SPRING IS IN THE AIR, ARE YOUR LEGS READY TO BE BARE?
(Kansas City, MO, KS) Overland Park, KS was the strategic center of Dr. Ronnie G. Smalling's
100% veins-only treatment clinic, first of its kind in KC, run solely by an Interventional
Cardiologist. When he created the unique concept of a treatment clinic run by an Interventional
Cardiologist (IC) with his vast vascular experience working and committed to the salvage of
limbs, whether treating arterial or venous, but focused now solely on venous diagnostics,
disease, and treatment. Across the US, Interventional Cardiologists specialize in cardiac and
peripheral vascular disease. Their skill set is highly sought and in high demand, and there are
less than 1,000 IC's practicing in the US. The majority of IC's work majority of their days in the
Catheter Laboratory, or Cath Lab.
The toll is enormous on these specialists who perform their procedures on their feet. Working
while wearing heavy lead aprons to protect themselves as best they can, from the vast amounts
of radiation they use in guiding them with a catheter to assist them navigating a patient's
arteries, looking for blockages or conditions which block their normal blood flow. In previous
years, the only way Cardiac Surgeons accessed a patient's arteries was through drastic
measures of cracking the chest cavity. In more recent times, Interventionalist's began treating
patients by accessing arteries through a small incision in the groin and inserting (medical term,
'accessing') a thin guide wire catheter into the artery (medical term, 'endovascular'). This type of
procedure could be carried out without heavy sedation by repairing the arteries via various
mechanical tips and stents the catheter deploys.
Without proper blood flow into the legs and without proper blood flow back to the heart, patients
are at risk for many health issues that are more troublesome than unsightly leg veins. Tissue
dies without blood flow. Body heat drops in the lower limbs. For many with blood loss or
compromise, amputation is the only option for avoiding infection, unless an Interventionalist is
successful repairing or restoring blood flow. Similar but also differently when blood does not flow
correctly and return to the heart, patients suffer all sorts of signs and symptoms. Although a
majority of the blood is returning to the heart, the problem lies in the fact that only a majority
percentage of the blood is flowing efficiently, and some blood flows backward. This regurgitating
or reflux, with its flow settling or falling back with gravity, poses potential issues. It can cause all
sorts of health problems at some point. In the early stages, few symptoms are noticed. But it is a
disease and a disease a patient rarely recovers from health management wise. The medical
resolution is to remove or shut off the veins that are diseased and dysfunctional and force the
circulatory system to work more efficiently with the healthier veins deeper in the venous system.
Specialist's who work in peripheral or legs, spend much time working on patient's legs, which
often, even fellow Cardiologist's occasionally forget how vast the landscape is when compared
to working to restore blood flow in the coronaries or heart. Think about it, through the groin,
across the hips and down the entire leg down to the toe. Then reverse and explore the opposite
So with such a large amount of time focused on treating patient's, Interventionalist's are in the
Cath Lab performing peripheral arterial catheterization. Juggling which means the
Interventionalist has to coordinate their other patients who have venous procedure needs. And
balance their clinic time. Including, too, all the heart patients in need of intervention, as well. Dr.
Smalling decided to dedicate his practice to veins-only. He can be counted on to perform all
venous reflux treatments, but he additionally serves to help referring physicians diagnose or
rules out arterial disease and other Cardiology concerns. This approach is so unique in the
Interventional Cardiology field today, where only 67 Interventional Cardiologist's* have left the
Cath Lab to focus solely on the venous outpatient setting while considering the patient's "whole
vascular and heart" approach.
A patient's leg disease must be thoroughly evaluated from top to bottom and by evaluating the
byways. Both directions of blood flow and return. A patient receives this kind of unique focus
when trusting IN VEIN to help them resolve or improve their venous leg symptoms keeping
them from enjoying the life from yesteryear.
Trust your legs and everything legs, to us at IN VEIN by Smalling Vascular Institute. You'll be
jumping for joy like the past thousands of patients Dr. Smalling has impacted with a success
rate that is next to none.