expert type icon EXPERT

Dr. Ronald A. Kline, MD

Vascular Surgeon

Dr. Ronald A Kline MD is a top Vascular Surgeon in Tucson, . With a passion for the field and an unwavering commitment to their specialty, Dr. Ronald A Kline MD is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Ronald A Kline MD is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Ronald A Kline MD is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Tucson, AZ, Dr. Ronald A Kline MD is a true asset to their field and dedicated to the profession of medicine.
36 years Experience
Dr. Ronald A. Kline, MD
  • TUCSON, AZ
  • University of Pittsburgh
  • Accepting new patients

My father has blood clots in his legs. What should be the course of treatment?

It is highly unlikely that his hypertension is the cause. He should be evaluated by a vascular surgeon.

What is the recovery period after a vascular surgery?

This will depend upon the type of repair that he has. An open repair will take 1-2 months to fully recover, whereas an endovascular repair is only a few days.

Can a bypass surgery cause kidney problems?

Most likely he has other risk factors that are causing this.

What is a vascular surgeon?

A cardiologist is not a surgeon. A vascular surgeon treats both with open surgery and with minimally invasive angioplasties and stenting arteries, involving everything except on READ MORE
A cardiologist is not a surgeon. A vascular surgeon treats both with open surgery and with minimally invasive angioplasties and stenting arteries, involving everything except on the brain directly and indirectly on the heart. A cardiologist is not trained specifically to treat problems outside of the heart, although many dabble in this area. A vascular surgeon can offer you options that a cardiologist cannot. Many cardiologists, when they can't treat a problem, will tell the patient that there is nothing more they can do. Oftentimes, that is not true. Cardiologists like to practice outside of their trained specialty because of lack of income.

How are blood clots in the veins diagnosed?

The most common way is with an ultrasound of the veins done by an accredited facility.

I have been diagnosed with Raynaud's disease. Can it be treated with surgery?

The most common treatment for Raynaud's disease, assuming he really have it, is medically usually with what is known as calcium channel blockade. He will also need to avoid the READ MORE
The most common treatment for Raynaud's disease, assuming he really have it, is medically usually with what is known as calcium channel blockade. He will also need to avoid the circumstances that can induce the spasm. This usually means keeping her hands warm, avoid vibratory tools, avoid caffeine, anything that can constrict the arteries. If this is in your feet, the same applies. On rare occasions if you begin to have tissue loss then denervation of the arteries in either the hand or feet is the more modern treatment but it is difficult to find someone to do this operation. In the past we would do sympathectomies of the larger nerves and either the lower back if it involved the legs or the upper chest if it involved the arms.

Is there a possibility of a patient suffering a heart attack during a vascular surgery?

One of the most common complications from vascular surgery is a heart attack. The risk is low but significant. If your father has PAD that he should be evaluated for the presence READ MORE
One of the most common complications from vascular surgery is a heart attack. The risk is low but significant. If your father has PAD that he should be evaluated for the presence of coronary artery disease. This helps to "risk stratify" his condition. Although not absolutely necessary, it is my practice to always have these patients evaluated or at least be re-seen by the cardiologist before performing an open operation. If they are considered high risk than I also have this done before the performing an endovascular, minimally invasive, procedure.

Can PAD be treated with a surgery?

Almost all PAD can be treated some of it medically but a lot of it requires some form of operation either minimally invasive such as an angioplasty or stenting and less commonly READ MORE
Almost all PAD can be treated some of it medically but a lot of it requires some form of operation either minimally invasive such as an angioplasty or stenting and less commonly these days although still a very durable type of treatment, bypass surgery. These treatments do not "cure" PAD but are designed to relieve the patient of their symptoms.

What are the risks involved in a vascular surgery?

Vascular surgery does not treat nerve damage. I'm not certain what this physician is doing.

What are the main causes of an arterial blockage?

The article you read is not correct. Hardening of the arteries or atherosclerosis, PAD, is a disease process. One of the earliest places that it can occur is in the arteries READ MORE
The article you read is not correct. Hardening of the arteries or atherosclerosis, PAD, is a disease process. One of the earliest places that it can occur is in the arteries of the heart. The most common cause for hardening of the arteries is smoking and equally that of diabetes. Having an unhealthy high cholesterol diet and high cholesterol is a third cause but it is distant to that of smoking and diabetes. There are some people who are genetically prone to this disease but they are a minority.

What are the factors causing venous insufficiency?

The diagnosis of venous insufficiency causing blood clots in her hands is highly unusual and I suspect not correct. If she truly has been having clots in her veins and that includes READ MORE
The diagnosis of venous insufficiency causing blood clots in her hands is highly unusual and I suspect not correct. If she truly has been having clots in her veins and that includes that of her hands, then she needs to be evaluated for a hypercoagulability. This is a blood clotting abnormality test. It is just blood work. In regards to venous insufficiency of the legs, the most common causes problems with the valves in the veins that are not functioning properly. An ultrasound of these valves done in an accredited vascular lab with the patient in an upright position is the test of choice to make this diagnosis.

Does vascular surgery have an effect on blood pressure?

It is unlikely that your operation caused her high blood pressure. However, I would need to know more precisely what operation you had. Any high blood pressure needs to be treated READ MORE
It is unlikely that your operation caused her high blood pressure. However, I would need to know more precisely what operation you had. Any high blood pressure needs to be treated if it persists.

My mother has been diagnosed with atherosclerosis. What does treatment involve?

The diagnosis of atherosclerosis does not necessarily require treatment. However, anybody with this should be on an anti-platelet agent such as baby aspirin every day unless otherwise READ MORE
The diagnosis of atherosclerosis does not necessarily require treatment. However, anybody with this should be on an anti-platelet agent such as baby aspirin every day unless otherwise contraindicated. Generally speaking, the treatment for atherosclerosis is actually dependent upon what symptoms it is causing.

Varicose veins wounds

The first line for treatment of her problem is to begin wearing good medical grade knee-high support stockings. Being that you are 30, I make the assumption that she did not have READ MORE
The first line for treatment of her problem is to begin wearing good medical grade knee-high support stockings. Being that you are 30, I make the assumption that she did not have any hardening of the arteries. If that is the case, then a compression level of 30-40 mmHg would be required. However, he should see a vascular surgeon who treats this problem and have a proper ultrasound to evaluate your valves in your veins.

What is claudication?

If you truly have claudication, pain on usage of the muscle group for a finite period of time, then there are usually 2 causes that of inadequate blood flow or problems with the READ MORE
If you truly have claudication, pain on usage of the muscle group for a finite period of time, then there are usually 2 causes that of inadequate blood flow or problems with the nerves that help of these muscles function. Claudication is a symptom. Most common cause of this is Harding the arteries which is a disease. Generally speaking, this means that you have PAD and should be seen by a vascular surgeon. I emphasized a vascular surgeon not a cardiologist.

Is an aortic aneurysm fixable?

He should consider himself lucky that the diagnosis of an aortic aneurysm has been made. Most of the time, this diagnosis is made after it has ruptured and the patient dies. Almost READ MORE
He should consider himself lucky that the diagnosis of an aortic aneurysm has been made. Most of the time, this diagnosis is made after it has ruptured and the patient dies. Almost all aortic aneurysms are fixable and in this current state, they oftentimes can be done without a major open operation. This decision has been made by a competent vascular surgeon. Most abdominal aortic aneurysms, with a few exceptions, once they reached 5.5 cm in size for a male or 5 cm for a female should undergo repair. This is why you need to see a vascular surgeon and have this discussed in detail and followed by him. If her aneurysm is under this size and again assuming there are no certain exceptions, regular repeat imaging is required until they reach that size.

Why does my leg swell if I have varicose veins?

Your legs swell because the valves which are causing your varicose veins are allowing the blood to pool in the leg. This allows the water component of blood to leak out into the READ MORE
Your legs swell because the valves which are causing your varicose veins are allowing the blood to pool in the leg. This allows the water component of blood to leak out into the tissues and that is what is causing the legs to swell. These need to be properly evaluated by a special type of ultrasound to determine where the problem is as that will dictate both care and what your insurance will and will not pay for. At a minimum, you need to be in proper support stockings and at the proper amount of compression. A vascular surgeon will guide you through this.

Compression knee highs

Rarely do people need to wear the pantyhose style of compression hose. Almost always only the the knee-high stockings are required.

I am 7 months pregnant and suffering from varicose veins. Will this condition persist even after my delivery?

Many times the varicosities will improve after delivery. If you are not currently wearing them, you need to start wearing pregnancy top compression stockings on a daily basis READ MORE
Many times the varicosities will improve after delivery. If you are not currently wearing them, you need to start wearing pregnancy top compression stockings on a daily basis with 30-40 compression. Having varicosities increases her risk for blood clots. This will help reduce that risk. After you deliver, you should then have an ultrasound checking for valvular issues, which are a prime cause for varicosities. If you have them with this pregnancy, subsequent pregnancies usually will make things worse.

What could have triggered varicose veins during my pregnancy?

When the uterus enlarges, it compresses the veins in the belly causing an engorgement of blood in the legs. However, this is still a fairly uncommon problem in pregnancy and it READ MORE
When the uterus enlarges, it compresses the veins in the belly causing an engorgement of blood in the legs. However, this is still a fairly uncommon problem in pregnancy and it would indicate that you probably have a problem with what is known as venous insufficiency. If you are not currently doing so, you need to start wearing pregnancy top pantyhose with about 30-40 mmHg compression. They need to be worn daily, but not in bed at night. After your delivery, you should be evaluated by venous ultrasound, by a vascular surgeon, for valvular disease in the veins. Subsequent pregnancies will make your veins worse.