Dr. Erica Mitchell is an Assistant Professor of Surgery at Oregon Health
Education and Training
Univ of Co Sch of Med, Denver Co 1996
University Of Colorado School Of Medicine 1996
SurgeryAmerican Board of SurgeryABS
Dr. Erica Leith Mitchell MD's Expert Contributions
No, but the reverse is true. Please discuss with your heart surgeon. Take care. READ MORE
There is a risk for heart attack just with general anesthesia alone but risk depends on patient comorbidities and the operation planned (some have minimal risk while others like aortic surgery have higher risk). Generally, if a patient has a prohibitive cardiac risk for surgery other options are considered (endovascular or palliative medical management)..... READ MORE
PAD can be treated with surgery, principles for bypass being you need a normal vessel to go from and a target vessel to go to, and then need a conduit (vein or graft) to bridge the two. Ask the doctor to explain why your mom is not a candidate for surgery. READ MORE
You certainly could have peripheral arterial disease (PAD) with symptoms of claudication (reproducible calf/thigh muscle pain with exercise). Risk factors for PAD include tobacco use, CAD, hyperlipidemia, Hypertension, positive family history and diabetes. READ MORE
We differ from cardiologists in that our training and practice focuses on prevention, medical management, and surgical plus endovascular treatment of arterial and venous diseases (excluding the brain and heart). We also have expertise in evaluating all imaging related to the blood vessels. We follow our patients for life. Cardiologists are not surgeons thus do not operate on blood vessels and generally their training and practice focuses on treating heart vessels.. READ MORE
Yes, for sure. Leg swelling is the next level up on the venous insufficiency/valvular reflux scale. READ MORE
It definitely depends on her symptoms. Risk factor modification is the first line of therapy (smoking cessation, diabetes management, blood pressure, and cholesterol control). Surgical/endovascular treatment is recommended for moderate-severe (symptomatic) disease in patients that are not at too a high risk for treatment. Risks vary for differing procedures and depend on individual anatomy/risk factors. em READ MORE
Hypertension is a risk factor for peripheral arterial disease (PAD). There definitely is a strong association between the two. I would recommend seeing your PCP for blood pressure monitoring/management. It is great that you are taking care of your self! em READ MORE
Without seeing it, it is hard to tell. Importantly, make sure it is not a melanoma. Definitely have it evaluated even if to reassure you that it is a "nothing!" READ MORE
Risk is procedure related and also patient dependent. Patients with diabetes do have a higher risk for procedures than for non-diabetic procedures. Be sure you and she understand why the surgery is indicated and what to expect from the operation. em READ MORE
Angioplasty means stretching the artery open (using a small, inflatable balloon that is removed after stretching it open) from the inside of the artery. This can be performed in tiny vessels (coronary) or larger vessels (as large as the aorta). Results vary depending on vessel disease and diameter. em READ MORE
Smoking, smoking, smoking....genetics and other risk factors such as high cholesterol and high blood pressure. Prevention involves elimination/avoidance of risk factors...except genetics of course. em READ MORE
Make sure the cause is venous vs. arterial. They are very different in causality and treatment. Venous insufficiency does not affect the hands. Venous insufficiency is typically seen in the lower extremities and results from the valves in the veins not functioning well...thus back flow of blood in the veins due to gravity (varicosities, leg swelling, skin changes, and ulcers). READ MORE
I had a 24 hour flight and my feet seem numb even 12 hours after the journey. What could be the problem?
Numbness can be caused from peripheral neuropathy. Without knowing if you have diabetes the numbness could be caused from other causes. Best to have this evaluated. READ MORE
I am 7 months pregnant and suffering from varicose veins. Will this condition persist even after my delivery?
Unfortunately, not. For sure, the symptoms will get better after delivery as the gravid uterus is not weighing on the iliac veins, but you will likely have recurrent sx's with each pregnancy. This is a well described phenomena. It is likely, too, that you have a positive family history for this condition. Compression stockings (even knee high) will provide symptom relief. READ MORE
My family has a history of cardiac issues, and I'm worried. Is it likely that I will develop issues in the future?
Be sure you don't smoke as this is the primary risk factor for heart disease. Sadly we can't change our genetics but we can change our lifestyles- cholesterol, diet, exercise, tobacco use. READ MORE
Pregnancy can cause compression of the pelvic veins and prevent normal flow of venous return from the legs. Your symptoms should get better post delivery, but you will likely have some symptoms in the future. READ MORE
CAD and PAD have the same risk factors....CAD usually presents 1st as the vessels are smaller. Risk factor modification is critical- smoking cessation, aspirin and statin therapy and BP control...plus a healthy diet and exercise. READ MORE
Certainly if the bypass involves the aorta near the renal arteries, or if he had received many large doses of IV contrast. If the bypass is not in that area then it is unlikely that it has contributed to his renal insufficiency. His symptoms appear to be c/w worsening kidney function. He definitely needs to be evaluated for this condition. READ MORE
Blood clots can be in the arteries or veins, and the etiology, symptoms, and treatment of each are very different. Risk factors vary for differing patients. If you are worried about having a blood clot, you should get it checked out for sure. READ MORE
Family history and prolonged standing (surgeons, butchers, bakers, nurses, etc.) can contribute to venous reflux/insufficiency. Compression therapy (knee high stockings) can help and are the first line of therapy (assuming no severe peripheral arterial disease). Evaluation is non-invasive. READ MORE
A venogram is an invasive study (i.e., a needle and catheter is placed into the vein so as to inject dye into the vein to evaluate its anatomy). 5-year-olds generally need anesthesia for the study to keep them comfortable and still during the procedure. If the study is a CT venogram (a CAT scan), the same will apply, but it is less invasive as the IV goes into a small arm/leg vein. READ MORE
Treatment starts with compression therapy (compression stockings) and is required by insurance companies prior to approval for any surgical treatment! Surgical treatment also requires pre-op documentation of extent/severity of the disease by duplex ultrasound (again, an insurance requirement). READ MORE
I cannot speak for heart bypasses but bypasses for the legs are performed to treat arterial blockages and thus improve blood flow to the foot/feet. Bypasses will not help the BP nor diabetes, only perfusion to the foot (presuming there is a target vessel to sew to). READ MORE
Venous insufficiency is graded clinically on a scale of 1-6: 1. spider veins 2. varicose veins 3. leg swelling 4. lipodermatosclerosis (skin discoloration/thickening around the ankles and above) 5. healed ulcer 6. active ulcer Usually, to get a 4 and higher, you have incompetent deep veins (not just the superficial veins) READ MORE
If you smoke, quit smoking for sure. Your MD will also likely start you on a medical mgt regime (aspirin and statin) if indeed you do have PAD. READ MORE
Compression therapy (knee high stockings). Have a formal evaluation by a vascular surgeon to delineate the extent of venous insufficiency. READ MORE
The best time to fix it is when you are not symptomatic. Depending on the size, you may just need surveillance right now (< 4.5-5cm) vs. elective repair (which nowadays can be performed minimally invasively, with a very short hospital stay and recovery). This is not a reversible condition, but certainly a very treatable one, so please get this attended to. READ MORE
Claudication = muscle cramping with walking as a result of an arterial narrowing (peripheral arterial disease aka PAD) and subsequent mismatch in supply and demand of oxygen to the muscles when exercising. PAD usually implies CAD thus you need risk factor modification (if you don't already have it) for the CAD. READ MORE
The treatment does have 4-8% failure rate as the veins can recanalize and thus cause symptoms again. READ MORE
They help. Yes, they are a pain to get on, I know. Compression stockings prevent luminal engorgement of the veins and thus help prevent the symptoms (pain and itching). READ MORE
- Vascular Surgery, Surgical Procedures
- Cerebrovascular Disease
- Aortic Aneurysm
- Peripheral Artery Disease (pad)
- Leg Ulcer
- Vascular Disease
- Permanent Removal Of Ingrown Toenails
- Univ Of Co Sch Of Med, General Surgery
- University of Colorado Denver Affiliated Hospitals 1997
- University of Colorado Denver Affiliated Hospitals 2001
- University of Colorado Program A
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Patient Experience with Dr. Mitchell
Get to know Vascular and Endovascular Surgeon Dr. Erica L. Mitchell, who serves the population of Portland, Oregon. Erica L. Mitchell, MD, M.Ed, is a Vascular and Endovascular Surgeon serving as Medical Director for the Vascular Surgical and Endovascular Service at Salem Hospital, and Professor of Surgery in the Division of Vascular Surgery with the Oregon Health & Science University. Dr. Mitchell is a highly experienced and respected surgeon, who features over two decades of experience in her field. Her acclaimed career began in 1996, when she graduated from the University of Colorado, School of Medicine in Denver. Upon earning her Medical Degree, she completed her General Surgery residency at the University of Colorado Health Sciences Center in Denver, a Vascular and Endovascular Surgery fellowship at the Oregon Health & Science University in Portland, and an Interventional Radiology Fellowship at the University of Colorado Health Sciences Center. Pursuing advanced education, Dr. Mitchell obtained her M.Ed in Surgical Education in 2013 from the Imperial College in London, United Kingdom. Dr. Mitchell is board certified in General Surgery and Vascular & Endovascular Surgery by the American Board of Surgery, and has dedicated her life to providing the highest standard of quality care to her patients and vascular surgical education to trainees on a national level. She provides expert treatment for a wide range of conditions, and is noted for her expertise in vascular and endovascular surgery. Moreover, Dr. Mitchell is renowned as a specialist in aortic surgery, carotid artery surgery, peripheral arterial revascularization, and dialysis access. Vascular conditions affect the veins and arteries in your body, which conduct oxygen to every living cell. Think of your veins and arteries as expressways or rivers. When there are traffic jams or road construction, or when dams break, trouble ensues. But in most cases, vascular conditions are highly treatable, often without surgery. It is important to see a vascular surgeon, even when surgery is not needed. Vascular surgeons specialize in treatments of every kind of vascular problem except those of the heart (treated by cardiovascular surgeons) and the brain (treated by neurosurgeons). A common condition such as atherosclerosis may show up in the legs, for example, but affects the whole body. Vascular surgeons will talk to you about how exercise, diet and medication can be the first step in regaining your health. When surgery is needed, vascular surgeons are trained in all types of interventions, not just one or two.
- Different Types of Aneurysms
What is an aneurysm?An aneurysm is the abnormal ballooning, widening, or bulging of a part of the artery usually caused by arterial wall weakness. When an aneurysm enlarges and ruptures, disastrous consequences, such as internal bleeding, usually happen.Aneurysms are usually found in the aorta (the...
- Different Types of Heart Doctors Explained
IntroductionDoctors who specialize in the diagnosis and treatment of conditions or diseases of the cardiovascular system (the heart and blood vessels) are called heart doctors or cardiologists. These specialists are trained to identify, treat, and help prevent heart issues. There are also different...
- How Can I Improve Varicose Veins?
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...
- 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...
- How are Varicose Veins Diagnosed?
Blood from body organs is transported to the heart via blood vessels, or veins. Organs use oxygen to function, and they discharge blood that has been used that contains waste products like carbon dioxide. The veins then take the blood to the heart and back to the lungs, where the carbon dioxide is...
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