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Carotid artery disease often develops silently, without any noticeable symptoms in its early stages. However, as the condition worsens, it can lead to warning signs of a potential stroke. These may include sudden weakness or numbness on one side of the body, trouble speaking or understanding language, and temporary vision loss in one eye. The treatment approach for carotid artery disease is tailored to the severity of the arterial blockage and the patient’s overall health. Early stages may be managed with conservative measures, such as lifestyle modifications and medications to control risk factors. Medications might include blood thinners to prevent clots or cholesterol-lowering drugs to reduce plaque build-up. For more advanced cases — particularly if there is a significant blockage or a history of stroke — Dr Al-Najjar may recommend a surgical intervention. This could involve carotid endarterectomy, a procedure to surgically remove the plaque obstructing the carotid arteries, or in some cases, carotid artery stenting, where a small mesh tube is inserted to keep the artery open. These procedures are aimed at restoring proper blood flow to the brain and preventing future strokes. Ultimately, the best course of treatment will depend on the specific circumstances, with the goal of reducing the risk of stroke and improving long-term vascular health. Dr Al-Najjar works closely with each patient to determine the most effective plan based on their unique condition.

In the treatment of diabetic foot, a vascular surgeon is essential for addressing circulation problems that can exacerbate the condition. Poor blood flow is a key factor in the development and worsening of diabetic foot complications, and restoring circulation is critical for healing and prevention. Dr Al-Najjar and his team use a variety of diagnostic techniques, such as the ankle-brachial index (ABI), duplex ultrasound, and CT angiography, to thoroughly assess blood flow in the legs. Based on the results, if significant blockages or narrowing in the arteries are found, Dr Al-Najjar may recommend minimally invasive procedures like angioplasty or more complex surgeries like arterial bypass to improve circulation. However, diabetic foot care extends beyond vascular interventions. Dr. Al-Najjar works alongside a network of specialists to ensure holistic care. This includes podiatrists, who focus on foot care and wound management, infectious disease specialists to treat infections, and orthopedic surgeons who may intervene in cases of deformities or structural foot issues. Wound care nurses also play a vital role in monitoring and dressing any ulcers or wounds to promote healing. Managing diabetic foot requires a proactive, coordinated effort. Dr Al-Najjar emphasizes the importance of patients actively participating in their treatment plans, from maintaining proper foot hygiene to attending regular check-ups. Timely intervention and continuous monitoring are essential in preventing more severe complications, such as infections, ulcers, or even amputation. By combining vascular expertise with a multidisciplinary approach, Dr Al-Najjar ensures that patients receive personalized, comprehensive care to manage their diabetic foot condition effectively.

Hemodialysis is a treatment for kidney failure that uses a dialysis machine to filter waste from your blood, a function normally performed by healthy kidneys. During the procedure, you’re connected to a dialyzer through a thin tube. Blood is drawn through a needle inserted in your arm, passed through the dialyzer for filtration, and then returned to your body. This process is usually done three times a week, so reliable access to your bloodstream is crucial. Dr Al-Najjar specializes in creating vascular access, which is essential for repeated needle insertions during dialysis. He offers two long-term options: Arteriovenous (AV) Fistula: Dr Al-Najjar surgically creates a connection between an artery and a vein, allowing the vein to grow larger and stronger. This type of access provides excellent blood flow and is preferred for its lower risk of infection, reduced clotting, and long-term durability. Arteriovenous (AV) Graft: In this procedure, Dr Al-Najjar inserts a synthetic tube (graft) to connect an artery and a vein. The graft serves as an access point for dialysis, making blood drawing easier. Dr Al-Najjar ensures that vascular access is created well before the start of hemodialysis, giving it time to mature and function effectively.

Aortic aneurysms can occur in different parts of the aorta in the chest and or abdomen. Risk factors for developing an aortic aneurysm include age, smoking, high blood pressure, family history of the condition, and certain genetic conditions such as Marfan syndrome. Most Commonly, aneurysms are found incidentally but symptoms of an aortic aneurysm may include back or abdominal pain, a pulsating mass in the abdomen, or a sudden, intense abdominal or back pain if the aneurysm ruptures. Occasionally aneurysm can also occur in other arteries such as those in spleen, kidney or lower limbs. Treatment options for an aneurysm depend on the size and location of the aneurysm, as well as the overall health of the patient. In some cases, medication and lifestyle changes may be recommended, while in more advanced cases, surgery may be necessary to repair or replace the affected section of the aorta. It is important to talk to Dr Al-Najjar and his team if you experience any symptoms or have risk factors for aortic aneurysm to determine the best course of treatment for you.

Peripheral Arterial Disease (PAD) can cause symptoms such as pain or cramping in the legs while walking, non-healing wounds or sores on the feet or legs and changes in the colour or temperature of the legs. Risk factors for PAD include smoking, high blood pressure, high cholesterol, diabetes, and a family history of the disease. Early diagnosis and treatment are important to prevent PAD from becoming more serious and leading to complications such as gangrene or amputation. Treatment options for PAD include lifestyle changes, such as exercise and a healthy diet, medications to manage risk factors such as high blood pressure and cholesterol. In more severe cases, angioplasty or bypass surgery may be necessary. Dr Al-Najjar can help you determine the best treatment plan for you based on the severity of your condition and other health factors.

Varicose veins are caused by weakened valves in the veins that allow blood to flow backward and pool in the veins. Risk factors for developing varicose veins include age, genetic tendency for weak veins, being female, being overweight and standing for long periods of time. Treatment options for varicose veins range from lifestyle changes, such as exercise and compression stockings, to medical procedures, such as endovenous laser treatment (EVLT), radiofrequency ablation (RFA) and sclerotherapy. In some cases, surgery may be required to remove the affected veins. Dr Al-Najjar and his team offer a range of advanced diagnostic and therapeutic services including dedicated venous insufficiency ultrasound and less invasive laser and radiofrequency ablation and sclerotherapy. Dr Al-Najjar technical expertise and his commitment to patient-centred care, make us well equipped to provide the best possible care for you. It is important to talk to us if you experience symptoms of varicose veins to determine the best treatment plan for you.