Vascular (vein and periphery, etc,)

Keeping a Step Ahead of Vascular Risks…

Even though vascular system problems are quite common, they can be serious. Among the major threats are atherosclerosis and blood clots, which inhibit blood flow to the heart or brain. Then there is vein insufficiency, whose surface identifiers may include varicose and spider veins.

Vascular Services through our Vein Center are closely associated with our Cardiac Health Services, because the heart and circulation are interconnected, working together. You can’t have one without the other, and if one malfunctions, there may be repercussions with the other. At Salerno Medical Associates (SMA) there is an emphasis on prevention, identifying and monitoring high risks, whether blood pressure, cholesterol, smoking, body mass index (BMI) and others.


—Our approach is to identify modifiable risk factors, things that can be changed. From there we pick off the risks that may be removed and then concentrate on the others. —


Screening and Identifying…

Peripheral vascular disease or peripheral artery diseasein the blood vessels themselves is screened and identified. Smokers and diabetics are the highest risk for diseases in the arteries and veins.

Vein insufficiencyis under treated and undiagnosed, but there are an estimated 3 million new cases each year in U.S. What is often misdiagnosed as arthritis or heart failure may be vein insufficiency that is driving a patient’s complaints and symptoms. It is often the cause of tired, aching and swollen legs.  Consider, for example, that varicose veins may be the issue on the surface, but the real problem is deeper down with vein insufficiency.

We have the diagnostic tools to screen, identify and treat vascular disease and vein insufficiency, as well as related conditions like varicose veins and spider veins.


 We are nationally accredited in both ICAL (Imaging and Chemical Analysis Laboratory) and IAC (Intersocietal Accreditation Commission) for imaging facilities specific to Echocardiography. We meet and exceed high standards for imaging services, ensuring quality of reporting and quality of technicians who conduct echocardiograms and vascular studies for both arteries and veins. We are in the process of being a nationally accredited Vein Center by 2019

Note: Insurance companies are placing a high priority on medical practices that are ICAL and IAC certified.


Our board-certified physicians monitor and treat varicose veins and vein insufficiency, using laser catheters in what is a 10-minute office procedure.  We treat and cure vein insufficiency and over the course of our first four years have treated well over 3,000 veins as of the end of 2018. These services are offered on weekends, evenings and weekdays


We try to accommodate people’s lifestyles and schedules rather than asking people to come when it is convenient to us and our schedule.


Peripheral vascular disease and vein insufficiency are common with women because their risk factors are often related to childbirth. When you have had one or more pregnancies that increases a lot of weight and pressure and increases back-flow pressure.

Other risk factors include:

? Family history

? Lifestyle issues, including people who are on their feet for much of the day over a span of years


Treatment of spider veins and reticular veins is enhanced by our Cutera Laser, the latest modality in the Vein Center. It tightens and rejuvenates skin and can be used on other parts of the body beside the  legs. (See “Spider Veins” and “Varicose Veins” among our services on this website.)


Call us at (973)672-8573 or make an appointment online.