Coastal Vascular & Interventional
Pensacola, FL (December 10, 2013) " Coastal Vascular & Interventional Center, a Pensacola-based state-of-the-art outpatient interventional center, performed the first new procedure of a prospective, 50-site national clinical trial to study a revolutionary approach to treat peripheral artery disease (PAD).
PAD, which has become a very serious global health problem, occurs when fatty deposits collect in the peripheral arteries, restricting blood flow and oxygen to the legs and feet. Restricted blood flow results in difficulty walking, an increased risk of heart attack or stroke, or amputation. New worldwide estimates published in The Lancet estimate the number of people suffering with PAD to be 202 million in 2010 " including 17 million Americans.
Stuart Harlin, M.D., FACS, the vascular surgeon who performed the procedure said the procedure was surprisingly intuitive and uncomplicated, and may represent a breakthrough in treatment options for millions of Americans suffering with PAD. This represents a dramatic new opportunity to decrease recurrent blockages after other catheter-based interventions. Recurrent blockage is a principle cause of failure for catheter-based interventions. This novel new technique ushers in a new era in the treatment of patients with P.A.D. Its ramifications could spread to the treatment of all atherosclerotic blockages.
Mercator is attempting to improve the treatment of PAD by allowing clinicians to accurately and efficiently deliver small volumes of anti-inflammatory drug to the adventitia, which becomes highly inflamed during procedures to open the artery. Until now, doctors have had to rely on indirect, non-specific methods of controlling inflammation from the inside of the blood vessel. We believe the outside-in approach will potentially better target the localized injury caused by vascular procedures such as balloon angioplasty or atherectomy, explained Mercator Chief Executive Officer Thomas M. Loarie.
Immediately following the first procedure, Dr. Harlin said he believes Mercators Micro-Infusion Device returns therapeutic freedom back to the physician. We believe we now have the ability to deliver what is needed precisely where it is needed in the body, he said. There are no guessing games " we can see and feel the drug being delivered.
CONGRATULATIONS COASTAL VASCULAR & INTERVENTIONAL
For Immediate release: October, 2013: Coastal Vascular & Interventional, PLLC
Awarded Intersocietal Accreditation Commission (IAC) Seal of Approval.
PENSACOLA, FL. - Coastal Vascular & Interventional, PLLC, a multispecialty practice consisting of vascular surgeons and interventional radiologists, were recently recognized as an IAC accredited vascular laboratory for extracranial cerebrovascular, peripheral venous and peripheral arterial testing. As vascular specialists, they rely on diagnostic ultrasound to produce images of blood flow within the arteries and veins. After months of review, the IAC has given their coveted Seal of Approval.
A vascular ultrasound examination is non-invasive and provides doctors with useful information when diagnosing a range of vascular diseases such as Deep Vein Thrombosis, Peripheral Arterial Disease, Carotid Artery Disease, Abdominal Aortic Aneurysm and Varicose Veins. It is particularly important that the public understand that there are many factors that contribute to a diagnosis when utilizing a vascular ultrasound examination. For example, the skill of the ultrasound technologist performing the examination, the equipment and the knowledge and expertise of the physician interpreting the results all determine the quality of the exam. Poor quality assurance measures can lead to misdiagnosis and unnecessary tests or surgery.
To become an IAC accredited practice means Coastal Vascular & Interventional volunteered to a thorough review of their daily operations. This recognition demonstrates their commitment to offer the highest level of quality vascular testing, skilled ultrasound technologists and care for their patients. Coastal VI is the regions only accredited vascular laboratory in all three areas of extracranial cerebrovascular, peripheral arterial and venous testing.
For more information about Coastal Vascular & Interventional, PLLC visit http://www.coastalvi.com.
What is DVT?
Deep vein thrombosis (DVT) is the formation of a blood clot in the deep leg vein. It is a very serious condition that can cause permanent damage to the leg or a life-threatening pulmonary embolism. In the United States alone, 600,000 new cases are diagnosed each year. One in every 100 people who develops DVT dies. Recently, it has been referred to as "Economy Class Syndrome" due to the occurrence after sitting on long flights.
The deep veins that lie near the center of the leg are surrounded by powerful muscles that contract and force deoxygenated blood back to the lungs and heart. One-way valves prevent the back-flow of blood between the contractions. (Blood is squeezed up the leg against gravity and the valves prevent it from flowing back to our feet.) When the circulation of the blood slows down due to illness, injury or inactivity, blood can accumulate or "pool," which provides an ideal setting for clot formation.
What are the Risk Factors?
Previous DVT or family history of DVT
Immobility, such as bed rest or sitting for long periods of time
Above the age of 40
Hormone therapy or oral contraceptives
Pregnancy or post-partum
Previous or current cancer
Limb trauma and/or orthopedic procedures
What are the Signs and Symptoms?
Discoloration of the legs
Calf or leg pain or tenderness
Swelling of the leg or lower limb
Surface veins become more visible
Some people with DVT may have no symptoms.
PAD: Why Should I Care?
By Christopher J. Bosarge, MD
Peripheral arterial disease (PAD) affects over 10 to 12 million people. PAD occurs when the arteries that deliver blood from the heart to the body become narrowed from the accumulation of fatty deposits on the artery wall known as plaque. The process is called atherosclerosis. PAD most commonly affects the legs but can affect blood flow to other organs such as the arms, kidneys and stomach. The process is the same as that which narrows the blood vessels in the heart causing a heart attack or to the brain which can cause a stroke.
There is a good chance that someone with PAD will go undiagnosed because almost half the time there is no symptoms. If this is the case, why should one care? (Full Article)
Stroke: A Leading Cause of Death and Disability in America Today
By Christopher LeCroy, MD
The carotid arteries are large blood vessels located in the neck on both sides. These arteries comprise the major blood supply to the brain. The carotid arteries (like other arteries elsewhere in your body) can sometimes be affected by atherosclerosis. Atherosclerosis (aka hardening of the arteries) is a process where plaque builds up in the walls of the arteries, slowly narrowing the vessel and restricting flow.
As plaque builds and the carotid arteries narrow, complications such as stroke or TIA (mini strokes) can occur.
Causes of carotid stenosis include:
- Heredity (genetic predisposition / family history of stroke)
- High blood pressure
- High cholesterol
- Advanced age
- Radiation to the neck
Symptoms: carotid stenosis is most often asymptomatic in the early stages. It is, therefore, important for your doctor to perform physical examinations and conduct a complete history at regular intervals. (Full Article)
Doctors say There is a better way
At Coastal Vascular & Interventional, Drs. Christopher Bosarge, Harry Crammer and Aaron Montgomery have good news for women with a common medical condition, Uterine Fibroids. At one time the only option was surgery and now a less drastic solution may help suffers with this condition, Uterine Fibroid Embolization (UFE).
Uterine fibroids are the most common benign tumors within the female reproductive system. While the majority are diagnosed and treated in women between the ages of 35-54 (Full Article)
Are You at Risk?
Unless you have a family history of AAAs, you may have never heard of this condition. You need to know because. ruptured abdominal aortic aneurysms are a leading cause of mortality in the United States, causing 15,000 annual deaths.
An abdominal aortic aneurysm (AAA) is an abnormal dilation of the artery in the abdomen allowing the aorta to balloon out, like a bubble in a tire. The aorta is the main artery arising from the left ventricle of the heart, supplying oxygenated blood to the rest of the body. This is a large vessel about 2-3 centimeters in diameter (roughly the diameter of a garden hose) with a thick, elastic wall to withstand the pressure generated by the beating heart.
Aneurysms gradually increase in size over time. Usually when the aneurysm measures 4-5 centimeters in diameter, surgery is deemed necessary, but with slow growth this may be 10 to 15 years after the original diagnosis. The best single factor that correlates with risk of rupture is the size of the aneurysm. (Full Article)
Vascular and Interventional Radiology
Dr. Bosarge became board certified in diagnostic radiology through the American Board of Radiology in 1996. In 2003 Dr. Bosarge was certified in the abdominal aortic aneurysm (AAA) stent (more)
Vascular and Interventional Radiology
Dr. Cramer was board certified in diagnostic radiology in 1978 and became certified in vascular and interventional radiology by the American Board of Radiology in 1995, (more)
In 1993 Dr. Harlin became board certified in general surgery through the American Board of Surgery and in 1997 achieved certification in vascular surgery through the American Board of Surgery. (more)
General Surgery and Vascular Surgery
Dr. Kafie has published numerous articles and book chapters in prestigious medical journals. More recently, he was recognized as a Champion Surgeon in the state of Florida by the Center for Medicare and Medicaid Services. (more)
Dr. LeCroy is board certified in general surgery through the American Board of Surgery, and he is board certified in vascular surgery. Dr. Lecroy received his license to practice medicine in Alabama in 2001 and in Florida in 2008. (more)
Vascular and Interventional Radiology
Dr. Montgomery is board certified in diagnostic radiology through the American Board of Radiology, and he is also board certified in vascular and interventional radiology. He obtained his license to practice medicine in Florida in 2003. (more)
Dr. Tucker is a member of several medical and surgical societies including the American College of Surgeons, Escambia County Medical Society, Pensacola Surgical Society and Carraway Surgical Society. He is a Clinical Assistant Professor with Florida State University. (more)
Dr. McDaniel is a board certified vascular surgeon who is licensed to practice in Florida, Alabama and Mississippi. He has a strong clinical research and teaching background with a dedication to developing new medical technologies to improve clinical cardiovascular outcomes. (more)
Michael L. Miller, M.D. is from Marietta, Georgia and graduated medical school from Mercer University in Macon, Georgia in 1996. Dr. Miller completed his general surgery residency at Keesler Medical Center, Keesler AFB, in Mississippi in 2002. In 2005, Dr. Miller completed a fellowship in vascular surgery from the University Medical Center in Tucson, Arizona.
Dr. Miller became board certified in vascular surgery through the American Board of Surgery in 2014. He has been Chief of Vascular Surgery at Eglin Hospital, Eglin Air Force Base, since MORE