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Dr. Upadya
We push the limits of what's possible for our patients.
Welcome To Our Clinic
<span data-metadata=""><span data-buffer="">Cardiac and Vascular Consultants (CVC) is the premier cardiology and vascular practice in The Villages and Central Florida.
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We provide a full range of diagnostic and interventional cardiology and vascular services. Our expert physicians perform all cardiovascular services including heart and lower extremity catherizations, angioplasty, stents, pacemakers, defibrillators and ablations.
Explore Our Procedures
Vein disease occurs when bad veins in our legs no longer do their job and allows blood to pool in our legs. This can lead to many symptoms and enlarged varicose veins.
Venous ablation is an in-office procedure that utilizes radiofrequency energy to cauterize and close bad veins in the legs to alleviate symptoms such as swelling, achiness, fatigue, heaviness of the legs.
VenaSeal is an in-office procedure that utilizes a medical adhesive to close bad veins in the legs to alleviate symptoms such as swelling, achiness, fatigue, heaviness of the legs.
ClosureFast Procedure
Individual results may vary.
Images courtesy of Dr. Jonathan Calure.
The ClosureFast™ procedure uses radiofrequency energy or heat to close the diseased vein, which redirects blood flow to healthy veins, relieving symptoms.
The Traditional Treatment
- Minimally invasive outpatient procedure
- Local anesthesia along various points of the leg
- Less pain and bruising than laser treatment
- Faster recovery time than laser treatment
- Compression stockings needed for at least one week after procedure
Over 2 million patients have been treated with the ClosureFast procedure in over 100 countries around the world.
VenaSeal Closure System
Individual results may vary.
Images courtesy of Dr. Kathleen Gibson.
Nonthermal Vein Closure
The VenaSeal™ system delivers a small amount of a specially formulated medical adhesive to seal — or close — the diseased vein, rerouting blood to nearby healthy veins, which provides symptom relief.
A More Comfortable Experience
- Simple, outpatient procedure
- No tumescent anesthesia
- Less pain and bruising than thermal ablation
- Faster recovery time than thermal ablation
- Compression stockings not needed after the procedure
More than 100,000 patients have been treated with the VenaSeal closure system around the world.
Sclerotherapy
Sclerotherapy is a minimally invasive procedure that treats varicose veins and spider veins. It involves injecting chemicals, known as sclerosing agents, into damaged veins.
In addition to diminishing the appearance of varicose or spider veins, sclerotherapy can also reduce pain or side effects caused by damaged veins.
Varicose veins can cause itching, pain, cramping, and discoloration. Spider veins are smaller and less severe than varicose veins. Varicose veins are more common in women than in men, although anyone can get them.
An estimated 20 percent Trusted Source of adults will be affected by varicose veins at some point in their lives. More than 324,000 sclerotherapy procedures were done in the United States in 2017.
Percutaneous coronary intervention (PCI) is a non-surgical procedure used to treat narrowing of the coronary arteries of the heart found in coronary artery disease. The process involves combining coronary angioplasty with stenting, which is the insertion of a permanent wire-meshed tube that is either drug eluting (DES) or composed of bare metal (BMS).
https://en.wikipedia.org/wiki/Percutaneous_coronary_intervention
A peripheral angiogram is a test that uses X-rays and dye to help your doctor find narrowed or blocked areas in one or more of the arteries that supply blood to your legs. The test is also called a peripheral arteriogram.
Doctors use a peripheral angiogram if they think blood is not flowing well in the arteries leading to your legs or, in rare cases, to your arms. The angiogram helps you and your doctor decide if a surgical procedure is needed to open the blocked arteries. Peripheral angioplasty is one such procedure. It uses a balloon catheter to open the blocked artery from the inside. A stent, a small wire mesh tube, is generally placed in the artery after angioplasty to help keep it open. Bypass surgery is another procedure. It re-routes blood around the blocked arteries.
We utilize a multitude of different devices to open up diseased peripheral arteries. Peripheral angioplasty is one such procedure. It uses a balloon catheter to open the blocked artery from the inside. A stent, a small wire mesh tube, is spmetimes placed in the artery after angioplasty to help keep it open. We also perform peripheral atherectomy’s utilizing Laser or Orbital atherectomy devices. We use peripheral intravascular ultrasound (IVUS) to determine morphology and size of the vessel.
Why is an iliac venogram used?
A venogram is used to help diagnose abnormalities in your veins, such as deep vein thrombosis. Other uses for a venogram include:
- Determining the cause of swelling or pain in your legs
- Tracking down where a blood clot that has traveled to your lungs initially formed
If you have a narrowed iliac vein, also known as iliac stenosis, a stent procedure may be used to expand and support the vein.
Most people are familiar with coronary/peripheral stents placed in the arteries of the heart/legs to improve blood flow. Venous stents function in the same way.
Venous stents are metal mesh tubes that expand against blocked or narrowed vein walls. They act as a scaffold to keep veins open. In most cases, physician place venous stents in larger, central veins, such as those found in the leg and abdomen.
Venous stents can help people with chronic leg swelling, venous ulcers, chronic blood clots or other conditions that compress or narrow the veins, limiting blood flow.
Below are a few of the conditions that are treatable with venous stenting:
- Chronic deep vein thrombosis (DVT): DVT is a blood clot in one of the large, deep veins that returns blood from the leg — or less commonly, from the arm — to the heart and lungs.
- Post-thrombotic syndrome: DVT can damage veins, which can lead to symptoms such as chronic swelling and pain. People may not suffer from symptoms of post-thrombotic syndrome until years after DVT.
- May-Thurner syndrome: In this condition, the artery that runs from your abdomen to your right leg — called the right iliac artery — presses against the left iliac vein, causing it to narrow and scar, leading to chronic left leg swelling, pain, and sometimes fatigue.
Venogram with Intravascular Ultrasound (IVUS)
A venogram is an x-ray that allows your doctor to see the anatomy of your veins.
After inserting a catheter (thin, flexible tube) into a vein — most often in the leg — your doctor injects a contrast dye into the catheter, which allows your veins to be seen on the x-ray. We also perform an (IVUS) intravascular ultrasound which allows us to see the vein from the inside to evaluate for compression or thrombosis.
Your physician can use the venogram and IVUS to diagnose and treat your condition by performing venous angioplasty and stent placement at the same time if indicated.
What to Expect During Venous Stenting?
Your physician can place most venous stents on an outpatient basis, under moderate sedation.
During venous angioplasty, your physician will:
- Insert a needle into a vein in your groin or behind your knee, depending on which vein needs stenting.
- Insert a guide wire and pass a catheter sheath over it, followed by a guide catheter through the sheath.
- Use x-ray guidance (fluoroscopy) to steer the catheter to the site of the narrowing.
- Use (IVUS) Intravascular Ultrasound to assess the vessel and determine the % compression or thrombosis
- Advance a balloon-tipped catheter to the site of the narrowing.
- Inflate and deflate the balloon several times to widen the narrow vein.
To place a venous stent, your physician will:
- Remove the angioplasty balloon and insert a catheter with a closed stent on it.
- Place the stent in the vein. The stent pushes against the walls of the vein, serving as a support to keep it open.
- Remove the catheters and apply pressure to the insertion point to close the wound.
In most cases, people who undergo venous stenting go home the same day.
To prevent blood clots from developing, most people must take clopidogrel (Plavix) for a few months.
https://www.upmc.com/services/heart-vascular/services/tests-procedures/venous-stents
A cardiac event recorder is a battery-powered portable device that you control to tape-record your heart’s electrical activity (ECG) when you have symptoms. There are two types of event recorders: a loop memory monitor and a symptom event monitor.
Cardiac event recorders and other devices that record your ECG as you go about your daily activities are also called ambulatory electrocardiographic monitors.
Quick facts:
- A cardiac event recorder makes a record of your electrocardiogram (ECG or EKG) when you have fast or slow heartbeats, or feel dizzy or like you want to faint. It can also be used to see how you respond to medicines.
- Some cardiac event recorders store your ECG in memory in the monitor. Your ECG can be sent by telephone to a receiving center or to your doctor.
- There are no risks when using a cardiac event recorder.
A cardiac cath provides information on how well your heart works, identifies problems and allows for procedures to open blocked arteries. For example, during cardiac cath your doctor may:
- Take X-rays using contrast dye injected through the catheter to look for narrowed or blocked coronary arteries. This is called coronary angiography or coronary arteriography.
- Perform a percutaneous coronary intervention (PCI) such as coronary angioplasty with stenting to open up narrowed or blocked segments of a coronary artery.
- Check the pressure in the four chambers of your heart.
- Take samples of blood to measure the oxygen content in the four chambers of your heart.
- Evaluate the ability of the pumping chambers to contract.
- Look for defects in the valves or chambers of your heart.
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