American Access Care of the Bronx: A Trusted Partner

By: Jennifer Webster
Monday, March 31, 2014

In business for more than a decade, American Access Care of the Bronx offers convenience, comfort and quality medical care for patients with peripheral arterial disease (PAD), varicose veins and dialysis-related needs.

Gastone Crea, MD, interventional radiologist and Medical Director at American Access Care, founded the practice in 2005 to meet the needs of a community he describes as underserved when it came to care for PAD, venous disorders and vein access procedures. Two years ago, Amit Shah, MD, joined him. Together, they offer advanced procedures for many vascular conditions.

PAD: Multiple Modes of Management

When patients suffer from claudication (cramping leg pain and weakness while walking), the cause may be PAD.

“Associated with other conditions including high blood pressure, diabetes and high cholesterol, PAD is actually a common and underdiagnosed condition,” Dr. Crea says. “Patients live with leg pain, which impacts their quality of life. Physicians should consider referring any patient who has diabetes, high blood pressure or high cholesterol — as well as those who have lifestyle-limiting claudication inhibiting them from walking more than several blocks — for a screening for PAD.”

Noninvasive ultrasound studies can be performed in-office, Dr. Crea says. When patients do have PAD, the condition can often be managed medically. Other patients require procedures, such as atherectomy, which removes plaque from the veins. Angioplasty and stenting may also be required.

“We perform these procedures in our outpatient center and discharge patients the same day,” Dr. Crea says.

Varicose Veins and Other Vascular Conditions

Gastone Crea 175
Gastone Crea, MD

When it comes to venous disorders, Dr. Crea identifies two scenarios: large, symptomatic varicose veins and unattractive “spider veins.”

“Many patients suffer from leg pain, ankle swelling, hyperpigmentation, and feelings of tiredness and heaviness in the legs,” he says. “We offer numerous treatment options, all performed through punctures rather than incisions. Patients receive procedures comfortably in the office and can leave several hours later.”

Ambulatory phlebectomy, an outpatient spider vein removal procedure, allows most patients to return to work the same day. Other options include endovenous laser ablation, microphlebectomy, radiofrequency occlusion and sclerotherapy, all minimally invasive procedures performed in the physician’s office. A cost-effective option, foam sclerotherapy involves injecting a sclerotherapy agent suspended in foam into the vein, filling and closing it.

Vein Access for Dialysis Patients

In addition to treating disorders of the veins and arteries, Drs. Crea and Shah perform vein access work for dialysis and oncology patients. Services include creation of native fistulas for dialysis, as well as management of fistula maturation, fistulograms to assess the viability of a graft or fistula, and dialysis troubleshooting procedures, including angioplasty to recanalize a graft and thrombectomy to dissolve clots. Central venous access catheter placement and removal are also available.

Minimally Invasive Treatment for Uterine Fibroids

Amit Shah 175
Amit Shah, MD

For women suffering from bloating, excessive menstrual bleeding, cramping pains or other symptoms of uterine fibroids, Dr. Crea performs fibroid embolization, an in-office procedure that is less invasive than hysterectomy or myomectomy.

“We make a needle puncture in the artery over the hip,” he explains. “A small catheter is inserted into the uterine artery. We block blood flow to the fibroids, causing them to shrink.”

Dr. Crea encourages patients and referring physicians to reach out to him and Dr. Shah.

“We are here to answer your questions,” he says. “We offer comfort, convenience and quality patient care.”


To refer a patient to American Access Care of the Bronx, please visit www.veindirectory.org.