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S AQ I B CHAU D H RY, M D, FACS, FCCP, of American Access Care/ Fresenius Vascular Care has been a leader in care for patients with peripheral arterial disease (PAD), vascular conditions and dialysis needs for more than three decades. He will continue to support the community plans to quality vascular care for years to come. PAD and venous conditions often go untreated or undertreated because patients attribute leg discomfort and limited mobility to natural aging. Varicose veins may also be written off as a cosmetic concern. However, both PAD and varicose veins may result in pain, limited mobility and eventual tissue damage, classifying the conditions as quality-of-life issues at best. Peripheral Arterial Disease Management "PAD falls into two broad categories," Dr. Chaudhry says. "One is a lifestyle issue, involving significant discomfort in exercise and walking. Patients experience pain similar to chest pain felt in coronary artery disease — in fact, it is the same disease process. "The second category involves block- ages in the legs that have reached a critical stage, resulting in nonhealing ulcers and even gangrene." Dr. Chaudhry can diagnose PAD and perform most treatments, with the exception of open surgical procedures, in his office. "The majority of PAD cases can be handled with lifestyle changes and medication," he notes. "For critical limb ischemia, which could lead to amputation if left untreated, we offer endovascular therapy, angiograms with angioplasty and stenting, and open surgical bypass procedures." Varicose Veins Dr. Chaudhry calls varicose veins "the most common vascular abnormality in the human race." "The implication of the symptoms is not just aesthetic; as they progress, they have an impact on lifestyle as well," he says. "Large varicose veins can lead to blood clots, phlebitis and ulcers." D r. C h a ud h r y i n it i a l l y t re a t s va r icose veins w it h compression stockings; however, this treatment can have low compliance rates. The A merica n Access Ca re/Fresenius Vascular Care team can provide a range of minimally invasive treat- ments for varicose veins, including endovenous laser therapy, radiofre- quency ablation, microphlebectomy and sclerotherapy. Embolization and sclerotherapy for vascular malforma- tions are also available. "Whereas we once practiced surgical stripping, today nearly 95 percent of the time we can use a minimally invasive procedure — such as laser ablation or laser closure of a superficial vein with bad valvular reflex — in the office," Dr. Chaudhry says. More Services, More Convenience Dr. Chaudhry also works with renal failure patients to create vascular access for dialysis. Fresenius Vascular Care has multiple, long-standing rela- tionships with local dialysis centers and nephrologists, he notes. " We c r e a t e n e w f i s t u l a s f o r dialysis patients," he says. "We also perform maintena nce on existing fistulas. Again, these are mostly office- based procedures." American Access Care/Fresenius Vascular Care now has two area loca- tions: the Queens office and a new office in Roslyn, Long Island, where vein-related procedures are performed. To l e a r n i f A m e r i c a n A c c e s s C a r e / F r e s e n i u s Va s c u l a r C a r e could be the r ight choice f or your pat ients with va scular i ssues, vi sit www.aacinterventionalny.com. ■ WITH MORE THAN 30 YEARS' EXPERIENCE IN THE COMMUNITY, AMERICAN ACCESS CARE/FRESENIUS VASCULAR CARE NOW HAS OFFICES CONVENIENTLY LOCATED IN QUEENS AND ROSLYN. for a Range of Venous and Arterial Conditions By Jennifer Webster Saqib Chaudhry, MD, FACS, FCCP Treatment ++++++++++++++++++++++++ + +++ + +++ ++++++++++++++++++++++++ VASCULAR UPDATE 1 2 | Long Island MD NEWS ■ M D N E W S . CO M