Expert Physicians.


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.


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 M.D., F.A.S.N.

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. Carmelo Otero M.D., F.A.C.S., F.A.C.C.P., F.A.A.C.

Dr. Otero was born in San Juan, Puerto Rico. He is board-certified in cardiovascular and thoracic surgery and has over 30 years of experience in peripheral vascular surgery, vascular dialysis access surgery, cardiothoracic surgery including minimally invasive techniques. Dr.Otero is fluent in English and Spanish.