Vascular Surgery

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About Vascular Surgery & Endovascular Therapy

Our Vascular Surgery and Endovascular Therapy department is one of the leading vascular centers in Southeast Houston. Our clinical providers are involved in the non-invasive evaluation and medical management of patients with a wide variety of vascular problems.

Common Vessels Affected by Vein Disease

Some of the other common vessels that may be affected by differing diseases are the:

  • carotid arteries (found in the neck)
  • abdominal aorta (found in the stomach)
  • femoral arteries (found in the legs)

Of course, many other vessels in the body can be affected, but these are some of the more commonly affected vessels. Many arteries become clogged with cholesterol or there is a narrowing of the artery by some other cause. Other arteries develop a weakness in their wall, which causes an outpouching, known as an aneurysm. These types of defects and diseases are what vascular surgery addresses.

Varicose Vein Myths

We have special expertise in:

  • Carotid and vertebral artery disease
  • Abdominal and thoracic aortic aneurysm treatment
  • Aortic stent repair
  • Carotid Stent
  • Carotid endarterectomy
  • Iliac aneurysm
  • Renal artery stenosis
  • Thoracic outlet syndrome
  • An advanced ischemic disease of the lower extremity
  • Challenging reconstructions of the renal and intestinal blood vessels.
  • Lower extremity artherectomy
  • Lower extremity bypass
  • Peripheral vascular disease
  • Dialysis access
  • Varicose veins
  • VNUS closure
  • Minimally invasive vascular therapy
  • Endovascular treatment of obstructive arterial lesions and aortic aneurysms


It is a painless test that checks for the buildup of fatty deposits (atherosclerosis) in the arteries of the body. Blood and oxygen is transported around the body by an extensive network of arteries and smaller vessels which together make up the cardiovascular system (or vascular system for short). Any blockages in these arteries can cause sudden and severe illness, even death, depending on where the blockage occurs.

A ‘screening’ is where a person is checked for signs of disease although they show no symptoms. Click here to request an appointment with Dr. Cheema

Fast, Easy, Online Scheduling. Schedule your Clear Lake Specialties appointment easily online through Healow.

Our Vascular Surgery and Endovascular Therapy department is one of the leading vascular centers in Southeast Houston. Our clinical providers are involved in the non-invasive evaluation and medical management of patients with a wide variety of vascular problems.

When needed, patients are also evaluated during our weekly conference with our multi-disciplinary team of physicians which includes colleagues from interventional radiology, cardiology, and neurology along with our associates in cardiothoracic surgery and neurosurgery.

Vascular surgeons have partnered with primary care physicians in managing patients with the vascular disease for more than 50 years. We look forward to working with you in caring for your patients with peripheral vascular disease.

Clear Lake Vascular Surgery and Endovascular Therapy is part of CLS Health. CLS Health is a multi-specialty medical group with over ninety providers providing comprehensive inpatient and outpatient care in Baytown, Friendswood, Webster, Pasadena, League City, and surrounding areas.


6 Ways To Reverse the Symptoms of Venous Insufficiency (Home Remedies Included)

Here’s the classic story: I wake up in the mornings and my legs feel pretty good, but as the day goes on, they start to drag. After a few hours on my feet, or behind my desk, my legs start to feel heavy, achy, and tired. Sometimes I even notice swelling in my feet and ankles, especially after a long car trip or a flight. How can I stop these symptoms from interfering with my life and activities?

If this sounds like you, you may be suffering from a common condition called venous insufficiency, also known as venous reflux disease.

What is Venous Insufficiency?

To understand venous insufficiency, we must first understand the function of veins. Veins are meant to return used, deoxygenated blood to the heart via the use of small, internal, one-way valves. Insufficient veins cease to perform this function efficiently due to weak valves which slow the movement of blood, allowing it to pool in the legs. At times, the blood may actually flow toward the feet, instead of toward the heart. This is called “reflux.” Reflux can manifest in a number of ways. Common symptoms include some or all of the following:

  • Spider and/or varicose veins of the legs, groin, or private areas
  • Leg pain
  • Leg heaviness
  • Leg tiredness
  • Leg itchiness
  • Leg restlessness
  • Discoloration of the skin of the ankles and legs
  • Infections of the skin of the legs (cellulitis)
  • Slow-healing or non-healing wounds of the ankles or legs

Natural Ways to Treat Venous Insufficiency

So now that we understand the diagnosis of venous insufficiency, let’s talk about how to treat it. First, I want to be clear that there is no way to actually reverse the cause of venous insufficiency, only the symptoms. Damaged valves inside the vein cannot be repaired, but there are plenty of ways to minimize the impact of the reflux they cause. Many of my patients do eventually become symptom-free.

The first thing I recommend to a person diagnosed with venous insufficiency are tried-and-true home remedies like the following:

Compression socks/stockings

Graduated compression socks are part of the treatment plan for every patient diagnosed with venous insufficiency, and I know, you HATE them. But allow me to humbly suggest you just haven’t found the right pair yet. The right pair of compression socks should help to reverse symptoms like leg heaviness, achiness, fatigue, and swelling. They may also help resolve tenderness of varicose or spider veins. For more tips on how to find the right compression socks, see my upcoming blog on the subject.


When you move, so does your blood. In fact, your veins depend on muscle contractions to help them return used, deoxygenated blood to your heart. Without regular exercise, your circulation is missing an important part of its equation. I recommend at least 30 minutes of continuous, low-impact exercise a day, in addition to frequent breaks from sitting or standing throughout the day.


When you elevate your legs, you allow gravity to naturally bring blood back toward your heart. This will likely make your legs feel less achy and swollen, and feels especially good at the end of a long day. Even people with mild cases of venous insufficiency may get substantial reversal of symptoms after just a few minutes of elevation. Ideally, your legs should be above the level of your heart, but any elevation is better than none. You can purchase special leg elevation pillows if you want to maximize your results.

Proper skin care

Venous insufficiency can often cause dry, itchy skin that is prone to rashes, and in some advanced cases, infections and wounds. Skin irritation, or dermatitis, can sometimes be reversed with a good skin care regimen to include the following:

  • Hydrate- opt for greasy products like coconut oil versus runny lotions, and apply to towel-dried, intact skin
  • Avoid harsh chemicals like perfumes and anti-microbials
  • Avoid touching and rubbing the skin throughout the day
  • Wear a clean pair of compression socks daily.

Foods and supplements

  • Horse Chestnut- One promising ingredient in the fight against venous insufficiency is horse chestnut extract. This natural supplement is probably not in your medicine cabinet yet, but if you have venous insufficiency, maybe it should be. Clinical trials have found horse chestnut to help reverse symptoms of venous insufficiencies like leg swelling and itching. It may even help reverse skin damage and discoloration caused by chronic venous insufficiency. Horse chestnut extract can be found over-the-counter at specialty vitamin stores, and also prescribed under the brand name Vasculera, although insurance coverage is limited, as it generally is for most other supplements.
  • Water- staying well hydrated improves the viscosity of blood.
  • Anti-inflammatory diets- Certain foods are known to be inflammatory and could, in theory, interfere with optimal circulation. Foods to avoid if you are attempting an anti-inflammatory diet include animal products, processed food, and fried food. Instead, focus on eating naturally derived, whole foods prepared at home. The more colorful the plate, the better.
  • Other supplements- there is some anecdotal evidence to suggest that supplements like Omega 3 and turmeric can “thin the blood” and decrease inflammation in the body, aiding in proper circulation. As with all supplements, speak to your healthcare provider before starting a new regimen.

Vascular Procedures to Treat Venous Insufficiency

The above tactics may very well help you reverse the symptoms of venous insufficiency, but if you don’t make the progress you hope to achieve, it may be time to consider vein treatment. Most modern approaches to vein treatment are relatively easy, minimally-invasive procedures that require little-to-no preparation or recovery. Most insurances do cover procedures for venous insufficiency. Some of your options for treatment may include:

  • Sclerotherapy
  • Venous ablations
  • Phlebectomy
  • Venoplasty
  • Venous stenting

Vascular surgeons are specialists who are highly trained to treat diseases of the vascular system.

Vascular surgery involves surgery of the aorta, carotid arteries, and lower extremities, including the iliac, femoral, and tibial arteries. Vascular surgery also involves surgery of veins, for conditions such as May–Thurner syndrome and for varicose veins.

Vascular surgery and endovascular surgery are both modalities to treat vascular disease. Endovascular describes a minimally invasive approach commonly done through needle puncture and a sheath. Traditional vascular surgery is more invasive and involves incisions, which are more surgical in nature.

The most common vascular diseases are stroke, peripheral artery disease (PAD), abdominal aortic aneurysm (AAA), carotid artery disease (CAD), arteriovenous malformation (AVM), critical limb ischemia (CLI), pulmonary embolism (blood clots), deep vein thrombosis (DVT), chronic venous insufficiency (CVI), and varicose.

Your incision may be sore for several days. Full recovery from surgery may take 6 to 8 weeks.

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