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Vascular

Vascular

At HCM Medical Group, our state-of-the-art ultrasound technology can quickly and effectively detect problems which can lead to stroke as well as identify aneurysms, varicose veins, spider veins and circulation disorders. The diagnostic information our studies provide allows us to choose the most appropriate treatment for you, our patient. The faster we can correct the problem and help you return to your normal life, the better.

We provide the entire spectrum of care for those with circulatory disease, including medical management and long-term follow-up, minimally invasive procedures, as well as traditional open surgery when it is indicated. We are trained and skilled in medical, endovascular and surgical techniques, and we are committed to ensuring that our patients receive the most appropriate and effective care.

Vein Disorders

  • Varicose veins and spider veins
  • Deep vein thrombosis (DVT)

Vein Treatments

  • VNUS Closure┬« and endovenous laser treatments (EVLT)
  • Sclerotherapy (vein injections)
  • Vein stripping and removal
  • Venous ulcer treatments

Artery Disorders

  • Carotid artery blockages and stroke prevention
  • Claudication
  • Limb-threatening artery blockages
  • Kidney and intestinal artery blockages
  • Diabetic ulcers
  • Raynauds

Hemodialysis Access Management

  • Arterio-venous fistula and graft creation
  • Endovascular intervention of failing A-V fistulas

Minimally Invasive Artery Treatments

  • Arteriograms, balloon angioplasty, atherectomy, and stents
  • Stent-grafts for aneurysms (abdominal and thoracic aortic aneurysms)
  • Carotid artery stenting
  • Renal and mesenteric artery stenting

Surgical Treatments

  • Open repair of thoracic and abdominal aortic aneurysms
  • Extremity (leg) artery bypass
  • Carotid endarterectomy
  • Kidney and intestinal artery bypasses

Vascular Screenings

  • Peripheral arterial disease (PAD)
  • Carotid artery/stroke
  • Abdominal aortic aneurysm (AAA)
  • Venous disease

Fredericksburg

Andrew Bowser, MD, FACS
Joseph Vinas, MD, FACS
Maggie Klein, PA-C

Kerrville

Andrew Bowser, MD, FACS
Joseph Vinas, MD, FACS

Boerne

Andrew Bowser, MD, FACS