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Expert Physicians.
EXCEPTIONAL AND COMPASSIONATE CARE.
Total Vascular Care is an Accredited Ambulatory Surgical Center. Our team specializes in dialysis access planning, creating a functional dialysis access, maintaining the functionality, and maintaining overall vascular health. We keep the patient at the center of our care while applying the most advanced medical knowledge and technology to achieve the best health outcomes. Our facility has seven Pre/Post-Operative Rooms and two operating rooms.
Dialysis Access Planning and Maintenance
As a full-service vascular access center, we perform screenings, establish vascular access for dialysis, and maintain the access site over time. When we anticipate dialysis will be needed in the future, we plan by creating a fistula for dialysis early. This is because a fistula can take several months to be ready to support dialysis.
After a fistula is created, maintenance may be required to ensure successful dialysis treatments. We perform a fistulogram to check for narrowing of vessels or any abnormalities that require an angioplasty or stent to help the blood flow better.
Vein Mapping
An ultrasound study of arteries and veins in your arms to identify the best access point for a fistula.
Dialysis Access Surgery
A minimally invasive surgery to join an artery and vein into a vessel that will support dialysis access.
Thrombectomy
A procedure performed to remove a clot in your dialysis access through techniques like a declotting agent.
Catheter Placement/Removal
When dialysis is needed immediately, we place a catheter in a neck vein that is temporarily used until permanent access is ready for use in your arm.
Vascular/Vein Care
Our highly skilled team specializes in the treatment and management of issues within the vascular system. Arterial and venous could be studied using an ultrasound to check blood flow and pressure in your legs:
• Peripheral Artery Disease
• Varicose Veins
• Leg Swelling
• Ulcers
Mediport and Central Line Placement for Therapy
If you’ve been diagnosed with cancer and will start chemotherapy soon, Total Vascular Care can place a Mediport in your chest so you can receive medications and have labs drawn with ease. A Mediport can be used for years, if needed.
We can also place a central line with a catheter so you can receive IV medications and have labs drawn more privately in an outpatient setting without the need for hospitalization.
Licensed by the Accreditation Association for Ambulatory Health Care
Our surgery center’s AAAHC accreditation reflects our dedication to high-quality patient care and high safety standards, giving you peace of mind that we adhere to the very best practices in healthcare.
Get the Care You Need
If you’re concerned about your vascular health, or may need dialysis soon, don’t lose any time. Our experienced specialists are here to help with compassionate, comprehensive and convenient care. Contact us today with any questions or to make an appointment.
Meet Our Team
Dr. Varshasb Broumand MD, FASN
Since 2008, Dr. Broumand has been an integral part of the South Texas Renal Care Group team. In addition to ensuring his patients receive the best care, he is dedicated to educating the community on causes and prevention of kidney related illnesses to create healthier futures.
Dr. Broumand’s special interests include specialized management of chronic kidney disease, hypertension, glomerular disease, and dialysis vascular access management.
Dr. Ashton Lee, MD RPVI, DABS
Dr. Ashton Lee is a vascular surgeon with special interests in dialysis access, limb salvage and preoperative risk assessment. She has various publications concerning vascular surgery cases and innovative techniques. Dr. Lee graduated from the University of Central Florida. Her integrated vascular surgery residency was at the University of Arizona College of Medicine in Tucson, Arizona.
Dr. Ellis Salloum, MD
Dr. Ellis Salloum is a board-certified vascular surgeon with over 25 years of experience in advanced vascular care. He earned his medical degree from the University of Mississippi School of Medicine and completed his vascular surgery fellowship at the University of Tennessee.
Throughout his career, Dr. Salloum has held numerous academic and leadership roles and has completed advanced training. He specializes in minimally invasive endovascular procedures and complex vascular reconstructions.
He has contributed to peer-reviewed publications and presented research at national conferences. His commitment to compassionate, evidence-based care continues to drive his mission to improve vascular health and expand access to high-quality treatment options.
