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Vascular Health


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Service Overview

Vascular doctors specialize in treating conditions that affect your blood vessels. We use state-of-the-art diagnostics and techniques for our patients’ care and comfort.

Vascular conditions can be caused by diseases that also affect other organs or systems in your body. Our specialists work with all your doctors to ensure coordinated care.

Whatever you seek treatment for, you are in good hands with our vascular specialists and surgeons. We are nationally recognized for their expert care.

Conditions & Treatments

Carotid Artery Disease

This condition affects the large arteries in your neck that carry blood to your brain. When these arteries get narrow, it can raise your risk of stroke.

Treatments to help open the artery and lower stroke risk:

  • Angioplasty and stenting
  • Carotid Surgery
  • Medications

Chronic Venous Insufficiency

This happens when the veins in your legs have trouble sending blood back to your heart. Your legs may swell, itch, or develop skin changes over time.

Common treatments to reduce swelling and improve blood flow:

  • Compression Therapy
  • Endovenous Ablation (Laser or radiofrequency)

Deep Vein Thrombosis (DVT)

DVT is a blood clot that forms in a deep vein, usually in the leg. It can cause swelling and pain, and the clot can be dangerous if it moves to the lungs.

Treatments to prevent new clots and stop the clot from growing:

  • Medications (blood thinners)
  • Thrombolysis or thrombectomy

Peripheral Artery Disease (PAD)

PAD happens when the arteries in your legs get narrow and slow down blood flow. This can cause pain when you walk and make it harder for your legs to heal.

Varicose Veins

Varicose veins are large, twisted veins you can see under the skin. They may cause aching, swelling, or a heavy feeling in your legs.

Common treatments to reduce swelling and improve blood flow:

  • Compression Therapy
  • Endovenous Ablation (Laser or radiofrequency)

Vascular Health Testing

The following are some descriptions of some common vascular testing. Your vascular surgeon will explain all tests in detail to you and give you instructions on how to prepare for the test and what to expect afterward.

Ankle-Brachial Index

The ankle-brachial index (ABI) is a measurement that is useful to your physician in evaluating the circulation in your legs.

  • Your physician will measure your blood pressure in your ankle and in your arm using a blood pressure cuff and an ultrasound. Your physician will compare the two numbers by forming a ratio to determine your ABI.
  • The blood pressures in your ankle and arm should be about equal. But if your ankle pressures are lower than your arm pressures, your leg arteries are probably narrowed.

Duplex Ultrasound

  • Abdominal imaging- for identification and evaluation of aneurysmal disease of the aorta and its branches.
  • Carotid imaging - ultrasound of the carotid arteries to identify or rule out carotid artery disease.
  • Mesenteric - evaluates blockages in the mesenteric arteries that may be contributing to abdominal pain or ischemia of the intestines.
  • Renal imaging - ultrasound of the arteries to the kidney to evaluate if there are significant blockages in those arteries that could cause kidney failure or severe hypertension.

Care at Kapiʻolani

At Kapiʻolani, we care for vascular diseases of the circulatory system with state-of-the-art diagnosis and comprehensive treatment. 

Care at Pali Momi

Pali Momi offers advanced detection and treatment of vascular diseases for the people of Central and West Oʻahu.

Pali Momi is recognized as an outstanding stroke care center by the American Heart Association and American Stroke Association. 

Our team of stroke specialists is on hand 24/7 to provide patients with quick and effective personalized care. This care is critical in reducing the chances of long-term disabilities.

Care at Straub Benioff

Straub Benioff provides state-of-the-art diagnosis and treatment of vascular diseases of the circulatory system, which include arteries and veins.

Straub Benioff’s experienced vascular surgeons care for thousands of patients in Hawaiʻi each year. We use new, minimally-invasive endovascular procedures that produce excellent outcomes and rapid recovery.

Our unique team approach means that vascular surgeons work closely with specialists from the departments of cardiology, neurology, and diagnostic and interventional radiology. Together we care for patients with common diseases, complex illnesses and rare problems.

We are internationally recognized for traditional open surgery and minimally invasive endovascular and endoscopic procedures.

Straub Benioff Vascular Lab

Straub Benioff provides non-invasive testing to locate areas of vascular blockage and disease. These tests may include:

  • Simple blood pressure assessment of the extremities using blood pressure cuffs
  • Ultrasound to directly visualize the blood vessels

Care at Wilcox

Wilcox provides state-of-the-art diagnosis and comprehensive treatment of vascular diseases of the circulatory system, which include arteries and veins.

Our Care Locations

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Vascular Surgery
Vascular & Interventional Radiology