Dr. Zakhary is a featured doctor in Phoenix Magazine and serves as medical director of Valley Vein
and Vascular Surgeons. He is board-certified in Vascular Surgery and General Surgery and he also
specializes in Wound care and Phlebology. Dr. Zakhary serves as an adjunct professor at Midwestern
University and has been published on numerous topics including carotid stenting, abdominal aorta
surgery, and renal dialysis grafting. Other areas of expertise include treatment of varicose veins,
wound care, and limb salvage.
Keywords
Varicose Veins and Venous Insufficiency,
Spider Veins,
Thoracic and Abdominal Aneurysm,
Carotid Artery Disease,
Vein Surgery,
Bypass Surgery,
Arteriovenous HeRO Graft,
Wound Care,
Bilingual,
Board-Certified,
minimally invasive.
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Dr. Zakhary is industry certified in aortic stent grafting, inferior vena cava filter placement, HeRO arteriovenous grafting, endovenous laser vein therapy, radiofrequency ablation vein therapy, sclerotherapy, and skin grafting.
He utilizes minimally invasive techniques such as stenting, laser, and atherectomy, and is proficient in open surgical techniques. Dr. Zakhary understands the importance of coordinating care with multi-specialties including the primary care doctor and podiatrists. He routinely discusses his patients with their other medical providers to ensure they are receiving the best care possible.
When most people hear the words vascular surgeon they think of a very common affliction called varicose veins. Affecting more than 20 million Americans, varicose veins represent one form of chronic venous insufficiency over an entire spectrum of venous disease. This video explores in more detail what is meant by the term chronic venous insufficiency.
Dr. Zakhary has extensive experience in treating painful, inflamed varicose veins. Our office specializes in radiofrequency ablation which is done in the office in about an hour. This and other vein treatments can be very effective in relieving symptoms when other conservative types of treatments have failed to do so. This treatment is typically covered by most insurance plans. Please call our office today to find out more.
Women are more likely to suffer painful spider veins.
Heredity is the number one contributing factor causing varicose and spider veins. Women are more likely to suffer from abnormal leg veins. Up to 50% of American women may be affected. Hormonal factors including puberty, pregnancy, menopause, the use of birth control pills, estrogen, and progesterone affect the disease. Other predisposing factors include aging, standing occupations, obesity and leg injury.
To help prevent development of spider veins and varicose veins, we suggest the following:
• sunscreen
• regular exercise
• proper weight
• avoid crossing legs when sitting for long periods of time
• elevate legs when resting
• avoid sitting or standing for long periods of time
• wear elastic support stockings
• avoid wearing high heel shoes for long periods of time
• eat a low-salt, high fiber diet
Spider veins can be removed with a procedure known as sclerotherapy. Sclerotherapy can be done in the physician’s office without anesthesia. Patients can return to normal activity right after the treatment.
Dr. Zakhary has vast experience in treating spider veins. Most insurance companies will cover this procedure if all alternative treatments have failed, however, we do have very affordable self-pay options available as well.
For more complicated conditions such as inflamed varicose veins, other minimally invasive, office-based treatments are available.
Carotid artery disease blocks the arteries to the brain and is a leading cause of stroke. Dr. Zakhary has vast experience in treating carotid artery disease. Dr. Zakhary is board certified in vascular surgery and general surgery. He has completed 7 years of formal surgical training including a vascular and endovascular surgery fellowship at Baylor University.
The most common treatment for carotid stenosis is carotid endarterectomy. Successful treatment involves good pre-operative diagnosis and work-up, good operative technique, and good peri-operative care. Dr. Zakhary provides all three of these components of care which results in excellent surgical outcomes.
The difference between saving or losing a limb often comes down to receiving optimal wound care.
Dr. Zakhary is passionate about wound care and has extensive knowledge and training in treating all types of wounds. He is board certified in vascular surgery and board certified in general surgery. He has completed 7 years of formal surgical training, including a vascular and endovascular surgery fellowship at Baylor University.
Dr. Zakhary is well versed on multiple wound care and limb salvage techniques and procedures including:
• NPWT – Negative Pressure Wound Therapy,
• Skin Substitutes (Cellular Tissue Products)
• Split Thickness Skin Grafting
• SGHMC – Sustained, Graduated, High–Moderate Compression
• HBOT – Hyperbaric Oxygen Therapy
• Excisional Debridement
• Revascularization – Endovascular and Surgical
• TCC – Total Contact Casting
• Foot Strapping and advanced Offloading Techniques
• Achilles Tendon Lengthening
• Gauze hydrogel, hydrocolloid, foam, transparent film, calcium alginates, chemical debriding agents, growth factors, compression dressings, and biological dressings.
A diabetic ulcer is an open wound secondary to systemic changes due to longstanding effects of diabetes mellitus. These wounds are usually secondary to the effects of repetitive trauma on a nonsensate foot. Typically with longstanding diabetes, the patient will present with structural (both boney and muscular) changes in their feet and diminished sensation in their feet. With these changes, the patient will experience repetitive trauma to their feet (usually the plantar aspect of the forefoot) and not realize it.
Anyone living with diabetes is at risk of developing a diabetic foot ulcer. Of the more than 20 million people in the US with diabetes, as many as 25% will develop a foot ulcer in their lifetime. At particularly high risk, are those with either loss of sensation in their feet (neuropathy) or inadequate blood flow (ischemia). If you experience either of these symptoms, consult a doctor immediately.
Diabetic foot ulcers occur in approximately 15% of patients with diabetes, and of these, up 24 % of ulcers will end in amputation. Amputations in patients with diabetes are associated with a high morbidity and a 5-year survival rate of 31%.
Dr. Zakhary has extensive experience and training in the treatment of diabetic foot ulcers. He is very passionate about wound care and limb salvage and understands the physical, social, and financial impact that such wounds can cause. If you or someone you know is living with a diabetic foot ulcer, please call our office today to schedule an appointment with Dr. Zakhary.
