• Our Services

    Read more on our extensive range of vascular testing, surgeries, and wound care to treat all types of vascular conditions.

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  • FAQs

    Learn more about who we are and what we do by reading some of our most commonly asked questions.

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  • Resources

    Find more information in our downloadable documents.

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What Makes Us Different

Premier Vascular Center of Maryland is a full-service vascular access center in the Baltimore area. Our team of certified, experienced staff ensure to provide comprehensive vascular care services in a friendly, relaxed atmosphere. We treat your medical needs at all stages of life, working closely with you to help you achieve your best physical state possible. Our unique benefits include:

On Site Anesthesia Provider
We have an on-site anesthesia provider to perform pain control and monitoring before, during, and after your procedure.
Same Day Testing
We make the undergoing vascular testing as quick and easy as possible with our same-day testing services.
Dedicated Vascular Surgeon
When you come to us, you'll work with the same physician throughout the entire process.
Easy Scheduling
When you schedule with Premier Vascular Center of Maryland, you'll get your consultation/evaluation, vascular testing, and results all on the same day.

Wound Care

Wounds can happen anywhere on the body and come in two main types: acute and chronic. Acute wounds are typically caused by an unexpected injury, but they usually heal normally at an expected rate. When an acute wound fails to heal during an average time frame, it can become a chronic wound. Chronic wounds typically require special wound care treatment. If your wound has not improved after a few weeks, you should consider wound care treatment. Wound healing can be impeded by things like infection, pressure on the wound, swelling, and lack of blood flow.

Thoracic Outlet Syndrome (TOS)

woman rubbing neck

Thoracic outlet syndrome (TOS) is common after a traumatic event like a work injury or motor vehicle accident. Compression of the blood vessels or nerves in the space under your collarbone cause TOS.

TOS can also develop from repetitive activity. If your job or lifestyle requires you to repeat a movement continuously — such as lifting things or typing — your body’s tissue can wear over time, causing compressed nerves and blood vessels. Athletes like swimmers and baseball pitchers can also develop TOS from years of repeated movements. Even consistently poor posture can lead to TOS, as holding your head in a forward position and drooping your shoulders can cause compression in the thoracic outlet area.

Pregnant women and people with joint issues are also more susceptible to TOS.

Common symptoms of TOS include the following:

  • Pain
  • Finger Discoloration
  • Numbness or Tingling
  • Frequent Headaches or Migraines
  • Muscle Weakness
  • Swelling
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Frequently Asked Questions

Have questions about our services? Want to learn more about vascular health? Browse the Frequently Asked Questions section of our website to learn more about vascular care and what Premier Vascular Center of Maryland has to offer.

What Do I Need To Bring With Me?

At your first appointment with Premier Vascular Center of Maryland, you will need to bring the following:

  • A photo ID (i.e. Drivers License).
  • All insurance cards.
  • Co-pays.
  • A current list of your medications.
  • The names and phone numbers of any physicians you are seeing.
  • Any pertinent medical records.
  • Any referral that was given to you.

When Should I See a Vascular Surgeon?

Signs that you may need to see a vascular surgeon include:

  • Your legs hurt when you walk.
  • Your legs are discolored, aching or swollen, and develop wounds or ulcers.
  • You suddenly experience weakness, numbness or tingling of one side of your body. You also may have blurred vision or feel confused.
  • You experience sudden, severe back and abdominal pain.
  • You have numbness, tingling, and/or pain in your upper extremities after an accident or injury.

What Is a Doppler?

Doppler Ultrasound

A unique ultrasound technique, a Doppler bounces high-frequency sound waves off circulating red blood cells to estimate blood flow through a blood vessel. The ultrasound machine measures the echoes that bounce back from the red blood cells. Cells that are moving away from the sound waves make different echoes than cells that are moving towards the sound waves. This is called the Doppler effect, named after the scientist who discovered it. The “Doppler” part of this examination refers to the sound waves that are created during the test.

Doppler ultrasound can check for diseases or conditions that may affect the amount, speed, and direction of blood flow in different parts of your body. It can help find narrowed arteries, blood clots, and other conditions.

This noninvasive test may help identify:

  • Blood clots.
  • Aneurysms.
  • Arterial occlusion.
  • Peripheral artery disease.
  • The narrowing of a blood vessel.
  • Poorly functioning valves in your leg veins.

A complete Doppler examination takes approximately 45 minutes to an hour to perform. A specially-trained sonographer will carry out the procedure before a vascular physician reviews it.

What Is Duplex Ultrasound?

Duplex Ultrasound

Duplex ultrasound is a noninvasive test that evaluates the flow of blood through your veins and arteries. Duplex ultrasound uses high-frequency sound waves to generate images of blood flow within the arteries and veins. The results from this test help your vascular surgeon outline a treatment plan and make a sound diagnosis.

Types of Duplex Ultrasound

The types of duplex ultrasound exams vary and can include:

  • An arterial duplex ultrasound of the extremities that looks at the arteries within the legs or arms.
  • A hemodialysis access duplex evaluates the blood flow within the fistula or graft.
  • A carotid duplex displays how well blood flows through the carotid arteries.
  • A venous duplex of the lower extremities that looks at the veins within the legs or arms.
  • A renal duplex examines the kidneys and their blood vessels.
  • An arterial and venous duplex of the abdomen, which looks at blood flow in the central arteries or veins.

What to Expect

An ultrasound probe (also called a transducer) is moved gently over the area being tested. You may feel some pressure at times, but should not experience any pain. This wand sends out the ultrasound waves. A computer measures how the sound waves reflect back, and changes the sound waves into pictures. You may hear a “swishing” sound, which is the sound of your blood moving through the arteries and veins.

You need to stay still during the exam. You may be asked to lie in different body positions, or to take a deep breath and hold it.

Sometimes during the lower extremity arterial duplex, the technologist may calculate an ankle-brachial index (ABI). You will need to wear blood pressure cuffs on your arms and legs for this test.

Hear What Our Patients Have to Say

“Dr. Annous and his staff at the surgery center make me feel so comfortable and welcome. I actually enjoy coming here for my procedures”

- Linwood Foster

“My dialysis center tries to send me to the access center, but I will not let anyone else touch my fistula except Dr. Annous”

- Lillian Spriggs

“Dr. Annous has been my wife’s and I Vascular Surgeon for almost 10 years. We would not trust anyone else!”

- John Lane

“Dr. Annous and his staff saved my life. I was very scared at the time, but knew I was in great hands with Dr. Annous”

- Henrietta Hayward

“Dr. Annous saved my leg and has provided me a new lease on life”

- Anonymous

Premier Vascular Center of Maryland