Dr. Arismendy Espino

Dr. Arismendy Espino runs a specialized vascular practice in San Francisco de Macorís. The clinic focuses on Angiology, Vascular Surgery, and Endovascular care. Located within Centro Médico Siglo 21, the practice offers medical evaluations for both treatment and prevention. Dr. Arismendy Espino holds a sub-specialization in vascular medicine.

Advanced Vascular Specialties

The practice covers conditions affecting arteries, veins, and lymphatic vessels. Specialized care is available for several venous and arterial conditions:

• Chronic venous insufficiency and varicose veins
• Deep vein thrombosis (DVT) prevention and management
• Spider veins (telangiectasias)
• Lymphedema and lymphatic vessel disorders
• May-Thurner syndrome
• Atherosclerosis and hypertension risk reduction

Treatment plans are created during a consultation to address individual vascular health needs.

Minimally Invasive Venous Procedures

The clinic offers outpatient options for treating saphenous vein disease. Endovenous ablation (safenoablación) uses thermal energy to close diseased veins without a scalpel. This method applies laser or radiofrequency energy, allowing for quick recovery. Results typically become visible within a few weeks.

For smaller venous issues, the practice offers sclerotherapy. A solution is injected directly into the veins to make them fade. The procedure works for both cosmetic concerns and signs of underlying venous insufficiency.

Endovascular and Surgical Interventions

Advanced endovascular techniques treat complex arterial and venous conditions. These procedures use small incisions to access the vascular system from inside. Specialized interventions include:

• Balloon angioplasty to open blocked vessels
• Stent placement for structural vessel support
• Embolization for various vascular diseases
• Foreign-body capture and controlled extraction

One complex case involved extracting a retained catheter from the pulmonary artery. These methods reduce patient trauma compared to traditional open surgery.

Diagnostic Technology and Equipment

The clinic uses specialized imaging for precise treatment planning. Intravascular ultrasound (IVUS) provides detailed images from inside the blood vessels. This technology is critical for diagnosing May-Thurner syndrome and mapping complex anatomy.

For venous ablation, the practice uses the NeoV 1940 laser system. This wavelength allows precise thermal delivery during outpatient vein closures.

International Patient Services

The clinic supports Spanish-speaking patients through a dedicated care pathway. Educational materials help patients recognize symptoms of deep vein thrombosis. The team assists with vascular health guidance, including when compression stockings are needed. All consultations and treatment explanations are conducted in Spanish.