Highly Specialized Vascular Experts Restoring Circulation Throughout The Body

Founded in 1975, in San Antonio, Texas, Peripheral Vascular Associates (PVA) is one of the largest vascular surgery specialty in the United States. As a trusted leader in vascular care for over 45 years, PVA is committed to incorporating the most advanced testing technologies, techniques and training to ensure that we fully and accurately diagnose your condition.

As vascular experts, we are able to offer comprehensive treatment plans including lifestyle change with monitoring and/or medication, minimally invasive endovascular techniques, traditional surgery and even combination hybrid techniques.

We take a team approach to addressing a variety of vascular problems include Peripheral Artery Disease (P.A.D.), stroke, dialysis access, abdominal aortic aneurysms and venous disease.

At PVA you can count on the experience and knowledge of our specialists to ensure the care you’re given is the best one for you.

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Why Choose PVA?

  • Peripheral Vascular Associates


    a healthcare provider, PVA is a wellness partner and has been for nearly 50 years.
  • Peripheral Vascular Associates


    a treatment option, PVA is a trusted resource for comprehensive vascular health.
  • Peripheral Vascular Associates


    a specialist, PVA is a team of board-certified surgeons, physicians, and other specialists collaborating on every patient’s care.

Artery and Vein

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Carotid Artery Disease (TIA / Stroke)

CAD affects the arteries in the neck that supply blood to the brain. Fatty material called plaque can build up inside the carotid arteries, causing them to narrow and reduce blood flow containing oxygen to the brain. This can lead to serious health issues such as memory loss, difficulty with language and vision, paralysis, stroke or even death.

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Hemodialysis Access

When a patient with kidney failure needs dialysis, there are many factors to consider before choosing and creating the optimal access.

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Aortoilliac / Peripheral Vascular Disease (PAD)

Aortoilliac disease refers to a narrowing or blockage in either the aorta, the iliac arteries or both. This occurs when plaque builds up in the artery walls and reduces or stops the blood from flowing. Plaque is a sticky substance of cholesterol, calcium and fibrous tissue. Plaque can cause arteries to become narrow and stiff, a process called atherosclerosis—also known as hardening of the arteries.

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Leg Pain / PAD

PAD is a circulatory problem in which narrowed arteries reduce blood flow to your limbs. When you develop peripheral artery disease your extremities - usually your legs - don’t receive enough blood flow to keep up with demand.

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Abdominal Aortic Aneurysms (AAA)

AAA is mainly caused by a weak area of the abdominal region of the aorta that fills up with blood and causes it to bulge (aneurysm). Over time, this area can further weaken and rupture, leading to internal bleeding and, in some cases, sudden death.

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Thoracic Aortic Aneurysms

TAA is mainly caused by a weak area of the thoracic region of the aorta that fills up with blood and causes it to bulge (aneurysm). Over time, this area can further weaken and rupture, leading to internal bleeding and, in some cases, sudden death.

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Varicose Veins / Venous Insufficiency

Venous insufficiency is a condition associated with the inability of the venous system to adequately return blood from the legs back to the heart and lungs.

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Lymphedema / Leg Swelling

The swelling that occurs usually in an arm or leg due to malfunction of the lymphatic system.

Deep Vein Thrombosis (DVT)

Most commonly, the clots are in an extremity and cause swelling in either the arm or leg. In some patients, the clots may be in more than one vein, but the hallmark of DVT is a swollen arm or leg on either the left or right side.

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Patient Testimonials

Dr. Alsabrook is my surgeon! Excellent skill, great patient attitude! Recognize him as a super doc! 

- V. Schaferling

Dr. Kirk’s my vascular doc and he’s amazing!!! PVA rocks. 5 stars.

- S. Stephens

Dr. Matos saved my Husband’s life. This Group is marvelous.

- R. Calzadillas

Dr. Kirk, one of the Best Vascular Surgeons around!

- J. Oliver

Dr. Hartsell is my doctor and has been an integral part of my life, health and survival. I couldn’t imagine any other doctor operating on my carotid artery. Thank you Dr. Hartsell.

- B. Paul

Dr. Toursarkissian always treated me like a person, not a patient.

- M. Davila

As one of his patients, I would like to mention that Dr. Toursarkissian is a very caring and excellent surgeon. His staff and colleagues are just like him. I highly recommend him and his staff at PVA.

- M. Davila

Dr. Boulos Toursarkissian saved my life.

- T. Gee

Dr. Gabriel Bietz is an excellent doctor.

- L. Sanchez

Dr. Seth Fritcher is one of the best in my books.

- R. Townsend

  • Contact Us Today: 210.237.4444
  • Veintec: 210.483.8822