Dr. Rosenberg

Dr. Garth Rosenberg is a Fellow Trained Vascular Surgeon and Board Certified General Surgeon who has recently completed his fellowship in Endovascular Surgery. He did his residency at The Medical College of Virginia (1983-1988) and then a Vascular Fellowship at Scripps Clinic and Research Foundation in San Diego, California (1988-1989). He recently was a part of the Temple University Health System in Philadelphia and was active in Training Surgical Residents. In addition to General Surgery, his areas of expertise are: Treatment of Carotid Artery Disease, Aortic Aneurysms, Peripheral Vascular Disease, and Venous Disease (including Schlerotherapy and Varicose Vein Surgery). In addition to open surgical approaches, he performs minimally invasive treatment for the above conditions which involve Balloon Angioplasty and Stenting of Blood Vessels.

Answer:
YOUR FATHER SEEMS TO PRESENT THE "END STAGE" OF CHRONIC VENOUS DISEASE WITH LOWER LEG ULCERATION THAT ARE REFRACTORY TO ROUTINE TREATMENTS. HOWEVER, PHYSICIANS WITHOUT A SPECIALIZED INTEREST IN VENOUS DISEASE ARE OFTER UNAWARE OF THE TREATMENT ADVANCES THAT HAVE OCCURRED IN RECENT YEARS. BECAUSE I DO NOT KNOW THE THOROUGHNESS OF THE WORK-UP HE HAS RECEIVED TO DATE, I WILL START FROM THE BEGINNING. HE SHOULD FIRST HAVE A COMPLETE VENOUS REFLUX DOPPLER ULTRASOUND STUDY TO DOCUMENT THE PRECISE LEVEL OF REFLUX. BASED ON THAT STUDY, PARTICULAR OPTIONS MIGHT BE SUGGESTED TO HIM. THE PROBABILITY OF THESE OPTIONS HELPING ARE INFLUENCED TO A LARGE EXTENT BY ANY UNDERLYING MEDICAL CONDITIONS THAT ARE PRESENT (E.G. OBESITY, DIABETES, ARTERIAL DISEASE, STEROID USE, ETC.) OPTIONS SUCH AS SAPHNEOUS CLOSURE, TRIVEX, PERFORATOR VEIN LIGATIONS AND EVEN AXILLARY VALVE TRANSPLANTATION HAVE BEEN USED WITH EXCELLENT RESULTS IN PATIENTS SUCH AS YOUR FATHER. HOWEVER, THERE IS A SEGMENT OF THE POPULATION FOR WHOM NO EFFECTIVE TREATMENT OPTION EXISTS, SO A COMPLETE WORK-UP IS NECESSARY.