Vascular and Interventional Specialists of Prescott (VISP) emerged onto the Prescott area medical scene in 2010 to fill a void in the community and add to the existing quality medical care.

We are a group of subspecialty radiologists that perform numerous minimally-invasive, low-risk procedures using the tools of our trade for guidance—x-ray, ultrasound, CT scan, and MRI.

Our goal is to educate the public and medical community, then diagnose and treat people in the safest, most compassionate way, with rapid recovery times and low risk of complications.

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Vericose Veins Prescott Varicose veins prescott

Keeping Your Legs Healthy and Attractive

Vericose Veins Prescott

Keeping Your Legs Healthy & Attractive

Chronic venous insufficiency is a condition that causes decreased blood flow from the leg veins to the heart. The decreased blood flow causes the blood to pool in the leg veins, which can lead to varicose veins. Special valves in the blood vessels of the legs ensure blood flows up toward the heart for recirculation, and prevent the backflow of blood. When blood flows backward, it is called Venous Reflux Disease. Symptoms such as aching, swelling, fatigue or heaviness in the leg or an ulcer on the leg are common for those with varicose veins. If unchecked and untreated, chronic venous insufficiency can lead to uncontrollable swelling, ulcerations that heal poorly, infections, and tissue loss. Drs. Matthew Dicker, M.D., and Ben Paxton, M.D., of Vascular and Interventional Specialists of Prescott (VISP) are interventional radiologists who are specially-trained in vein and artery health and function and believe it is important to keep your blood vessels healthy. Dr. Dicker said, “Aside from the cosmetic aspect, the symptom of varicose veins that prompts treatment the majority of the time is pain, throbbing or aching, usually at the end of the day. It is rare, but at times a varicose vein may bleed.” There are surgical and non-surgical options for vein treatment. One non-surgical option is vein ablation in which a probe is inserted into the poorly functioning vein to heat and then collapse it. Blood flow then re-routes through healthier veins. “There are many benefits of vein ablation over a surgical option. Ablation is a minimally invasive outpatient procedure that avoids many of the increased risks of surgery, such as pain and infection. The recovery time is much quicker, and there are no scars or stitches. Ablation has a high success rate and lower recurrence rates compared to surgery,” said Dr. Paxton. Phlebectomy, when a vein is removed through a small incision, and sclerotherapy, when the vein is injected with a material and it collapses, are two other treatment options. Prescott’s Frank Colella saw Dr. Dicker for a phlebectomy to treat varicose veins that developed as a result of several biking accidents. In June of 2010, he was in a near-fatal biking accident while riding on White Spar Road. Among other things, he re-injured his left leg and was placed into a cast, which led to poor circulation. The combination of wearing a cast many times, as well as working long hours as a nurse practitioner, led to the development of his varicose veins. Frank said, “I work four long days, almost ten hours each day, and I see 20 or 25 patients every day. I’m on my feet and stationary all day long.” Dr. Dicker said, “Often, patients see me for cosmetic reasons and because their veins are unsightly. We can and do perform the procedure for this reason. We also want to make sure the veins are healthy and to rule out chronic venous insufficiency as the cause of the varicose veins, because it is this underlying condition that can pose a more serious health risk.” Frank is happy with his result and adds, “I’m not sure if it is because of my Italian heritage or what, but biking is in my blood.” And this is a good thing because biking will keep his leg veins healthy for many years to come. If you have questions about varicose vein treatment options, please contact Vascular and Interventional Specialists of Prescott at (928)771-8477.

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Vertebroplasty Prescott

Vertebroplasty: A Minimally-Invasive Method for Healing Spinal Compression Fractures

Vertebroplasty Prescott

Vertebroplasty: A Minimally-Invasive Method for Healing Spinal Compression Fractures

Osteoporosis and certain types of cancers can cause spinal compression fractures, which lead to collapsed vertebrae and extreme pain. This decreases a person’s ability to be active and can lead to many other complications as a result of becoming sedentary. Prescott Valley resident Norman Walsh was in extreme pain and could barely move from his bed before his recent vertebroplasty procedure. “The pain had been excruciating…a ten or eleven every time I tried to turn over or move. It was awful.” David Lloyd, M.D., is a partner with Prescott Radiologists and a board certified, fellowship-trained Neuroradiologist who specializes in back pain relieving procedures. Dr. Lloyd is also the Director of the Percutaneous Spine Procedure Program at Vascular and Interventional Specialists of Prescott.  “Many patients must stay chairbound or bedridden for the pain to be bearable. Since most compression fractures take several months to fully heal, such immobility can lead to depression, blood clots, and other adverse health outcomes, in addition to increasing stress among loved ones and caregivers,” states Dr. Lloyd. [embed]https://www.youtube.com/watch?v=A7nH4J97z0c[/embed] Vertebroplasty is a minimally invasive procedure that usually eliminates the patient’s pain. The radiologist uses image guidance to inject medical-grade cement into the collapsed vertebra to stabilize it. When other conservative medical therapies, such as pain medicine and rest, fail to help a patient, vertebroplasty can be a good option. According to Dr. Lloyd, “Patients who suffer from osteoporosis are at increased risk for compression fractures of their spine, even after very minimal trauma. These fractures are extremely painful and debilitating and usually take months to heal. Very rarely will conservative treatment with pain medications and rest relieve the pain in a timely fashion, and pain medicines can have very uncomfortable side effects. Vertebroplasty provides pain relief by stabilizing the fracture through the injection of cement into the broken bone.” Prompt evaluation by an interventional radiologist will maximize a successful result. After a certain amount of time has elapsed, the harder it can be to treat the fracture and relieve pain. Dr. Lloyd explains, “The pain from vertebral compression fractures is usually so severe that most patients are severely restricted in their mobility. Hobbies and even basic chores are difficult to impossible to perform. Patients frequently have a hard time even dressing themselves, and even very active, otherwise healthy patients, must begin using a walker or wheelchair. By quickly relieving the pain, patients quickly resume their normal, baseline activity level.” Norman Walsh agrees. “I woke up completely pain free. It was like a miracle.” Now, only a few weeks after the procedure, Mr. Walsh said he is going out to eat and to church and doing things he wasn’t able to do for months. Dr. Lloyd adds, “The beautiful thing about vertebroplasty is its safety, effectiveness, and quick results. Vertebroplasty provides almost immediate pain relief in over 90% of patients. The majority of patients will notice complete pain relief the same day, while the rest will heal completely within the first couple of days after treatment. The procedure is also minimally invasive, meaning the patient does not need general anesthesia and can return home the same day as the procedure.” If you have experienced a compression fracture, or if your doctor feels you may benefit from other pain relieving back procedures such as steroid injections, please contact Vascular and Interventional Specialists of Prescott at (928) 771-8477 for a consultation.

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