MHVI-Peripheral-Artery-Disease

Peripheral artery disease experts available in the Baltimore and Washington, D.C., area

The experts in our vascular and endovascular program are recognized leaders in the treatment of the condition, also known as peripheral vascular disease (PVD). They will work with you to develop an individualized plan to manage and treat the condition so you can return to your daily activities. If you've been diagnosed or suspect you have PAD, request an appointment at one of our convenient locations in the Baltimore-Washington, D.C., area.

One in 20 Americans over age 50 has peripheral artery disease (PAD)—and it is even more common in African Americans, affecting nearly 1 in 10 over age 40. PAD occurs when a buildup of fatty deposits (plaque) leads to narrowed or hardened blood vessels. The result is reduced blood flow to your limbs, particularly the legs.

The American College of Cardiology/American Heart Association Practice Guidelines defines PAD by four categories:

Asymptomatic – Peripheral artery disease can exist without any symptoms.
Claudication – Pain in the legs of arms that occurs while walking or using the arms. Symptoms such as muscle cramping, muscular pain, or fatigue that typically occur during exercise which go away with rest.

Critical limb ischemia – Severe stage of PAD caused by major blockages of the arteries of the legs and arms where pain persists even when a person is resting. It can also result in sores and wounds that will not heal due to the poor circulation in your limbs. Left untreated, critical limb ischemia can even lead to amputation.
Acute limb ischemia – Sudden decrease in blood flow to the legs or arms which can affect the survival of the limb. This is a medical emergency requiring immediate medical attention.

Risk Factors for PAD
Although some people with the disease experience symptoms, it may not be as obvious for others. Many patients don’t show any signs at all. So it’s also important to understand your risk factors.

Risk factors for PAD include:

African American race

Age 50 or older

Atherosclerosis (restricted blood flow) in other parts of the body

Diabetes

End-stage renal disease

Family history of PAD, heart disease or stroke

High blood pressure

High cholesterol

Obesity

Smoking
Signs and Symptoms of PAD
Many people with PAD have no symptoms. The most common symptom is pain or cramping while walking, a condition known as claudication. Pain is not a normal part of aging. If you experience recurring leg pain, see your doctor. Other symptoms may include:

Coldness in one leg or arm

Discoloration of the limb

Numbness or weakness

Sores that will not heal

Slower growth of fingernails or toenails
Self-Assessment Tool
Peripheral Artery Disease may have no symptoms. However, if you experience these symptoms, you should bring them to your physician’s attention:

Heaviness, cramping, numbness, weakness in the leg or calf muscles that occur during walking or other activities.

Decreased ability to walk distances that you were able to accomplish in the past.

Coldness in a leg or foot.

Sores or wounds on your legs or feet that heal very slowly or not at all.

Leg pain that wakes you up at night.

Pale, black or bluish color of your legs, feet, or toes.

Poor nail growth on your toes.
How PAD is Diagnosed

Diagnosing PAD is the first step to developing a treatment plan. Our specialists may recommend one or more diagnostic and imaging procedures:

Ankle-Brachial Index
The ankle-brachial index test is a straightforward way to check for peripheral artery disease (PAD). It compares the blood pressure measured at the ankle with the blood pressure measured in the arm. A low ankle-brachial index number can indicate there is a narrowing or blockage of the arteries in the legs.

Angiogram (Angiography)
An angiogram is a special X-ray that uses a special dye that is injected through a thin, flexible tube called a catheter to detect blockages or aneurysms in blood vessels.

Arterial duplex ultrasound for arms and legs
Arterial duplex ultrasound uses Doppler and traditional ultrasound to assess blood flow in the arteries of your arms and legs.

Pulse volume recording
Pulse volume recording tests are used to evaluate blood flow through the arteries in your arms or legs.
Treatment for PAD

Your doctor will work with you to manage symptoms and stop the progression of the disease. This may include lifestyle changes such as quitting smoking and exercising, taking medication, or getting more advanced procedures such as angioplasty or surgery.

Peripheral artery disease treatments
Peripheral artery disease treatments may include lifestyle changes, medication, and minimally invasive, and surgical procedures to manage symptoms and reduce the risk of complications.

Atherectomy
Atherectomy is a minimally invasive procedure used to remove plaque from blocked arteries.

Limb salvage
Limb salvage is a form of treatment our vascular surgeons use as an alternative to amputation for patients with severe PAD.

Walking Program for Peripheral Artery Disease (SET-PAD)
Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) is the use of intermittent walking exercise, which alternates periods of walking to moderate-to-maximum pain, with rest.

If you've been diagnosed or suspect you have PAD, call

410-248-8465,

or request an appointment online.

Request an Appointment

Why Choose MedStar Health for PAD Treatment

High-Volume Vascular Surgery Program

Each year thousands of patients receive both routine and complex vascular surgery treatments at MedStar Health hospitals and outpatient clinics. The MedStar Heart & Vascular Institute aortic disease program is also the largest and most experienced in the mid-Atlantic region.
Superior Outcomes

MedStar Health vascular surgeons achieve superior outcomes in abdominal aortic aneurysm repair, carotid stenting, peripheral arterial, complex aortic, and other highly specialized procedures. We also have vascular surgeons who specialize in specific vascular conditions and are recognized leaders in their respective fields.
Innovation and Research

MedStar Health vascular surgeons are leaders in minimally invasive endovascular techniques and are at the forefront of advancing techniques and technologies. MedStar Health vascular surgeons were the first in the world to offer venous stent thrombectomy which removes clots caught within stents and offer percutaneous transmural artery bypass which is the latest treatment for complex obstructive disease of the superficial femoral artery. They participate in numerous clinical trials for new endovascular treatment options.
Multiple Convenient Locations

With 24 vascular surgeons in a network of 11 hospitals and 20 outpatient clinics, you will have timely access to care close to home. From cosmetic procedures to lifesaving interventions, we are here to help you.
Team Based Approach

Our vascular surgeons embrace an interdisciplinary, collaborative approach to care. They partner with vascular medicine specialists, cardiac surgeons, interventional cardiologists, nephrologists, radiologists, and other physician specialists to provide optimal care for patients.

Dedicated and Experienced Staff

The specialists in our Vascular and Endovascular Program are known for their expertise, leadership and high-quality patient care in vascular disease.

Baltimore/Annapolis Region

Baltimore/Annapolis Region Experts
Raghuveer Vallabhaneni, MD
Director of Vascular Surgery for the Baltimore region

Raghuveer Vallabhaneni, MD

Raghuveer Vallabhaneni, MD, FACS FSVS, is the Director of Vascular Surgery for the Baltimore region. He is a fellowship-trained vascular surgeon who is board certified in vascular surgery. Most recently, Dr. Vallabhaneni served as an Assistant Professor of Surgery in the Division of Vascular Surgery at the University of North Carolina.

Experienced in all forms of endovascular and open surgery, including minimally-invasive, as well as in the medical management of vascular issues, Dr. Vallabhaneni is able to offer his patients the full range of available diagnostic and treatment options. He also has specific expertise in treating complex aortic disease and has developed a national reputation in this field.

He completed a research fellowship at the University of Pittsburgh Medical School and his clinical vascular surgery fellowship at Barnes-Jewish Hospital in St. Louis. He trained in general surgery at the University of Pittsburgh Medical Center.

Dr. Vallabhaneni's research interests are focused on patient outcomes related to the latest advances in vascular surgery. He has been the principal investigator on numerous clinical trials related to various treatment modalities. Dr. Vallabhaneni is published widely, including book chapters and peer-reviewed articles, and has been an invited speaker at both regional and national vascular surgery conferences.

He chose the field of vascular surgery because he enjoys the continuity of care and the ability to directly impact his patients in a meaningful way customizing the appropriate therapeutic option to the individual patient in order to ensure the most favorable outcome.

Education:
Fellowship: Washington University
Residency: University of Pittsburgh Medical Center
Medical School: University of Medicine and Dentistry of New Jersey at Newark

Certification and Professional Assocations:
American Board of Surgery, Vascular Surgery

Othman Abdul-Malak, MD

Othman Abdul-Malak, MD

Othman Abdul-Malak, MD, MSC, is a vascular surgeon at MedStar Franklin Square Medical Center. He is also affiliated with MedStar Union Memorial Hospital, MedStar Good Samaritan Hospital, and MedStar Harbor Hospital. Dr. Abdul-Malak performs the full spectrum of vascular surgery procedures and sees patients for conditions such as peripheral arterial disease, aortic aneurysms, carotid disease, and venous disease, among other vascular conditions.

Dr. Abdul-Malak integrates medical and surgical treatments to create a personalized management plan based on a patient's unique pathology and anatomy. Beyond surgical methods of treatment, he strongly encourages lifestyle and behavior modifications, e.g., supervised exercise therapy and smoking cessation, to optimize individual patient outcomes.

Since every patient's anatomy and diagnosis is unique, Dr. Abdul-Malak recognizes that not every procedure is right for every patient. That is why he embraces new technologies and innovations that allow for treating a wider breadth of patients who otherwise would not be a candidate for more traditional methods or procedures. In addition, he combines minimally invasive techniques with traditional surgery in hybrid procedures.

Dr. Abdul-Malak is committed to advancing research in his field. He is particularly interested in peripheral arterial disease, both in improving healthcare outcomes and addressing the lack of access to vascular care.

He is an avid cyclist and has completed several marathons. He enjoys running, staying fit, and spending time with his family.

Philosophy of Care:
"When my patients leave my clinic, I hope that they feel seen and heard. There is nothing worse in my mind than undergoing an intervention or procedure without understanding the ‘why.’ That is why I take the time not only to ensure that my patients understand their diagnosis but also to work with them to come up with a treatment plan that they feel comfortable with and that aligns with their personal goals and lifestyle.

"Caring for the vascular patient is a team sport—no one physician can do it by themselves. I want referring physicians to know that I am here to collaborate and coordinate care with any and all of my patients' providers. There is no question too small to pick up the phone and discuss with me."

Education:
Residency: University of Pittsburgh Medical Center
Residency: University of Pittsburgh General Surgery Residency
Medical School: American University of Beirut Office of the Registrar
Marget Arnold, MD

Marget Arnold, MD

Margaret Arnold, MD, FACS, is the director of the MedStar Health Baltimore surgical residency program and the director of the MedStar Health Vein Centers in Baltimore. She is a fellowship-trained vascular surgeon who is board certified in both vascular surgery and general surgery.

Dr. Arnold is experienced in both endovascular and open surgery and in the medical management of vascular issues. She treats all forms of vascular disease including aortic disease and thoracic outlet syndrome, but primarily focuses her practice on treating venous disease such as varicose veins.

Her research focuses on medical and surgical training and education. A strong advocate for making wellness and lifestyle changes and modifications, she weaves this into her curriculum when teaching residents and counsels patients on this as well.

Dr. Arnold’s practice is patient-centered. She gets to know her patients on a personal level so that she can better understand their needs and goals. She involves her patients in the decision-making process so that they become more invested in their treatment plan. She has found this to be very successful as it contributes to a better quality of life for her patients.

Dr. Arnold is published widely, including book chapters and peer-reviewed articles and has spoken at regional and national vascular surgery conferences. She is a member of the Society for Vascular Surgery, Association of Women’s Surgeons, Southern Association for Vascular Surgery, and is a Fellow, American College of Surgeons.

Education:
Fellowship: Mount Sinai Medical Center
Residency: University of North Carolina Hospitals
Medical School: University of Texas Health Science Center

Certification and Professional Associations:
American Board of Surgery, Surgery
American Board of Surgery, Vascular Surgery

Awards:

Baltimore magazine, Top Doctor, 2019 & 2020
Kevin Brown, MD

Kevin Brown, MD

Kevin Brown, MD is a vascular surgeon with MedStar Heart & Vascular Institute at Medstar Cardiology Associates Vascular Institute in Annapolis, Maryland.

Dr. Brown treats all forms of vascular disease, and is interested in minimally invasive endovascular aortic repair, cerebrovascular surgery, dialysis access creation and revision, and carotid stenting.

His research interests have focused on carotid stenting and endovascular repair. He has recently written a textbook chapter on endovascular management of cervical vascular trauma in Endovascular Resuscitation and Trauma Management.

Dr. Brown is a 13-year US Navy Veteran, having served as the Director of Surgical Services at the NATO Role 3 Combat Hospital in Kandahar, Afghanistan. He also served as Department Head of the main operating room onboard the USNS COMFORT during hurricane Maria relief efforts in Puerto Rico.

He received two Navy Commendation Medals and a Humanitarian award for these efforts. Most recently, Dr. Brown served as a vascular surgeon at Walter Reed National Military Medical Center where he was also Medical Director of the Noninvasive Vascular Lab.

He views the relationship with his patients as a two-way street. In his role, Dr. Brown earns patient’s trust through education and counseling by fully exploring and explaining all of their treatment options, so that in turn, patients are able to make the most informed decision for their care.

Education:
Fellowship: Emory University Hospital
Residency: National Capital Consortium
Medical School: University of Maryland School of Medicine

Certification and Professional Associations:
American Board of Surgery, Surgery
American Board of Surgery, Vascular Surgery

Jason Crowner, MD

Jason Crowner, MD

Jason Crowner, MD, FACS, is an experienced board-certified vascular surgeon at MedStar Heart & Vascular Institute at MedStar Union Memorial Hospital and MedStar Good Samaritan Hospital.

He provides treatment for the full spectrum of vascular pathology, with a special focus on severe peripheral artery disease.

Dr. Crowner uses both endovascular and open approaches in his practice. In addition to surgical treatments, he encourages behavioral modifications and uses medical therapies, based on the unique anatomy and lifestyle of each patient.

Dr. Crowner believes that treatment decisions are best made by fully considering how they will impact the patient before, during, and long after their procedure.

He chose vascular surgery because he enjoys developing relationships with his patients and becoming an enduring partner in their care.

Education:
Residency: University of North Carolina
Medical School: Southern Illinois Univ. School of Medicine

Certification and Professional Associations:
American Board of Surgery, Vascular Surgery

Geetha Jeyabalan, MD

Geetha Jeyabalan, MD

Geetha Jeyabalan, MD, is a fellowship-trained vascular surgeon with MedStar Heart & Vascular Institute. She leads MedStar Health Vein Centers in Annapolis.

Dr. Jeyabalan brings the latest surgical techniques to her patients using her extensive clinical and research background. She is part of a comprehensive and connected system of MedStar Health outpatient centers offering convenient minimally invasive techniques for treating venous disease including varicose veins and venous ulcers.

She has an outstanding foundation in all forms of endovascular, minimally invasive, and open surgery procedures. She treats the full breadth of vascular disorders including: carotid disease, abdominal aortic aneurysm, limb preservation for peripheral arterial disease, dialysis access, and venous disease.

She enjoys being able to tailor appropriate therapies to individual patients’ needs and base decisions on the latest evidence-based medicine and cutting-edge technology.

Education:
Fellowship: University of Pittsburgh Medical Center
Residency: University of Pittsburgh Medical Center
Internship: University of Pittsburgh Medical Center
Medical School: University of Michigan School of Medicine

Certification and Professional Associations:
American Board of Surgery, Surgery
American Board of Surgery, Vascular Surgery

Suzanne Kool, MD

Suzanne Kool, MD

Suzanne Kool, MD, is a vascular surgeon at MedStar Heart and Vascular Institute with office hours at MedStar Union Memorial Hospital, MedStar Good Samaritan Hospital, and MedStar Harbor Hospital. Dr. Kool specializes in the diagnosis and treatment of arterial and venous disease. This includes aortic aneurysms and dissections, carotid artery disease, peripheral vascular disease, limb salvage, and venous insufficiency. As a vascular surgeon, she uses medical treatments, endovascular or minimally invasive techniques, as well as open surgical techniques to manage and treat diseases of the vascular system.

Dr. Kool received her medical degree from the University of Virginia Medical School. She then completed a general surgery residency at the University of Maryland Medical Center, where she also completed an NIH-funded research fellowship in their Center for Vascular and Inflammatory Disease. Finally, she did a fellowship in vascular surgery at Ohio State University Wexner Medical Center before joining MedStar. Dr. Kool has published and presented nationally on vascular diseases.

Philosophy of Care:
“My goal as a healthcare provider is to help choose the best treatment option for my patients. This involves collaborating with my patients by discussing and taking into account their treatment goals and overall goals for quality of life. I hope to give my patients as much information as they want or need in order for them to understand their diagnosis and treatment options, and to be able to make an informed decision.

“Communication is a vital element in the care of any patient, especially when a comprehensive approach is necessary. Vascular disease is usually not an isolated disease process. For this reason, I work closely with patients, referring physicians, and other team members to address any lifestyle habits or health conditions that may be related to the patient’s diagnosis.”

Education:
Fellowship: Ohio State University Medical Center
Residency: University of Maryland Medical Center
Medical School: University of Virginia School of Medicine

Certification and Professional Assocations:
American Board of Surgery, Surgery
American Board of Surgery, Vascular Surgery

Lucy Kupersmith, MD

Lucy Kupersmith, MD

Dr. Lucy B. Kupersmith, MD, is a vascular surgeon with the MedStar Heart and Vascular Institute and MedStar Health Cardiology Associates. As a vascular surgery specialist, Dr. Kupersmith works with a wide range of vascular diseases and other conditions. She performs many different types of arterial and venous vascular surgery procedures to treat her patients, including: open and endovascular treatment of abdominal aortic aneurysm, peripheral bypass surgery, endovascular limb salvage, dialysis access, lysis of pulmonary emboli, lysis of deep vein thrombosis, laser or sclerotherapy for the treatment of varicose veins, and carotid, femoral, or aortic endarterectomies.

Dr. Kupersmith received her medical degree from the University of Texas Health Sciences Center of San Antonio. She then completed a residency program in integrated vascular surgery at Louisiana State University Health Sciences Center in New Orleans, Louisiana.

After completing her residency, Dr. Kupersmith relocated to Maryland and began working with the MedStar Health Cardiology associates in Annapolis. In the coming years, she hopes to establish relationships with other providers, provide the highest quality of care to her patients, build her practice, and ultimately focus on community education. Through knowledge, she hopes to empower her patients and the Annapolis community to improve health outcomes.

Philosphy of Care:
“I always use a patient centric approach to deliver individualized, optimal healthcare to each patient.”

Education:
Residency: Louisiana State University School of Medicine
Medical School: University of Texas Health Science Center

Certification and Professional Associations:
American Board of Surgery, Vascular Surgery

Willie Liang, MD

Willie Liang, MD

Willie Liang, MD, is a board-eligible vascular surgeon at MedStar Union Memorial Hospital and MedStar Harbor Hospital. He treats the spectrum of vascular disease including abdominal aortic aneurysm, peripheral artery disease (PAD), carotid artery disease, peripheral venous disease, and aortic dissection.

Dr. Liang is dedicated to providing the best care possible to his patients using minimally invasive endovascular procedures as well as standard open surgeries. His approach and treatment plans are determined by what is best for the patient based on their particular pathology, anatomy, and overall health condition. When meeting with patients, Dr. Liang takes the time to answer questions in easy-to-understand terms, often explaining that the vascular system is a lot like plumbing, a metaphor that helps his patients better understand their conditions.

He is particularly interested in minimally invasive procedures that are tailored to each person’s unique anatomy and allow for quick recovery and less time in the hospital. In addition, he hopes to bring in more complex aorta aneurysm treatments.

“My approach is patient-centered care, meaning I will base my recommendations on my patients’ particular pathology, anatomy, and life circumstances.”

Education:
Fellowship: University of Maryland Medical Center
Residency: Sinai Hospital
Medical School: Howard University College of Medicine

Mark O'Brien Peeler, MD

Mark O'Brien Peeler, MD

Dr Peeler is a second-generation Annapolis physician who has practiced vascular surgery in Annapolis since 2000. He has extensive training and experience in open and endovascular techniques for treating most peripheral vascular pathologies. His primary focus is the treatment of peripheral arterial occlusive and aneurismal disease.

Dr. Peeler treats each patient with an individualized approach that leads to the greatest benefit, least risk, and most durable outcome to relieve the patient’s problem.

Education:
Fellowship: Vanderbilt University Hospital
Residency: Vanderbilt University Hospital
Fellowship: Vanderbilt University Hospital
Medical School: Johns Hopkins University School of Medicine

Certification and Professional Associations:
American Board of Surgery, Vascular Surgery

Stephen Stanziale, MD

Stephen Stanziale, MD

Stephen Stanziale, MD, is a fellowship-trained vascular surgeon who is board certified in both vascular surgery and general surgery. As part of MedStar Heart & Vascular Institute, he leads the vascular surgery service at MedStar Franklin Square Medical Center.

Dr. Stanziale specializes in minimally invasive endovascular therapies for carotid, renal, aortic aneurysm, lower extremity arterial and venous disorders and is skilled in traditional open surgery.

Dr. Stanziale chose vascular surgery because of the breadth of vascular diseases and the challenge of taking care of complex patients. He regards each patient with the highest priority and concern and treats every patient as he would want his family treated, while often forming life-long relationships with them. He respects patient choices and thoroughly discusses all options while balancing medical decision-making and surgical treatment.

He was a Howard Hughes Scholar at the National Institutes of Health and has published more than 25 peer reviewed medical research studies and he is a member of the Society for Vascular Surgery and a Fellow of the American College of Surgeons (FACS).

Education:
Fellowship: University of Pittsburgh Medical Center
Residency: New York Presbyterian Medical Center
Medical School: Vanderbilt University School of Medicine

Certification and Professional Assocations:
American Board of Surgery, Surgery
American Board of Surgery, Vascular Surgery

Washington, D.C., Region

Washington, D.C., Region Experts

Steven Abramowitz, MD
Director, MedStar Health Vasular Program

Steven Abramowitz, MD

Steven Abramowitz, MD, is Chair of Vascular Surgery for MedStar Health and a member of the Society for Vascular Surgery. As a board-certified vascular surgeon, he specializes in the treatment of aortic disease including aneurysms and dissection, venous occlusive disease, carotid artery disease, and peripheral arterial disease including critical limb ischemia and claudication through the use of endovascular and open surgical techniques.

Dr. Abramowtiz's clinical interests include central venous occlusive disease, aortic aneurysmal disease, vascular access for hemodialysis, peripheral vascular disease, and limb salvage. His research interests currently include vascular surgery education, iliocaval reconstruction, and the treatment of critical limb ischemia.

Dr. Abramowitz received his medical degree from the Yale University School of Medicine. He then completed his residency in integrated vascular surgery at the Mount Sinai Medical Center before joining MedStar Washington Hospital Center.

Dr. Abramowitz is the only physician at MedStar Washington Hospital Center performing endovascular iliocaval reconstruction, a two-stage minimally invasive reconstructive technique that has been paramount in the treatment of patients diagnosed with vena caval stenosis and central venous occlusive disease. Central venous occlusion is a debilitating disease, which, if left untreated, results in limb laceration and chronic limb ischemia.

Dr. Abramowitz is an advocate for the improvement of postoperative recovery for patients receiving radial artery catheterization procedures. These improvements will help individuals being treated for venous disease heal faster, allowing them to walk sooner after surgery. He is also an advocate for finding ways to incorporate minimally invasive techniques into open surgery in order to reduce healing times as well as the exposure that comes with open surgical procedures.

Philosophy of Care:
"It's important to me that my patients fully understand their diagnosis and that they are a part of their treatment. By understanding what their goals are and what they expect for their care, I am able to tailor their treatment to meet their expectations.

I put my patients' interests first and try to do what's best for them. I create life-long treatment plans for my patients because there is no quick fix for vascular disease.

When I work with referring physicians, I aim to serve as an extension of their care plan partner. Continued communication, as well as a relationship with referring physicians, is a key factor in successful treatment."

Education:
Residency: Mount Sinai Medical Center
Medical School: Yale University School of Medicine

Certifcation and Professional Assocations:
American Board of Surgery, Vascular Surgery

Cameron Akbari, MD, MBA

Cameron Akbari, MD, MBA

Dr. Akbari performs vascular and endovascular surgery, including complex lower-extremity interventions, limb salvage, open and endovascular aneurysm repair, carotid surgery, dialysis access surgery and interventions.

He has authored or co-authored 67 articles, reviews, and editorials in refereed journal and multimedia, is the author or co-author of 30 book chapters, and has given over 100 presentaions nationally and internationally.

In collaboration with the Center for Wound Healing at Medstar Georgetown University Hospital, Dr. Akbari has maintained a long-standing expertise and dedication to complex lower extremity vascular and endovascular surgery and limb salvage. His practice is primarily located at MGUH.

Education:
Fellowship: Beth Israel Deaconess Medical Center
Residency: University of Connecticut Health Center
Medical School: Georgetown University School of Medicine

Certifications and Professional Assocations:
American Board of Surgery, Surgery
American Board of Surgery, Vascular Surgery

Joshua Dearing, MD

Joshua Dearing, MD

Dr. Dearing earned a bachelor’s degree in biology and researched molecular and cell biology at Duke University. He attended medical school at the University of North Carolina’s Chapel Hill School of Medicine. While there, he conducted research on abdominal transplant surgery. His residency took place at the Albert Einstein School of Medicine with the Montefiore Medical Center in New York. Dr. Dearing completed his fellowship in vascular surgery at MedStar Washington Hospital Center in Washington, DC.

Dr. Dearing speaks French and is proficient in medical Spanish. He performs procedures Tuesdays and Thursdays at MedStar Southern Maryland Hospital Center and has office hours from 9 a.m. to 4 p.m. on Fridays. He also operates at MedStar Washington Hospital Center on Wednesdays.

Education:
Fellowship Program: MedStar Washington Hospital Center
Residency: Montefiore Medical Center (2015)
Medical School: University of North Carolina Chapel Hill

John Harvey, MD

John Harvey, MD

Dr. Harvey earned his medical degree from the University of Edenburgh in Scotland and now specializes in General Surgery and Vascular Surgery. Dr. John Harvey lightheartedly said "Most people don't know that I am actually from England. They can't place the accent maybe some of the Scottish accent crept in when I went to University." Before joining Shah Associates, John completed his residency in General Surgery at Montefiore Medical Center in New York and his fellowship at Englewood Hospital in Vascular Surgery in New Jersey. What he enjoys most about medicine is helping a wide variety of patients overcome diverse problems. In his spare time, Dr. Harvey enjoys collecting unusual items, playing tennis, listening to music and reading about cars.

Education:
Residency:Englewood Hospital & Medical Center
Residency: Montefiore Medical Center
Medical School: University of Edinburgh

Certifications and Professional Assocations:
American Board of Surgery, Surgery
American Board of Surgery, Vascular Surgery

Ayesha Hatch, MD

Ayesha Hatch, MD

Ayesha Hatch, MD, is a vascular surgeon at MedStar Heart & Vascular Institute at MedStar Washington Hospital Center and MedStar Southern Maryland Hospital Center. She specializes in providing vascular access for patients who have chronic kidney disease and are in need of dialysis. She has a particular interest in treating those with end-stage renal disease.

In her practice, Dr. Hatch is committed to developing long-term relationships with her patients and their physicians. She believes that achieving optimal chronic disease management requires collaborative and constant communication between all parties. Understanding that dialysis access can be an ongoing struggle to maintain, she seeks the perspective of the patient’s nephrologist, who can share how the access and treatment is working, along with the potential barriers to care. Her relationship with each patient enables her to provide options that fit best into their unique life circumstances.

Dr. Hatch is available to see patients in person or virtually.

Education:
Fellowship: Montefiore Medical Center
Residency: StonyBrook University Hospital
Medical School: Warren Alpert Medical School of Brown University

Misaki Kiguchi, MD

Misaki Kiguchi, MD

Misaki Kiguchi, MD, is a vascular surgeon with the MedStar Heart and Vascular Institute with office hours in Washington, D.C. and Chevy Chase, MD.

She is a trained specialist in the treatment of both arterial and venous diseases. Her surgical expertise spans the treatment of aortic aneurysms, carotid artery disease, hemodialysis access, peripheral artery disease and venous insufficiency, using the most effective and safest therapies. An expert in cosmetic and non-cosmetic vein treatment, Dr. Kiguchi brings a wealth of experience to her vein practice. She is dedicated to helping patients, who are often dealing with venous insufficiency to dramatically improve their quality of life.

Dr. Kiguchi was born in Japan; her family subsequently immigrated to the United States, and she grew up in Austin, Texas. She received her undergraduate degree in molecular biology from Yale University and her medical degree from Yale University School of Medicine. In addition, her interest in health care policy motivated her to concurrently pursue an MBA. She completed her internship and surgical residency at the University of Pittsburgh Medical Center, one of the largest and most prestigious vascular training programs in the country. She has published a variety of articles based on her research and serves on several national academic vascular committees.

Education:
Residency: University of Pittsburgh Medical Center
Medical School: Yale University School of Medicine

Certification and Professional Assocations:
American Board of Surgery, Vascular Surgery

Krystal Maloni, MD

Krystal Maloni, MD

Kryssy Maloni, MD, is a vascular surgeon with MedStar Heart & Vascular Institute at MedStar Health Vein Centers at Lafayette Centre and MedStar Washington Hospital Center.

She provides treatment for the full spectrum of venous and arterial disease, with a special focus on venous insufficiency. Dr. Maloni’s practice offers testing, diagnosis, and treatment for varicose and cosmetic veins in a convenient and comfortable specialty-clinic setting.

If a more serious underlying condition is discovered, Dr. Maloni is able to fully manage the patient’s care through her comprehensive vascular expertise and extensive, acute-care resources of MedStar Heart & Vascular Institute.

Philosophy of Care:
“In my practice, I aim to develop longitudinal relationships with my patients and their physicians— often extending for many years. Through these partnerships, my goal is to not only treat the patients’ vascular condition, but to help them live their lives with confidence and without pain.”

Education:
Fellowship: Pennsylvania Hospital
Residency: Brown University
Medical School: University of South Carolina School of Medicine

Certifications and Professional Assocations:
American Board of Surgery, Surgery
American Board of Surgery, Vascular Surgery

Melissa Meghpara, DO

Melissa Meghpara, DO

Melissa Meghpara, DO, is an attending vascular surgeon at MedStar Heart and Vascular Institute. As a vascular surgeon, Dr. Meghpara treats the whole spectrum of vascular disease, from the arteries to the veins, including carotid, aortic, and peripheral vascular disease.

Dr. Meghpara has been trained in both endovascular and open treatments. Providing the best individualized approach, she offers a minimally invasive endovascular approach whenever appropriate. Dr. Meghpara is highly advanced in endovascular techniques, and is able to offer a number of options that patients might not find everywhere. Procedures performed by Dr. Meghpara include EVAR (endovascular aortic aneurysm repair), TEVAR (thoracic endovascular aneurysm repair), and TCAR (transcarotid artery revascularization).

Dr. Meghpara’s main clinical focus is in arterial work, primarily in endovascular approaches. She is interested in clinical research that explores practical improvements on modern methods–anything that can enhance current treatment measures. She is excited about several new branch devices coming onto the market, and for new devices for the treatment of carotid, peripheral vascular, and venous disease. Dr. Meghpara is especially excited to offer a new method of transcervical carotid stenting using fusion modeling to create a 3-D model based on CT scans that can be overlaid onto patients during the procedure.

Dr. Meghpara received her medical degree from the New York Institute of Technology College of Osteopathic Medicine (NYIT-COM), as well as a master’s degree in Neuromusculoskeletal Science. After graduation, she completed a general surgery residency at Flushing Hospital Medical Center (Medisys) and served one year as the program’s Chief Resident. Afterwards, she completed a 2-year vascular surgery fellowship at Maimonides Medical Center.

Dr. Meghpara has published five papers on vascular disease, received multiple awards, and is a member of the Society for Vascular Surgery, the Association of Women Surgeons, the American College of Surgeons, and the Eastern Vascular Society.

Dr. Meghpara has known she wanted to work in vascular surgery since her first year of general surgery training. She looks forward to her day to day work and is always looking forward to new challenges.

Philosophy of Care:
“I think that all of our patients should be treated as if they’re family. I treat every single one of my patients as if they were my family members. I provide the highest level of care I can. I’m also realistic and I think it’s important to be honest with your patients as to what you can and can’t do for them to provide a high quality of life.

“I’d like my patients to say that I not only provided a high level of care, but that I care as if they are my family members and that the ongoing relationship is something that they are happy to have. As vascular is a long-term relationship, I want patients and referring physicians to feel like they can easily speak with me regarding vascular concerns.

Education:
Fellowship Program: Maimonides Medical Center
Residency: Flushing Hospital Medical Center
Medical School: New York College of Osteopathic Medicine

Kyle Reynolds, MD

Kyle Reynolds, MD

Kyle Reynolds, MD, is a vascular surgeon with the MedStar Heart & Vascular Institute at MedStar Georgetown University Hospital and MedStar Montgomery Medical Center.

Dr. Reynolds specializes in the treatment of aortic disease including aneurysms and dissections, carotid artery disease, venous occlusive disease, deep vein thrombosis, and peripheral arterial disease including claudication and critical limb ischemia. As part of his philosophy to advocate the best care for his patient he stays involved in research and education, with recent research focuses on limb salvage, carotid artery revascularization, and iliocaval reconstruction for deep venous disease. He offers open and endovascular catheter-based (balloon and stent) interventions.

Philosophy of Care:
“Having grown up in an underserved community, I understand that many people may feel rushed or unheard when receiving health care. My goal is to develop a relationship with each patient so that, together, we make the treatment decisions that fit best into their unique life circumstances and goals. I aim to bring a team-based, multidisciplinary approach to my practice, collaborating with other specialists to provide comprehensive care for my patients.”

Education:
Residency: MedStar Health
Medical School: New York Medical College Dept of Obstetrics & Gynecology

Danielle Salazar, MD,MA

Danielle Salazar, MD,MA

Danielle Salazar, MD, is vascular surgeon at MedStar Montgomery Medical Center.

In her practice, Dr. Salazar sees patients with complex vascular pathology spanning aortic, carotid artery, venous occlusive, deep venous, and peripheral arterial diseases. Her research interests include deep venous disease management with a focus on the use of minimally invasive mechanical thrombectomy devices for the treatment of deep vein thrombosis and pulmonary embolism.

Dr. Salazar is also trained in vascular hemodialysis access and provides an array of options for percutaneous fistulae, AV fistulae, and bypass grafts, using some of the most innovative, minimally invasive options available.

Philosophy of Care:
“There is a continuity of care in vascular surgery that allows me to build relationships with patients over time. I always aim to establish trust and make it easy for them to relax, talk, and feel heard. Sometimes patients come in for one reason and we uncover others. I believe that this–plus technical expertise and keen collaboration with colleagues–delivers optimal outcomes.”

Education:
Fellowship: MedStar Georgetown Univ Hosp/Washington Hosp Ctr
Residency: MedStar Georgetown Univ Hosp/Washington Hosp Ctr
Medical School: Boston University School of Medicine
Graduate Education: Boston University

Certifications and Professional Assocations:
American Board of Surgery, Surgery
American Board of Surgery, Vascular Surgery

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Listen to our DocTalk Podcast:

Facebook Live: Peripheral Artery Disease (PAD) - What You Need to Know

We were LIVE with vascular surgeons Drs. Othman Malak and Kyle Reynolds, discussing risk factors, symptoms, diagnosis and treatment for peripheral artery disease (PAD).

Click Here to Read Our Blog on PAD

If you've been diagnosed or suspect you have PAD, call

410-248-8465,

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FAQs

What lifestyle changes do I need to make if I have been diagnosed or have risk factors for PAD?

Exercise is important for your cardiovascular health, particularly if you have been diagnosed with PAD. Walking 30 minutes a day, 5 days a week is recommended. If you smoke, quit. Following a heart health diet to lower your cholesterol and blood pressure is also especially important.
Is PAD a progressive disease?

PAD is a progressive disease that will worsen without treatment and lifestyle changes. For the best results, PAD should be treated in the early stages.
Can PAD be life-threatening?

An increased risk of cardiovascular complications and death are associated with PAD. These complications may include stroke, heart attack, skin ulcers, open wounds, and leg amputation.
How do I prevent PAD?

PAD is most commonly the result of atherosclerosis or hardening of the arteries. Following a heart healthy diet, quitting smoking, maintaining a healthy weight, reducing stress, regular exercise, and following the guidance of your medical provider, including medication recommendations, is the best way to prevent PAD.
If I have PAD, am I at risk for heart disease?

PAD is often a sign and symptom of heart disease.
Does PAD improve with exercise?

Exercise is important for your cardiovascular health, particularly if you have been diagnosed with PAD. Walking 30 minutes a day, 5 days a week is recommended.
How important is drinking water if I have PAD?

Drinking water is especially important to manage PAD symptoms. It helps to improve circulation and reduces the risk of blood clots. Adults should drink 8-10 cups of water a day.
Are there natural treatments to treat PAD?

Exercise, a heart healthy diet and quitting smoking are the best natural treatments for PAD.

Click here to learn more about our treatments
What are the first symptoms of PAD?

Claudication, pain in the leg that begins when walking and goes away with rest, is often the first symptom of PAD.
What other medical conditions can be mistaken for PAD?

Certain connective tissue disorders, such as Marfan syndrome, Ehlers-Danlos syndrome type IV (EDS IV), and Loeys Dietz syndrome (LDS), present with similar symptoms as PAD.

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Listen to our DocTalk Podcast:

Facebook Live: Peripheral Artery Disease (PAD) - What You Need to Know

If you've been diagnosed or suspect you have PAD, call

or request an appointment online.

FAQs

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