Vasospastic and other
Michael N. Tameo, M.D.
Ronald L. Nath, M.D. , F.A.C.S.
to Dr. Begos
who was selected again as one of of Boston’s top doctors by Boston Magazine in 2015
CSA Vein Center
receives accreditation by the IAC:
CSA is the first vein practice in Northeast Massachusetts to be fully accredited as a Certified Vein Center by the IAC (Intersocietal Accreditation Commission).
Vasospastic and other vascular disorders refer to a group of conditions that
affect arteries in various locations and in various ways, such as
constriction/spasm, inflammation, aneurysm formation, dissection and blood clot
The symptoms vary depending on the specific disorder present and can
include narrowing or spasm of the distal arteries in the hands and/or feet,
which reduces the amount of blood flow causing symptoms of pain,
discoloration, and numbness. Other symptoms can include headaches,
blindness, extremity claudication (pain with exertion), organ dysfunction,
high blood pressure, and skin lesions or ulcers. These conditions include
Raynaud’s Disease, Buerger’s Disease (also known as Thromboangiitis
Obliterans), Takayasu’s Disease, Temporal (Giant Cell) Arteritis,
Fibromuscular Dysplasia, Segmental Arterial Mediolysis, Radiation Arteritis,
Pseudoxanthoma Elasticum, Ergotism, Marfan’s Syndrome, Ehlers-Danlos
Syndrome, Kawasaki’s Disease, Polyarteritis Nodosa, Behcet’s Disease, Aortic
Coarctation, Neurofibromatosis, Wegener’s Granulomatosis, and Pyoderma
Complications from these conditions can include blindness, stroke, organ
dysfunction/failure, life-threatening bleeding from rupture of an aneurysmal
or dissected artery, and loss of limb.
Diagnosis and management of these conditions requires a thorough history and physical exam by a vascular surgeon. An ultrasound and/or non-invasive arterial study, which we perform at our office in our accredited non-invasive vascular lab, is often required. Patients can receive the required test and be seen by their vascular surgeon at the same visit. Occasionally, laboratory studies, a computed tomography (CT) scan, magnetic resonance imaging (MRI) study, or arteriogram (injection of contrast dye into the arteries) is required.
Treatment is dependent on the specific disorder present and may involve medical therapy, a minimally invasive (endovascular) treatment with balloon angioplasty and/or stenting, open surgical reconstruction, or a combination of these.