Dr. Ramandeep Sidhu is a vascular surgeon practicing in Seattle, WA. Dr. Sidhu specializes in disorders relating to the arterial, venous and lymphatic systems. As a vascular surgeon, Dr. Sidhu diagnoses and treats vascular diseases and performs vascular surgeries. Common conditions that a vascular surgeon treats are aneurysms, atherosclerosis and varicose veins. Vascular specialists also treat traumatic vascular injuries, venous ulcers, poor leg circulation, peripheral arterial disease and other vascular-related issues.
Education and Training
Cleveland Clinic Foundation, Cleveland, Ohio General Surgery 2008
Jobst Vascular Center, Toledo, Ohio Vascular Surgery 2010
SurgeryAmerican Board of SurgeryABS
Dr. Ramandeep Singh Sidhu MD's Expert Contributions
Spider veins can be treated with sclerotherapy or laser. Ramandeep Sidhu, MD, FACS, RPVI READ MORE
Treatment of PAD depends on symptoms, but first thing is to control risk factors- stop smoking, BP under control, start asa and statins. If the symptoms are moderate to severe then endovascular intervention is the way to go depending on the level of disease on ultrasound. READ MORE
Hypertension doesn't cause clots, but can cause plaque build-up in arteries, resulting in blockage of arteries. The treatment depends on the severity of blockage and symptoms. Ramandeep Sidhu, MD, FACS, RPVI READ MORE
So, abdominal aortic aneurysm can be repaired either endovascular or open. If it's endovascular, I'd do percutaneous and he will be walking out of the hospital next day with only the limitation of no lifting heavy weights for a few days, but can carry out most of the activities. No, if the repair is open, then he will be out for a few weeks and gradually coming back to normal over about a 3-month period. Hope this helps. Ramandeep Sidhu, MD, FACS, RPVI READ MORE
I had a 24 hour flight and my feet seem numb even 12 hours after the journey. What could be the problem?
Just sitting for a long time can do that. Try walking every few hours and if that doesn't help, you can consult a vascular specialist. Ramandeep Sidhu, MD, FACS, RPVI READ MORE
It's very common to see if someone has coronary artery disease, as they will have peripheral vascular disease, too. The management depends on the severity of symptoms, and if they are mild, then medical management with asa/statins and risk factor modification is enough. If the symptoms are severe then intervention could be required. Ramandeep Sidhu, MD, FACS, RPVI READ MORE
Raynaud's can be well controlled with medical management and surgery is almost never needed. Nice gloves for winters and calcium channel blockers are ususally enough. READ MORE
PAD treatment depends on the severity. Mild disease is treated with medical management- asa, statins and risk factor modifications. Moderate to severe PAD can be treated with endovascular or open surgical procedures. READ MORE
Knee high compression socks are usually adequate to keep the varicose veins under control. Very rarely thigh high compression is needed. READ MORE
Exercise, weight loss and compression will help with slowing down the progression of varicose veins. READ MORE
Short answer is yes but we try to take all precautions and do all the preoperative work up to make sure there are no cardiac issues during vascular procedures. In general endovascular procedures are very safe and open vascular procedures also fare well as long as the blood loss is controlled. READ MORE
Varicose veins are more common in women , after child birth and people who spend lot of time standing. There is no specific cause of varicose veins. Yes all varicose veins can be treated and I recommend evaluation by a specialist and doing an ultrasound to see the valve function before proceed with any intervention. READ MORE
Deep venous thrombus will resent with leg pain and swelling and diagnosed with an ultrasound. READ MORE
Venogram is a procedure where we place a small catheter in the vein, could be the groin or arm, and inject contrast to highlight the blood flow. Usually, it’s done with intravenous sedation and local anesthesia, but sometimes in kids, it can be done under general anesthesia. Thanks, Ramandeep Sidhu READ MORE
Treatment protocol for veins depends upon the ultrasound findings. Typically, if you have symptoms, you try compression for 3 months and then get an ultrasound to look at the valves and then proceed with treatment with RFA/LASER or Venaseal and sclerotheray for small superficial veins. Ramandeep Sidhu, MD, FACS, RPVI READ MORE
It's hard to answer without knowing the other risk factors. There is no hard and fast cut off, but the surgeon should be able to tell you what's the better option considering his other comorbidities and the anatomy of the blockage. Ramandeep Sidhu, MD, FACS, RPVI READ MORE
Yes, spider veins can get worse over time. Ramandeep Sidhu, MD, FACS, RPVI READ MORE
The first line treatment is medical management and risk factor modification and you will need to schedule an appointment with a vascular specialist. Thanks, Ramandeep Sidhu, MD, FACS, RPVI READ MORE
So, a heart valve procedure is a cardiac procedure and not vascular. The surgery itself can put stress on the body and the borderline diabetic can become a diabetic, but once you start exercising and become more active, you could go back to pre-surgery state. Surgery itself doesn't make you diabetic per se. Ramandeep Sidhu, MD, FACS, RPVI READ MORE
For atherosclerosis, the treatment depends upon the severity of symptoms. Optimizing the medical management is the first part and then, depending on the symptoms and area involved, it could be nedovascular or open procedures. Most vascular procedures these days are endovascular and the recovery time is very short and these procedures are very safe. READ MORE
Typically vascular surgery itself will not affect the blood pressure unless you are in significant pain after surgery and then that can raise the blood pressure. READ MORE
It all depends on the nature of the procedure. Most of the procedures on high risk patients could be done under sedation and local anesthesia so are relatively safe. READ MORE
Angioplasty involves: access in the groin usually the opposite groin after numbing the area, then a small caliber tube is placed in the artery and through that tube the cathether that has a balloon at the end is advanced to push the blocking plaque against the wall of the artery to open it up. After that is done a plug is placed in the groin so you don't bleed. READ MORE
Hypertension, smoking, diabetes, kidney disease, hypercholesterolemia, inflammation, genetics. It's hard to answer the second part of your question, but if looked at it in-depth, you are right; with all the stress we live with and the kind of food we eat, almost everyone has some degree of atherosclerosis developing. READ MORE
Venous insufficiency can be caused by several factors, but is mostly seen in people who spend lots of time standing and sitting, obesity, after significant weight loss, and pregnancy. Venous insufficiency can lead to varicose veins and they can form superficial clots. Upper extremity venous insufficiency is unknown. READ MORE
I am 7 months pregnant and suffering from varicose veins. Will this condition persist even after my delivery?
Please wear compression during your pregnancy. The varicose veins will get better after the delivery, but sometimes can persist and in that case, get an ultrasound to see the valve function and then proceed accordingly. READ MORE
Varicose veins during pregnancy are from mechanical presssure of the uterus on venacava, hormonal effect that relaxes the smooth muscle and volume overload from excess blood volume. Start compression please. READ MORE
It's not reversible, but if it meets the criteria, it can be fixed. Most aneurysms these days are fixed endovascularly and I do these percutaneously most of the time. READ MORE
Claudication means pain on walking and could be vascular or neurogenic. If vascular, it's pain on walking that gets better on resting and is there everytime you walk. It's a sign of underlying arterial blockage from atherosclerosis and can be easily diagnosed with a combination of ultrasound and physiological testing. READ MORE
It could be. If the valves in your veins are not working well, then you can get swelling in the legs from prolonged standing. READ MORE
It depends how the veins are fixed. Yes, they can come back, but the recurrence rate is low. READ MORE
Vascular surgeons can do both endovascular and open surgical procedures, whereas cardiologists can only do endovascular procedures. Ramandeep Sidhu, MD, FACS, RPVI READ MORE
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Patient Experience with Dr. Sidhu
- How is Deep Vein Thrombosis Treated?
The formation of blood clots in one of the deep veins in the leg may not be entirely serious alone. However, if the clot breaks off and moves towards the heart and other organs, it may lead to complications. Blood clots in the leg may cause leg pain but may also not cause any symptoms at all....
- What Specialists Treat Varicose Veins?
Veins that are twisted, engorged and noticeable are referred as varicose veins. They normally form in the legs, although they can also develop anywhere on the body. This condition is frequent. The signs and symptoms of varicose veins are not many. Mild, skin ulcers and blood clots can arise from...
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Varicose veins can affect your self esteem, since they are distressing and painful. These veins can develop anywhere in the body, although the legs are commonly affected. They are usually twisted, swollen and deep purple or blue in color.When blood starts accumulating in the veins as a result of...
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A vein is a blood vessel that carries blood through your body. Varicose veins are one among a spectrum of chronic vein problems. It is common and can be found in up to 20% of the adult population. The severity of the condition varies and while varicose veins are responsible for significant...
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