Vein Clinic At Vascular Inst

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Physicians & Surgeons, Vascular Surgery, Physicians & Surgeons, Physicians & Surgeons, Dermatology

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Vein Clinic At Vascular Inst

General Practitioners

Primary Care
Dear Dr. Synn and staff at Vascular Institute of the Rockies. After a blood test, I was diagnosed by my primary care doctor with an aneurism in my aorta. I was referred to Dr. Synn for treatment. Dr. Synn is a very good doctor. He knew all about my problem and knew right away what to do. Dr. Synn was very congenial, attentive and professional. I had three more visits with him since my operation and am doing well. I look forward to my next appointment with Dr. Synn.

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Neighborhoods: Central Denver, City Park West
AKA: Vein Clinic At Vascular Institute
Categories: Physicians & Surgeons, Vascular Surgery, Physicians & Surgeons, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Oncology, Physicians & Surgeons, Surgery-General

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Phone: (303) 539-0736

Address: 1601 E 19th Ave Ste 3950, Denver, CO 80218

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Vein Clinic At Vascular Inst

General Practitioners

Primary Care
Dear Dr. Synn and staff at Vascular Institute of the Rockies. After a blood test, I was diagnosed by my primary care doctor with an aneurism in my aorta. I was referred to Dr. Synn for treatment. Dr. Synn is a very good doctor. He knew all about my problem and knew right away what to do. Dr. Synn was very congenial, attentive and professional. I had three more visits with him since my operation and am doing well. I look forward to my next appointment with Dr. Synn.
Smoking Cessation
Mild carotid narrowing without any symptoms can be followed by ultrasounds every 6 to 12 months. Medical management by controlling risk factors for hardening of the arteries (atherosclerosis) and stroke (i.e. smoking cessation, regular exercise, maintaining healthy blood pressure, excellent control of diabetes, lowering elevated cholesterol and maintaining a normal weight) can slow or stop the progression of plaque buildup. Your physician will likely recommend an aspirin a day or another antiplatelet medication.
Emergency Care
Dr. Ty Garland was on call at St. Joseph's Hospital Emergency Room back in early 2016 when I admitted my eldest sister for a blood clot in her right leg. Dr. Garland's bedside manner is amazing. Dr. Garland communicates effectively, shows empathy and even uses humor to dispel a difficult situation.

Gynecology
Many ultrasonographers are generalists and do everything from babies to gallbladders. However, our vascular laboratory technicians are specially trained specifically in vascular ultrasound and are certified as Registered Vascular Technologists (RVT) with the American Registry for Diagnostic Medical Sonography (ARDMS). Many of our technicians also maintain the Registered Diagnostic Medical Sonographer (RDMS) credential in abdominal testing and in Obstetrics/Gynecology testing elevating the quality of abdominal vascular studies. Our vascular laboratory also maintains accreditation with the Intersocietal Accreditation Commission (IAC) in peripheral arterial testing, peripheral venous testing and extracranial cerebrovascular testing and completes routine quality assurance reviews to ensure the highest standards in vascular ultrasound.
Obstetrics
Pelvic Pain

Bladder Cancer
In March 2017, I was experiencing some pain and discomfort on the left side of my stomach. After receiving a CAT scan, I was referred to Dr. Alan Synn at St. Mary’s Hospital in Grand Junction, CO and then his associate, Dr. Bryan Kramer, in Denver. In 2014, I was given the BCG treatment to kill my bladder cancer. Dr. Kramer diagnosed that the BCG bacteria came alive in my body and was attacking some repairs that had been done to my aorta.

Anxiety

Endocrinologist

Diabetes Care

Ultrasound
The most common test for PVD is the ankle-brachial index (ABI), a painless exam in which ultrasound is used to measure the ratio of blood pressure in the feet and arms. The ABI is a simple, painless test that compares the blood pressure reading in the arm and ankle. It is a direct measure of fatty plaque buildup in leg arteries and an indirect gauge of plaque accumulations throughout the entire cardiovascular system.
MRI
My experience with VIR was with Dr. Horner (his office is located there) who conducted several procedures on my back vertebrae to stabilize fracturing and to biopsy for potential tumor development. Dr. Horner was awesome. Pre-procedures, he explained in very understandable terms what he wanted to do and why. He insisted that I have a new MRI to better guide his planned procedure. That MRI was critical in identifying new areas of concern that he recommended be addressed. The procedures were very successful in greatly reducing back pain associated with the vertebrae fracturing and confirming cancer as the cause of the fracturing. I'm now addressing the cancer issue with an optimistic outlook as it hadn't advanced substantially. Dr. Horner also asked for a post-procedure appointment about two months after his work. He clearly did not have to do this, but from my point of view it was useful and demonstrated his concern for his patients. I would give Dr. Horner 6 stars if possible.
X-Rays
Computed Tomography
I set up my laptop for the call just by going to vascularinstitute.com and clicking on “Services>telemedicine.” Dr. Garland was able to show me my latest CT-scan and show me pictures to explain what he needed to do to correct a problem in my abdominal aorta. We had time to get to know each other a little, too.

General Surgery
Vascular Institute of the Rockies offers a number of services to help with your chronic or non-healing wounds. Our wound clinics across Colorado have a consistently high rate of healing. At VIR you benefit from a team of doctors with specialties in vascular and general surgery who combine their expertise to diagnose and treat chronic and complex non-healing wounds.
Orthopedics
Proven working experience as a medical assistant. Preferred work experience in vascular, orthopedics, pain management, or other surgical specialities or to those with experience in Thoracic Outlet Syndrome.
Wound Care
VIR is one of the top chronic wound care clinics in the country with a reputation for excellence in treating patients with non-healing wounds. We use special techniques and advanced treatments to help you heal efficiently.
Minimally Invasive Surgery
This minimally invasive surgery involves an incision in each of the two groins so a device (a stent graft or a cylindrical metallic frame covered with a fabric), guided by x-ray, can be inserted into the aortic aneurysm. Once inserted in the proper position, the stent graft replaces the abnormally dilated section of aorta from within. Endovascular repair involves less operative stress on the body without a painful abdominal incision, less blood loss, a lower operative mortality, reduced length of hospital stay and a quicker recovery compared to open surgery.
Gangrene
PVD develops most commonly as a result of atherosclerosis, or hardening of the arteries, which occurs when cholesterol and scar tissue build up, forming a substance called plaque inside the arteries. This is a very serious condition. The clogged arteries cause decreased blood flow to the legs, which can result in pain when walking, and eventually gangrene and amputation. Because atherosclerosis is a systemic disease, individuals with PVD are likely to have blocked arteries in other areas of the body. Thus, those with PVD are at increased risk for heart disease, aortic aneurysms and stroke. PVD is also a marker for diabetes, hypertension and other conditions.
Vascular Surgery
Carotid Stenosis is responsible for up to one-third of all strokes. Stroke causes 1 in every 15 deaths. About 700,000 strokes occur every year, usually in men. (Society for Vascular Surgery)
Knee Replacement
After a knee replacement procedure in 2019, I developed a blood clot in my popliteal artery. I was rushed by helicopter to an ER facility with vascular surgeons available to perform a bypass surgery. Dr. Ty Garland ordered a CT scan; results showed a small amount of blood flow to the foot. After some discussion and explanation my wife said to him, "If this was your father, what would you recommend?" He replied, "I would not do a bypass at this time, and please understand that I do not get paid unless I do a procedure." We so appreciated his explanation and concern as if we were a family member and certainly respect his professionalism and it not being about money but what he thought best for me, the patient!

Dermatology
2 - Goldman, H. Venefit of the greater saphenous vein with endo radiofrequency thermal heating of the vein wall in combination with ambulatory phlebectomy: preliminary 6-month follow-up. Dermatology Surg 2000; 26:452-456.
Cyst
Lesions
The majority of peripheral vascular lesions can be managed by placement of a stent, a small metal mesh sleeve that is fixed inside the narrowed artery. The stent holds the artery open. Eventually, new tissue grows over the stent. A bare metal stent was the initial approach. However, development of restenosis or fibrous scar tissue growth inside the stent leads to recurrent obstruction.

Physical Therapists

Physical Therapy
Injured on the job as a result of manual labor, I was in pain for about a year before I finally found Dr. Annest. Because I was young, my workers compensation doctor thought physical therapy would be sufficient and he did not believe surgery was necessary. My symptoms included weakness, numbness, tingling, pain, inability to move my right arm above my shoulder and at times my ulnar nerve was cold and light bluish in color indicating loss of function in my arteries and veins. Despite these drastic symptoms, my workers compensation doctor still didn't think that surgery was necessary. I decided that something needed to be done and that’s when another doctor agreed and sent me to Dr. Annest who quickly cited that I had all the symptoms of Thoracic Outlet Syndrome, which oftentimes can be fixed with physician therapy at my age, however, that was not the case for me. At this point I was on my sixth physical therapist in a year and not only did I achieve little to no improvement, each day was harder than the previous. Dr. Annest was committed to determining the cause and appropriate treatment for me to heal properly which included a first rib resection and release of both pectoral minor and scalene muscle. He personally called my case worker and fought for this surgery to get approved, which it finally did. I am a little over two months post-op with almost no symptoms left in my right arm besides some weakness and soreness, which are common to have after a major procedure like that. I am so thankful I went to an outside opinion besides my workers compensation doctor. I now have the normal life a 23-year-old girl should have.
Occupational Therapy
Pain from impingement of the brachial plexus may be treated through a variety of options including physical and occupational therapy, massage by trained therapists, nerve stimulator to block the pain messages from the arm, and medicines to aid in sleep, reducing swelling and pain and treating depression. Other methods include biofeedback, acupuncture, meditation, chiropractic care, yoga, Pilates and other therapies. If these therapies fail after 12 weeks and the symptoms are intolerable, surgical decompression of the brachial plexus may become a reasonable option.
Back Pain

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