50th Anniversary Issue 2013

Transcription

50th Anniversary Issue 2013
Volume 8
Issue 1
March 2013
Editor:
Joan Brown
MICHIGAN VASCULAR CENTER
Michigan Vascular Center (MVC) - Mission Statement
MVC exists to improve the quality of life for patients by providing the most comprehensive, innovative and best possible
vascular care based on sound principles of treatment.
MVC exists to render that care with compassion, respect and integrity; exercising the best possible thought and judgment
for the patient’s benefit.
© 2013 Michigan Vascular Center
Medical Staff
MICHIGAN VASCULAR CENTER
TURNS 50!
Carlo A. Dall’Olmo, M.D.
Allan L. Ippolito, M.D.
Making history and recording history are rarely thought
of in the same context; however occasionally the two are
one and the same. Such is the case as the Michigan
Vascular Center, a private vascular practice located in
Flint, Michigan, enters its 50th year of service to its
community and state. Barring documentation to the
contrary, we believe the Michigan Vascular Center is the
oldest and longest running private practice vascular surgery group in the country.
What follows in this edition is a brief summary of its remarkable history.
John M. McIlduff, M.D.
Wayne K. Kinning, M.D.
Gregory J. Fortin, M.D.
Scott A. Garner, M.D.
Robert G. Molnar, M.D.
Russell W. Becker, D.O.
Nitin G. Malhotra, M.D.
Emeritus
Albert J. Macksood, M.D.
Frederick W. Sherrin, M.D.
Inside this issue:
The Legacy Begins
2
MVC Staff Diagram
9
Non-Invasive
Vascular lab
10
Research Dept.
11
VeinSolutions
12
Access Center
14
Mobility Center
15
Evolution Diagram
16
The accompanying diagram on the back page represents a schematic of how
our center has grown in response to the needs of our vascular practice and the
vascular patient. We initiated the first non-invasive vascular lab in Mid-Michigan to
aid in the diagnosis of vascular disease. The Michigan Vascular Research Center
was later formed to bring the advantage of cutting-edge clinical trials to Genesee
County. Over the years we have added and expanded two free-standing
VeinSolutions offices and two free-standing outpatient diagnostic/angio-access
centers. Our latest addition is a Mobility Center to enable the amputee to regain
mobility. It has proven to be a great psychological boost to the amputee. On
November 2, 2012, we were accepted by the Accreditation Council for Graduate
Medical Education (ACGME) to begin training future vascular surgeons in a
community-wide Vascular Fellowship Program.
We are very proud of our independent, private practice vascular center,
planning for another 50 years, and believe that by adhering to our cultural values,
we will make The Michigan Vascular Center a member of the 100 year club. The
current health reform agenda presents challenges; yet given the size of our group,
we feel confident in the value and cost-effective systems we provide and believe we
will find opportunity. We look forward to the future.
Carlo A. Dall’Olmo, M.D.
President
PAGE 2
VOLUME 8, ISSUE 1
The Legacy Begins . . .
The Founder
Albert J. Macksood, M.D., son of a Lebanese immigrant-physician, Joseph
Macksood, M.D., returned home to Flint on July 1, 1963, after completing his surgical
training with Dr. D. Emerick Szilagyi at Henry Ford Hospital in Detroit. Dr. Szilagyi was
one of the original pioneers in peripheral vascular surgery having performed one of the
world’s first abdominal aortic aneurysm repairs in 1952. Dr. Macksood brought skills to
Flint few in the country possessed. These were the formative years for our specialty.
Joining his father, Joseph Macksood, M.D. a
family physician and his older brother
Albert J. Macksood, M.D.
William (Bill) Macksood, M.D. a general
surgeon, he moved into the Macksood Medical Building on
Pierson Road built in 1961. There were so many Macksoods we
simply called them, Dr. Joe, Dr. Bill, and Dr. Al.
Confident in his ability, imbued with boundless energy
and an uncanny ability to engage any and all in meaningful
dialogue, Dr. Al was advised by his father to only practice vascular
3169 W. Pierson Rd., Flint, MI
surgery. Highly unusual for those years; but so as not to compete
with the general surgeons who lacked his vascular skills, he committed to the specialty. He performed the first
open abdominal aortic aneurysmectomy, the first carotid endarterectomy, and the first femoral-popliteal bypass
in Mid-Michigan in 1963. Most remarkable about Dr. Macksood, however, was his simple, yet revolutionary
philosophy: “cover the waterfront.” That meant all three Flint area hospitals (McLaren, St. Joseph/now
Genesys, and Hurley) which have had continuous emergency vascular coverage ever since. He also believed
only fellowship trained vascular surgeons should be added as the need dictated envisioning a true group
practice. This philosophy maintained that patients were part of the group practice and each partner shared
equally in the responsibility for their care. The patient received the benefit of having multiple physician input
into their vascular care. In addition this created an equal work load and shared compensation allowing all
physicians of the group to have a home life, making time for family and interests more predictable.
Additionally, it created power in numbers with the opportunity and support to broaden our horizons.
Macksood Medical Building,
Plaque dated 1961
1960s & 70s—New Partners
As the practice grew, Dr. Macksood tapped Dr. Szilagyi’s program for recruits. Dr. Al Morgan joined
in 1965. Dr. Frederick Sherrin was recruited in 1972 and a professional corporation was formed under the
name of Vascular Surgery Associates, P.C. Dr. Carlo Dall’Olmo, the
current president, joined in 1975. Dr. Dall’Olmo performed the first
tibial artery bypass for limb salvage in Mid-Michigan in 1975. The fact
that the first four members came from Dr. Szilagyi’s program was
important to our early success. All shared a common culture and work
ethic. We were “in synch” says Dr. Dall’Olmo. We shared the same
philosophical approach to the patient and the practice of our specialty.
This made incorporating a new partner a seamless experience.
Frederick W. Sherrin, M.D.
Carlo A. Dall’Olmo, M.D.
PAGE 3
VOLUME 8, ISSUE 1
1980s—The Practice Grows
Non-invasive vascular testing was emerging as a way of assisting vascular
surgeons in their clinical decision making. Dr. Dall’Olmo spear-headed a project to
open the first non-invasive vascular lab in Mid-Michigan as a part of
our practice. Patients could now enjoy less risky initial testing in the
same office. Our technical lab director, Joanne Drago, LPN, RVT,
opened the lab in 1980 and has been with us since its inception. It
was, indeed, a cutting edge decision, as formal recognition of vascular
technologists came a few years later in 1984. A certification exam for
the RVT credential was developed.
Allan L. Ippolito, M.D.
In 1982 with the anticipation of additional partners, the group
relocated from Pierson Road to G-5119 W. Bristol Road in a newly
emerging development near the Genesee Valley Mall. Allan L.
John M. McIlduff, M.D.
Ippolito, M.D. and John M. McIlduff, M.D., vascular fellows from the
Cleveland Clinic, joined the group. The following summer Wayne K. Kinning, M.D.
arrived from St. Anthony’s in Columbus, Ohio.
Having, again, outgrown our facility, a
parcel of land on the corner of Linden and Bristol
Roads was purchased. The current 6000 square foot
facility was constructed at G-5020 W. Bristol Road and
Wayne K. Kinning, M. D. the group relocated in 1985.
1990s—Largest Group in Midwest
Current facility at 5020 W. Bristol Rd.
In 1990, Gregory J. Fortin, M.D., another Cleveland Clinic vascular fellow was
added followed by Scott A. Garner, M.D., a vascular fellow from the Medical College of
Virginia in 1993. The corporation was now one of the largest
groups of vascular surgeons in private practice in the United States.
Also in 1990, the Intersocietal Commission for the
Accreditation of Vascular Laboratories (ICAVL) implemented
national standards and accredited their first vascular labs. We were
eager to participate and became one of the first vascular labs to
receive accreditation. Vascular Diagnostic Center was incorporated
Gregory J. Fortin, M.D.
on February 11, 1992.
Scott A. Garner, M.D.
ICAVL has now celebrated over 20 years and Michigan Vascular Center has continued to
participate in the accreditation process throughout that time. We are proud to announce our
23rd consecutive year of maintaining the high standards of accreditation.
PAGE 4
VOLUME 8, ISSUE 1
Toward the end of the decade, Robert G. Molnar,
M.D. arrived from Vanderbuilt in Nashville, Tennessee,
having acquired skills in newly emerging endovascular
techniques. These minimally invasive, catheter based
techniques were poised to transform the treatment of
vascular disease.
Thanks to our networking with representatives
from various medical device companies and other vascular
Robert G. Molnar, M.D. surgeons, our members were able to travel nationally and
internationally gaining the necessary skills for aortic endografting and carotid
stenting.
Special thanks to:
● Kathy Patterson, then with
Bard Medical
● Cheryl Lubin, Boston
Scientific
● Amy Ketola, John
Toddhunter & Matt
Borenzweig, then with
Medtronic
2000s—Stepping Into The Future
In keeping with our future goals, another name change was in order. In
2001 we became Michigan Vascular Center. In 2002 our group of physicians
established Michigan Vascular Research Center (MVRC), a non-profit
organization. MVRC was designed for involvement in numerous clinical trials
underway in the field of vascular surgery and to offer hands-on experience in
teaching other vascular surgeons from around the country the art of carotid
artery stenting.
● Dr. Vic Burnhardt & Dr. Ted
Diethrich, Arizona Heart
Institute
● Dr. Antonio, Modena, Italy
● Dr. Cremonesi and Dr.
Castriota, Ravenna, Italy
Dr. Garner took a special interest in venous disease and in 2003
became the medical director for our free-standing VeinSolutions Center.
Dr. Garner is now one of the region’s most experienced physicians in
minimally invasive procedures for varicose veins and venous insufficiency
including endovenous closure/ablation.
In 2004, Russell W. Becker, D.O., another
Michigan native, joined our practice after completing his Vascular Fellowship at Wayne
State University in Detroit, MI. Dr. Becker brought additional endovascular experience to
the practice and a research interest in endovascular therapies for dialysis access.
Subsequently, in 2005 Michigan Vascular Center opened Mid-Michigan’s first free-standing,
full service, Hemodialysis Access Center
Russell W. Becker, D.O.
Michigan Vascular Access Center (MVAC) is located in the lower level of The
Surgery Center, 5202 Miller Rd., Flint, MI. It was the first of its kind in the
area to offer a comprehensive vascular service to patients with end stage renal
disease (ESRD). This specialized center evaluates patients for new vascular
access; and evaluates, repairs and maintains existing access.
PAGE 5
VOLUME 8, ISSUE 1
On April 27, 2009, Michigan Vascular Center opened its Clarkston
Campus. This campus was designed to provide a full range of vascular
services to the citizens of North Oakland County. It consists of a
VeinSolutions office, an Access Center for renal dialysis patients, and a non
-invasive vascular lab to aid in the diagnosis and treatment of vascular
disease.
In 2010 Nitin G. Malhotra, M.D., joined the
group after completing his Vascular Fellowship in
Albany, NY. Dr. Malhotra is a highly trained
peripheral vascular surgeon in both open surgical repair and endovascular techniques. He
brings additional expertise in the area of thoracic endografting
5701 Bow Pointe Dr., Ste 212
Clarkston, MI
In keeping our commitment to provide unparalleled vascular
services to the community, Michigan Vascular Center voluntarily sought
accreditation by the Accreditation Association for Ambulatory Health Care Nitin G. Malhotra, M.D.
(AAAHC). In 2010 all locations received full accreditation. Since this
demands a high level of commitment and effort, it challenges us to find better ways to serve
our patients.
Our newest endeavor is the addition of a Mobility Center at the main campus.
Specially dedicated to restoring mobility to the amputee patient, Jeff Eschenburg, a
certified prosthetist, joined us in April, 2012. An amputee himself, he has proven to bring
a great psychological boost to the amputee. Patients have access to ‘advanced surgical
amputation’ a process requiring input from both the vascular surgeon and the prosthetist
to determine the optimum level of amputation with future mobility in mind. Jeff’s skills
include custom creation of prosthetics in our own in-house workshop.
2013—OUR FIFTIETH YEAR!
Our fiftieth year welcomes a new partner. Cherie R. Phillips, M.D.
will be joining the practice in July. A native of Cleveland Ohio, Dr.
Phillips received a Master’s degree in Bioethics prior to entering medical
school. She received her medical degree from Wayne State University
School of Medicine in Detroit. After completing her general surgery residency at
Howard University Hospital in Washington, DC, she entered her Vascular Surgery
Fellowship at University Hospital, Cincinnati, Ohio. Dr. Phillips is the recipient of
several awards and honors including the Howard University Department of Surgery
Chief Resident of the Year 2010.
The University of Cincinnati’s Vascular Surgery Department was one of the first
Cherie R. Phillips, M.D.
academic practices in the country to develop a formal practice in endovascular surgery.
Dr. Phillips comes highly trained in both open and cutting-edge, minimally invasive endovascular procedures.
PAGE 6
VOLUME 8, ISSUE 1
Rounding out our fifty-year celebration is the introduction of a Vascular
Surgery Fellowship to Genesee County. With the accumulated wealth of knowledge
and experience by our faculty, it seemed a natural progression to train future vascular specialists. Michigan
State University in conjunction with Michigan Vascular Center, McLaren Regional Medical Center, Hurley
Medical Center, and Genesys Regional Medical Center are now offering a two-year vascular Fellowship
training program covering all aspect of vascular medicine and vascular and endovascular surgery. Several years
in the making, it was approved by the Accreditation Council of Graduate Medical Education (ACGME) in
November 2012. We will be eligible to receive residents who have completed an approved General Surgery
program. Most Fellowship programs are institutionally based. This community-based program will not only
give Fellows exposure to several institutions, it will add experience in a private practice setting. Dr. Dall’Olmo,
Program Director, says, “Few programs in this country offer the Vascular Fellow as extensive an exposure to the entire
spectrum of a vascular practice.” We are now poised for the future and planning for another 50 years!
COMING SOON!
MICHIGAN VASCULAR ACCESS CENTER
SAGINAW CAMPUS
With
The Sky
Teamwork
Is The Limit!
50 Years . . . And Counting!
PAGE 7
VOLUME 8, ISSUE 1
MICHIGAN VASCULAR CENTER FIRSTS
1963 First open Abdominal Aortic Aneurysmectomy in
Mid-Michigan
2004 First in the state of Michigan to implant FDAapproved Carotid stent (manufactured by Guidant,
Inc.)
1963 First Carotid Endarterectomy in Mid-Michigan
2005 Opened Mid-Michigan’s first free-standing, full
service, Hemodialysis Access Center
1963 First Femoral-Popliteal Bypass in Mid-Michigan
2005 First and only site in the state of Michigan to
implant a superficial femoral artery drug coated stent
(manufactured by Cook, Inc.) (Zilver Trial)
1975 First in Mid-Michigan to offer Tibial Artery Bypass
for limb salvage
2006 First in the state of Michigan to implant FDA
approved abdominal aortic aneurysm pressure
monitoring device (manufactured by CardioMEMS)
1977 Development of a Vascular Registry
2008 First in the state of Michigan to perform
endovascular removal of blood clots from veins
(Stride I Clinical Research Trial using the Trellis® 8
device)
1988 First in Flint to implant a Palmaz Stent (R. Iliac
Artery)
2008 Mid-Michigan’s first percutaneous repair of AAA
under local anesthesia
1992 Mid-Michigan’s first ICAVL-Accredited Vascular
Laboratory
2008 Michigan Vascular Center chosen as one of five
training sites in the US for the Endologix Powerlink
endograft for AAA
1998 Mid-Michigan’s first Endovascular Repair of
Abdominal Aortic Aneurysm
2008 First Endologix Powerlink XL AAA endograft
implanted in Michigan
2004 Formed Mid-Michigan’s only dedicated non-profit
Vascular Clinical Research Center
2012 First Mobility Center in Michigan and one of the
nation’s first, dedicated to the rehabilitation of the
amputee
MVC Core Values

We are a professional organization –a team– working equally in a common cause: To
provide the best possible vascular care for the physicians, patients, and institutions of our
community.

We share a commitment to excellence in the vascular care of patients through the pursuit of
knowledge, communication, innovation, and research.

We value our employees and incorporate them into our team.

We commit to each other to honor & pursue these values.
MICHIGAN VASCULAR CENTER—MAIN CAMPUS STAFF
PAGE 10
VOLUME 8, ISSUE 1
NON-INVASIVE VASCULAR LAB—1980
Michigan Vascular Center opened its non-invasive vascular lab in 1980 as the first of its kind in
Genesee County. As technology progressed and the value of non-invasive vascular testing was established, a
need arose for standards in the industry. In 1990 the Intersocietal Commission for the Accreditation of
Vascular Laboratories (ICAVL) implemented national standards and accredited their
first vascular labs. Michigan Vascular Center was eager to participate and became one
of the first vascular labs to receive accreditation.
MVC
ONE OF THE
FIRST
ACCREDITED
VASCULAR LABS
IN THE
COUNTRY
ICAVL is now celebrating its 23rd year. Michigan Vascular Center has continued to
participate in the accreditation process throughout those 23 years. We are proud to
announce our 23rd consecutive year of maintaining the high standards of
accreditation.
Michigan Vascular Center is accredited in:
Extracranial Cerebrovascular Testing
Peripheral Arterial Testing
Peripheral Venous Testing
Throughout the accreditation process laboratories must assess every aspect of daily operations and the
quality of patient care. Laboratories conduct a detailed self-evaluation using the ICAVL standards and the
application. This includes actual case studies for review. Once the self-evaluation is complete the documents
and case studies are reviewed by the ICAVL Board of Directors. As part of the Accreditation Agreement,
vascular labs agree to undergo random site visits.
A Word From the Technical Directors
Since the inception of our vascular lab, it has been our goal to
complement Michigan Vascular Center’s Mission Statement by
providing “quality patient care” with quality vascular testing. By
continuing to succeed in fulfilling the standards for the voluntary
lab accreditation process we have achieved the goal of excellence in
the specialty field of vascular testing and diagnostics.
Joanne Drago, LPN, RVT, FSVU
Co-Technical Director
Ann Inskeep, RVT
Co-Technical Director
To check on a vascular lab accreditation, visit:
www.intersocietal.org
Click on “Helpful Resources”, then “IAC Accredited Facilities”
PAGE 11
VOLUME 8, ISSUE 1
RESEARCH DEPARTMENT—2002
Michigan Vascular Research Department is one of the
country’s most experienced sites for carotid stenting and AAA
endovascular repair. Our specialists have participated in many
different phases of research from Phase I to Phase IV. Michigan
Vascular has participated in multiple FDA trials including:









Carotid Stenting
AAA Endovascular Repair
AAA Endovascular Pressure Measurement
Iliac Stenting
Linda Reynolds, RA
Renal stenting
SFA Stenting
Fistula Placement
Stem Cell Treatment for Critical Limb Ischemia
DVT (Deep Venous Thrombosis)
Barb Lewis, CRC Maureen Angles, CCRC
Our research team consists of 9 vascular surgeons, two clinical research coordinators and a research
assistant. Because of Michigan Vascular Research Center’s dedication and commitment toward conducting
research, we were the first in the state to enroll patients in several trials.

First in the state of Michigan to implant a FDA approved carotid stent manufactured by Guidant,
Inc. in September 2004.

First and only site in the state of Michigan to implant a superficial femoral artery drug-coated stent
manufactured by Cook, Inc. in October 2005.

First in the state of Michigan to implant a FDA approved abdominal aortic aneurysm pressure
monitoring device, manufactured by CardioMEMS in June 2006. This device is used in patients
who undergo endovascular repair of an AAA and measures the pressure over time within the
excluded AAA for leaks.

First in the state of Michigan to enroll a patient into the Stride Study in May 2008. The Stride
Study uses the Trellis-8 system for treatment of DVT.
PAGE 12
VOLUME 8, ISSUE 1
VEINSOLUTIONS—2003
CLARKSTON CAMPUS—2009
Michigan Vascular Center has been treating
varicose veins and other venous problems for 50 years. In October of
2003 the VeinSolutions office opened, dedicated to providing
comprehensive and exclusive care for patients with venous problems.
Our aim is to provide patients with the most experienced, board
certified vascular surgeons who use the latest technologies in the
diagnosis and treatment of varicose and spider veins, venous
insufficiency, and vascular birthmarks.
Michigan Vascular Center opened VeinSolutions to cater
specifically to patients with vein problems. Our nurses and support
staff are highly trained health care professionals with a special interest
in vein care. Therefore, patients receive the highest quality of care—
VeinSolutions—Flint
not only from a clinical aspect—but also from a personal point of
view. Every patient receives friendly, helpful, and prompt service. Our patient satisfaction surveys bear this out with
continued high patient satisfaction ratings.
Free Consultation
The first visit to VeinSolutions is a free consultation with our board certified vascular surgeon who will evaluate
the patient for possible venous problems. If a problem is suspected, a recommendation will be made for further
evaluation, most often with a venous duplex and physician consultation. However if there is no clinical evidence of a
venous problem, then no further evaluation is required. If indicated, cosmetic treatment options will then be discussed
with the patient.
TREATMENTS
Insurance Coverage
Many, but not all treatments are covered by insurance. Based on the initial consultation, and possible venous
duplex, medical necessity is determined. When treatment options are presented to a patient, we are able to inform them
prospectively if the procedure is covered by insurance or considered cosmetic. If a treatment is cosmetic we explain that
it is not covered by insurance and we provide a cost estimate of what a treatment will cost.
Endovenous Ablation
Endovenous ablation is the treatment of choice
for underlying venous insufficiency. It is minimally invasive,
usually requires only local anesthesia, and is performed in the
comfort and convenience of our office. In most instances,
patients return immediately to normal light activity with little or
no time off from work.
Endovenous ablation entails percutaneous placement of a catheter
into the incompetent vein. Energy is delivered using either
radiofrequency or laser which injures the target vein wall and
results in fibrotic obliteration of the insufficient vein. We at
VeinSolutions introduced endovenous ablation to this area and
have the most extensive experience with this procedure.
Disposable catheter
inserted into vein
Vein heats
And collapses
Catheter withdrawn,
Closing vein
PAGE 13
VOLUME 8, ISSUE 1
TWO CENTERS
DEDICATED TO VEIN PROBLEMS
Ambulatory Phlebectomy
In most instances, ambulatory phlebectomy is the preferred
therapeutic option for the treatment of larger varicose veins. In general,
this minor procedure is done under local anesthesia, in an office setting,
and requires only minute stab incisions which require no sutures or
stitches. For larger veins, ambulatory phlebectomies afford improved
aesthetics and quicker
resolution of varicose veins
compared with sclerotherapy.
VeinSolutions—Clarkston
Venous Dermatitis & Ulceration
Excellent outcome post ambulatory phlebectomy
Though varicose veins and leg discomfort are the most common
manifestations of venous insufficiency, venous dermatitis and ulceration are not uncommon, and will respond well to
treatment. Lower extremity venous dermatitis and ulceration can be longstanding, difficult to heal, and have a significant
rate of recurrence. In some patients correction of the underlying venous hypertension will result in accelerated wound
healing and a significant reduction in recurrence of venous ulcers.
Sclerotherapy
Sclerotherapy is an effective treatment for spider
telangiectasias, reticular veins, and smaller varicose veins.
Pharmaco-Mechanical Treatment
The Pharmaco-Mechanical Trellis® procedure is a revolutionary new treatment for removal of deep venous
thrombosis. It is aimed at emulsifying and eradicating the clot, thus preserving the function of the vein and its valve, and
reducing chronic obstructive pathology which can lead to more severe longstanding post-phlebitic problems. It is
recommended in selected patients with extensive acute (within two weeks of onset of the DVT) ilio-femoral deep venous
thrombosis when appropriate expertise and resources are available.
VeinSolutions has allowed Michigan Vascular Center to provide
quality of treatment to your patients with vein problems by
offering the full range of diagnostic and treatment
options. In addition to providing state of the art
venous care, the doctors and staff at VeinSolutions
strive to give your patients an enjoyable and
convenient office experience.
Immediate Post-op
Post Trellis®
Scott A. Garner, M.D.
PAGE 14
VOLUME 8, ISSUE 1
HEMODIALYSIS ACCESS CENTER—2005
The Michigan Vascular Center opened its first office dedicated to
the vascular needs of renal patients in 2005. The Michigan Vascular
Access Center was the first of its kind in the area to offer a comprehensive
vascular service to patients with end stage renal disease (ESRD). The
center is committed to offering the highest standard of care at one site.
This specialized center evaluates patients for new vascular access as well as
evaluating, repairing and maintaining existing access.
In the past, patients with access problems would require numerous
visits to various locations. This lead to duplicate testing and delays in
appropriate treatment. MVAC has developed a single-center concept. The patient can have all their access
needs addressed and corrected immediately. The center performs a variety of procedures such as diagnostic
imaging of fistulas and grafts via duplex imaging and Doppler ultrasound.
Repairs and/or minimally invasive procedures using catheter-based
techniques such as venograms, fistulograms, percutaneous transluminal
balloon angioplasty (PTA) are among the many daily procedures offered.
Other common treatments are coil embolization of fistula side branches,
graft declots, and hemodialysis catheter insertions and removals.
Flint Campus
In 2009, a second free-standing angio-access center was opened in
Clarkston, Michigan. It is located in the Clarkston Medical Building. As in
Flint, there is a board certified vascular surgeon present at the center Monday
Clarkston Campus
through Friday. The citizens of North Oakland County are now able to
receive the same convenient, one-stop services that are invaluable in patients with this disease process.
Both the Flint and Clarkston Access Centers are located alongside a full service surgery center.
Patients who need a new access undergo a thorough evaluation adhering to the concept of “fistula first” to
maximize the use of native fistulas. In most cases, the fistula or graft can be placed conveniently at the
adjoining surgery centers.
MVAC is proud to join in a team effort with nephrologists and dialysis units in order to deliver
comprehensive care that provides excellent and compassionate service to our patients.
Flint
Lower Level of The
Surgery Center
5202 Miller Road
810-600-0530
TWO LOCATIONS
Clarkston
Clarkston Medical Bldg.
5701 Bow Point Dr.
248-620-3900
MVAC—A BAKER COLLEGE ROTATION
The Michigan Vascular Access Center now provides a clinical
rotation for Baker College. Dialysis access technician students
gain additional experience which prepares them to excel as
technicians. Students enrolled in Baker’s Bonent approved,
Hemodialysis Technician Program (one of 12 existing
programs in the United States) have the opportunity to observe
vascular access procedures involving vascular access creation
and complications.
“Together we will facilitate optimal knowledge and care of the
dialysis patient.”
Georgia Wilson RN, BSN, CNN
Hemodialysis Technician Program Director, Baker College of Flint.
PAGE 15
VOLUME 8, ISSUE 1
MOBILITY CENTER—2012
Jeff A. Eschenburg, CP
Jeff is a certified prosthetist (CP)
with 17 years of experience fitting
artificial limbs.
His interest in
prosthetics grew as a result of a
traumatic accident at the age of
twelve. The accident resulted in the
loss of his right leg above the knee. He considered it a
challenge to perform activities and live like everyone
else and not let this physical limitation slow him down.
Various sports he continues to enjoy include: running,
biking, skiing, climbing, hiking and swimming.
As the field of prosthetics continues to develop, Jeff is
able to personally test and evaluate new and exciting
technologies before providing them to his clients. This
insight allows him to tailor a specific prosthesis to each
of his client’s unique needs and goals.
Jeff’s passion is to elevate the level of
care for the amputee community.
This is apparent in his design of a
cutting edge prosthesis incorporating
the latest advancements, and
working closely with physicians to
advance surgical techniques of
amputation. This dedication can
positively affect the lives of those
who experience limb loss and make a
dramatic difference in their ability
Jeff running Flint’s
to return to daily living.
2012 Crim
“When a patient realizes Jeff is also an amputee,
suddenly that look of doom and gloom is gone, and
you can see the look of hope in their eyes. That does a
lot for getting them motivated to do the type of work
it requires to get them mobile again.”
Carlo A. Dall’Olmo, M.D.
As a leader in innovative vascular care, we are
pleased to introduce the Mobility Center. Our goal is
providing the best amputee care in Genesee County.
Our philosophy encourages a “team approach” between
the surgeon and the prosthetist to ensure the best
possible outcome for our patients. This early and
continued involvement ultimately leads to amputees
who are more ambulatory with minimal changes in
lifestyle.
One of our goals at Michigan Vascular Center is
to save every leg, but like anything in life, it doesn’t
always go as planned. In the past, one of our vascular
surgeons performed the amputation, but patients were
seen elsewhere for their prosthetic care. It was
impersonal and difficult to follow through on our
surgical cases. Now we feel we can give each patient a
better experience with the addition of prosthetist, Jeff
Eschenburg. Jeff’s skills include custom creation of
prosthetics in our own in-house workshop.
New amputees, as well as patients having
problems with their current prosthetics or are interested
in specialty prosthetics, are welcome to visit the Mobility
Center.
Amputee Blade Runners:
The Mobility Center is happy to announce their partnership
with Amputee Blade Runners, a 501c3 non-profit
organization, providing free running/
sports prostheses for active amputees.
Running/sport specific prostheses are
not covered by insurance providers.
Through our partnership, we will be able
to give amputees the chance to regain an
active/athletic lifestyle. Visit
www.amputeebladerunners.com for
information regarding receiving a free
running prosthesis or to make
donations.
SPECIALIZED PROSTHETICS  ADVANCED SURGICAL TECHNIQUES
ANATOMICAL SOCKET DESIGNS & LIFE-LIKE COVERS  CUSTOM LOWER EXTREMITY PROSTHETICS
MICROPROCESSOR CONTROLLED KNEES & BIONICS
Michigan Vascular Center
Corporate Headquarters
G 5020 W. Bristol Road
Flint, MI 48507
USA
FIRST . . . and FOREMOST
ARTERIAL SURGERY
1963
VASCULAR LAB
1980
RESEARCH
2002
VEINSOLUTIONS
2003
DIALYSIS ACCESS CENTER
2005
CLARKSTON CAMPUS
2009
MOBILITY CENTER
2012
VASCULAR FELLOWSHIP
2013
SAGINAW CAMPUS
2013
Why so many doctors trust us
for their patients’ vascular care
Among the nation’s oldest,
largest & most respected
Vascular Specialty Centers
www.MichiganVascular.com