, a minimally invasive treatment for superficial varicose
   veins, involves placement of a thin catheter into the vein through a small opening in the
   skin and radio-frequency waves are applied to the vein. The energy released from the
   catheter causes the vein to heat and collapse, eventually causing its disappearance.
� Patients treated with the VNUS Closure procedure have less postoperative pain, less
   bruising, faster recovery and fewer overall complications.
� �Solutions to Painful Varicose Veins and Varicosities�

� Sclerotherapy is a non-surgical, in-office procedure in which a solution is injected into
   the problem varicose veins or spider veins in order to cause its disappearance.
� No surgical incisions are made and anesthesia is not necessary. When a problem vein
   is closed off via sclerotherapy, the blood will re-route through the normal veins and flow
   much more efficiently.
� �Solutions to Painful Varicose Veins and Varicosities�

Other Vascular Services

� The physicians at Cranley Surgical Associates use proven, advanced techniques
to treat many types of wounds. We work with you to decide on the best treatment
options to help a wound heal faster. All the options. Better Care.

� There has been a tremendous increase in the number of procedures done by spine
   surgeons on the front of the spine. Cranley Surgical Associates vascular surgeons
   frequently perform the exposure to the front of the spine because these operations are
   typically in an area near major blood vessels.

� ICAVL stands for the Intersocietal Commission for the Accreditation of Vascular
   Laboratories, which sets standards for vascular labs. This ensures high quality
   vascular care and diagnostic evaluations
� At Cranley Surgical Associates, Registered Vascular Technologists utilize state of
   the art ultrasound equipment to ensure the quality of your study.
� Our board certified vascular surgeon will interpret your study and recommend the best
   treatment options for your needs.
� We offer you the convenience of having your study performed in our office, often on the
   same day as your appointment with a Cranley Surgical Associates physician.