Vascular care in New Hampshire

Appledore Medical Group's multidisciplinary team of specialty trained and board-certified cardiac surgeons, vascular surgeons and cardiologists provide leading-edge medical and surgical care for patients with aortic disease.

Types of vascular conditions we treat

Our team provides comprehensive treatments for a wide range of conditions affecting the arteries, veins and blood vessels, including:

  • Aortic disease
  • Aortic dissection
  • Abdominal aortic aneurysm (AAA)
  • Aortic root aneurysm
  • Ascending aneurysm
  • Carotid artery disease
  • Descending aneurysm
  • Deep vein thrombosis (DVT)
  • Peripheral artery disease (PAD)
  • Phlebitis
  • Popliteal aneurysm
  • Iliac aneurysm
  • Femoral aneurysm
  • Peripheral artery disease (PAD)
  • Thoracic aortic aneurysm (TAA)
  • Thrombosis
  • Varicose veins
  • Venous ulcer

Vascular medicine and surgery

Early detection and treatment of vascular disease and its related conditions are crucial. Appledore Medical Group offers comprehensive screening services to identify potential issues and recommend treatment options to help maintain your overall health. We use both traditional open surgery and advanced endovascular techniques to address vascular diseases. Our highly-trained vascular specialists will assist you with lifestyle changes, surgical options and medical treatments to help you restore vascular health.

Our Aortic Center specializes in the early detection, monitoring and treatment of complex aortic conditions employing state-of-the-art imaging and the most innovative surgical and endovascular techniques.

For more information, contact our Vascular Nurse Navigator at: (603) 665-5154

Vascular surgeons

Our vascular surgeons are highly trained in the management of arteries and veins. They collaborate closely with a multidisciplinary team, including interventional radiologists, cardiologists, and cardiovascular & thoracic surgeons, to deliver exceptional and comprehensive vascular care.

Risk factors for aneurysms include:

  • Smoking
  • High blood pressure and/or cholesterol
  • Peripheral artery disease (PAD)/Peripheral vascular disease (PVD) or abdominal aortic aneurysm
  • Advanced age
  • Male gender
  • Complications from lower back or hip surgery
  • Previous vascular surgery
  • Family history
  • Arterial disease
  • Trauma to the chest

Aortic dissection treatment

Diagnostic Testing

An aortic dissection can be a life-threatening event. If you believe you or someone nearby may be experiencing one, please call 9-1-1 immediately. An initial physician review will include taking your medical history and performing a physical exam, followed by ordering diagnostic tests.

To detect a tear in the aorta, more sensitive diagnostic tests may be used. These may include:

  • CT scan: combines a series of x-ray images taken from different angles around your body and uses computer processing to create cross-sectional images (slices) of the bones, blood vessels and soft tissues inside your body.
  • Transesophageal echocardiogram (TEE): uses an ultrasound probe inserted through the esophagus. to get detailed images of the heart and aorta.
  • Aortic Angiogram: uses a special dye and x-rays to see how blood flows through the aorta.
  • Magnetic Resonance Angiogram (MRA): a type of MRI that looks specifically at the body’s blood vessels.
  • CT Scan: combines a series of x-ray images taken from different angles around your body and uses computer processing to create detailed cross-sectional images.

Diagnosing vascular conditions

Vascular imaging

If your provider suspects vascular disease, they may order non-invasive vascular testing. This type of imaging involves various tests that measure blood flow in your arteries and veins without the use of needles. Registered Vascular Technologists (RVTs), who have specialized training in these procedures, use high-frequency sound waves (ultrasound) to assess the presence, location and severity of vascular disease.

Vascular testing:

  • Ankle-brachial index (ABI)
  • Ankle-brachial index (ABI) with exercise (treadmill)
  • Aortoiliac duplex
  • Aortoiliac duplex for abdominal aortic aneurysm (AAA)
  • Arterial duplex-lower extremity
  • Arterial duplex-upper extremity
  • Arteriovenous (AV) fistula duplex
  • Bypass graft duplex
  • Carotid duplex
  • Deep vein thrombosis (DVT)
  • Mesenteric/celiac/renal artery stenosis
  • Pulse volume recordings (PVRs)
  • Segmental Pressures
  • Venous reflux (insufficiency)
  • Venous mapping

Types of treatments offered

Dialysis Access

The team offers convenient care for patients needing port or catheter placement for central lines, as well as those requiring evaluation and treatment for dialysis access.

Our services include:

  • Fistula assessment, maintenance and repair
  • Dialysis catheter placement
  • Catheter and port placement for IV infusion

Medicinal and Lifestyle Management

Less severe, smaller aneurysms can be monitored with regular follow-up screenings to check for size and growth. Lifestyle changes to manage include quitting smoking, adopting a healthier diet, and, if necessary, taking medication to reduce blood pressure and/or cholesterol.

Interventional and Surgical Treatments

Appledore Medical Group provides minimally invasive, stent graft procedures to treat aneurysms. If your condition is severe, you may need a bypass procedure to repair the aneurysm with a new section of blood vessel, called a graft. Our skilled team will work with you to determine the right treatment based on your symptoms, condition and lifestyle.

Vein care specialists

Vein problems, especially when detected early, can often be addressed with minimally invasive treatments. Our board-certified vascular surgeons and vascular sonographers can help you identify potential problems and recommend treatment options so you can maintain your overall health.

We provide non-invasive, minimally invasive, and invasive diagnostic, cosmetic and therapeutic treatment of venous disease.

These treatments include:
  • Catheter-directed thrombolytic therapy
  • Ultrasound
  • Phlebectomy
  • Angioplasty
  • Embolization
  • Embolectomy/thrombectomy
  • Non-invasive ultrasound
  • Inferior vena cava (IVC) insertion
  • Ablation
  • Sclerotherapy

Varicose veins treatment

When blood vessels that regulate flow through the veins don't function properly, blood can collect, causing the veins to swell, twist and bulge at the surface of the skin. If left untreated, varicose veins can lead to symptoms like pain, swelling, skin discoloration and venous insufficiency, resulting in slow-healing wounds. Our team is dedicated to providing comprehensive care for varicose and spider veins, whether you're seeking relief from discomfort or addressing cosmetic concerns. With advanced diagnostic and treatment options, we'll help you manage symptoms and restore your vascular health.

Risk factors include:
  • Prolonged periods of standing
  • Family history
  • Age
  • Gender
  • Obesity
  • Pregnancy
  • Previous blood clots or vein surgery