Aneurysm | Lung Cancer | Lorain | Elyria

  What is PAD?
  PAD is a condition that affects the circulation throughout the body. Our arteries develop areas of blockage that limit the amount of blood flow to the area. The usual locations for this are the vessels in the legs, neck, abdomen and arms.
  How can you "fix" my aneurysm?
  We now choose one of the two options for the repair of the aneurysms. The standard and older repair requires that the aneurysm is removed and a replacement graft is put in its place. This requires an incision in the belly and is major surgery. The newer and smaller operation is performed through the groins and "excludes" rather than removes the aneurysm. This is much less invasive for the patient. Your surgeon is best equipped to explain these options and plan treatment.
  What can you do to "fix" my neck arteries?

"Fixing" neck arteries is done so that stroke is avoided. In this case, your surgeon chooses either an open operation to remove the blockage or an operation performed with a catheter and stent to displace the blockage. You must discuss the options with the physician most qualified to perform the procedures - the vascular surgeon.

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  How can neck arteries cause a stroke?
  Neck (carotid) arteries cause stroke by either restricting blood flow to the brain or by the showering of debris into the brain tissue from the blockage site.
  If I have lung cancer, how can you treat me?
  Lung cancer treatment consists of surgery, either for biopsy or total mass removal, chemotherapy and radiation therapy. Some cancers require only one or two of these choices. Full discussion with your specialist is required.
  What are my "chances"?

The "chances" in terms of lung cancer really means "prognosis". In medicine, we estimate patient survival on three features. First, the size and location of the mass itself. Second, the involvement of the lymph nodes located in the immediate region of the mass. Third, the presence of spread beyond the region of primary growth. "Survival" is measured in a 5-year timetable.

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  What is a fistula?
  A "fistula" connects two different blood vessels - an artery and a vein. When surgically created, this allows a patient with kidney failure to receive dialysis care.
  What is a filter? Do you need to put in one or two for each leg?
  A filter is a mechanical barrier that protects the patient from potentially fatal blood clots. These blood clots usually travel up from the legs into the main blood vessel (vena cava) to the heart. Only one filter is required since the leg veins join into one common channel in the abdomen. Hence, one mechanical barrier protects the patient regardless of the clot's origin.
  How does my family history affect me?

Family history can directly impact on your likelihood of developing similar conditions to your parents or siblings. Examples of this are found in many disease states such as hypertension, heart disease, stroke, aortic aneurysm disease, cancer and diabetes. Your doctor or specialist should review this point with you.

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Dr Alexander Zolli | Board Certified Vascular & Thoracic Surgeon
Serving Lorain, Elyria, Avon OH, Oberlin OH, Amherst OH, Sheffield OH, Grafton OH, North Olmsted,
Birmingham OH, Henrietta OH, Brownhelm, North Ridgeville, and the surrounding area.
2173 North Ridge Road East | Suite A | Lorain, OH 44055 | 440-277-5077

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Center for Vascular and Thoracic Medicine and Surgery, Inc. 2173 North Ridge Road East | Suite A | Lorain, Ohio 44055 | Tel: 440.277.5077 ALEXANDER F. ZOLLI, M.D.