expert type icon EXPERT

Dr. Irwin M. Best

Surgeon

Dr. Irwin Best is a radiologist practicing in Atlanta, Georgia. Dr. Best specializes in diagnosing and treating injuries and diseases using medical imaging techniques such as X-Rays, magnetic resonance imaging and computed tomography exams. These techniques offer accurate visibility to the inside of the patients body and help to detect otherwise hidden illnesses so that they can be treated quickly and efficiently.
Dr. Irwin M. Best
  • Atlanta, Georgia
  • University of Rochester School of Medicine and Dentistry
  • Accepting new patients

What can happen if varicose veins are left untreated?

What can happen if varicose veins are left untreated? 1. Nothing 2. Enlargement 3. Edema - swelling 4. Pain/soreness/ aching 5. Discoloration 6. Inflammation 7. Thrombosis 7. READ MORE
What can happen if varicose veins are left untreated?

1. Nothing
2. Enlargement
3. Edema - swelling
4. Pain/soreness/ aching
5. Discoloration
6. Inflammation
7. Thrombosis
7. Ulceration
8. Bleeding
9. Cancer - very rarely

Therefore, evaluation by a vascular specialist is essential.

Irwin M Best, MD, MBA,FACS

How are blood clots in the veins diagnosed?

How are blood clots in the veins diagnosed? 1) At autopsy by a medical examiner as an incidental finding or actual cause of death. 2) By signs and symptoms at home (leg pain, READ MORE
How are blood clots in the veins diagnosed?

1) At autopsy by a medical examiner as an incidental finding or actual cause of death.

2) By signs and symptoms at home (leg pain, swelling, discoloration).

3) By sudden chest pain and shortness of breath, from pulmonary embolism (clots swimming from the legs to the lungs).

4) By sudden abdominal pain from thrombosis of the veins in the abdomen.

5) Confirmation of DVT by Duplex ultrasounds - the workhorse for DVT evolution! Limited in pelvis, chests, and abdomen!

IPG... older not used much
CT - venous study - Head, chest & abdomen
MRV - all areas of the body!

Subclinical DVT might be diagnosed incidentally during exams for other problems! A family history of DVT does not warrant prophylaxis unless put into a situation that promotes DVT.
Your doctor can best evaluate and advise for these risks.

Irwin M. Best, MD, MBA,FACS

What does an angioplasty procedure involve?

Angio - vessel Plasty - molding, repair Therefore, the term is not particularly specific. A vessel - artery or vein will be repaired - Molded by a balloon angioplasty - READ MORE
Angio - vessel
Plasty - molding, repair

Therefore, the term is not particularly specific.
A vessel - artery or vein will be repaired
- Molded by a balloon angioplasty
- Widened with a patch - patch angioplasty

If angioplasty fails, a stent can be used to fix the defect in the blood vessel.

What is a vascular surgeon?

A vascular surgeons is a physician who diagnoses and manages diseases is veins, arteries, and lymphatic occurring anywhere in the body except for the heart

Do varicose veins come back after treatment?

All treatments have failures rates. Fortunately, this one is very low (~5%). Varicosities might occur in different veins over time . However all the veins should be examined before READ MORE
All treatments have failures rates. Fortunately, this one is very low (~5%). Varicosities might occur in different veins over time . However all the veins should be examined before treatment of then Saphenous veins.

Compression knee highs

Knee-high vs thigh-high stockings? Excellent question! Patients find knee-highs easier to put on in the morning and easier to wear during the day. Therefore, I order both types READ MORE
Knee-high vs thigh-high stockings? Excellent question!

Patients find knee-highs easier to put on in the morning and easier to wear during the day. Therefore, I order both types since some compression is better than NONE.

A careful Duplex Ultrasound examination of the veins in the legs would indicate which stocking type is ideal.