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Dr. Oliver Aalami

Vascular Surgery
Renton, WA, Mexico
24 years experience

Locations

Office

Renton, WA

Address

4033 Talbot Road South, Suite 530, Renton, WA
Directions

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Vascular Surgery

Languages spoken

English

Doctor Q&A

240 Answers
5 Agrees
The number of answers this doctor has agreed with.
A 24-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Compression: Local wound care in combination with multi- layer compression will start the healing process. More importantly, an evaluation of the leg veins with an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Numbness: The most common post-op complaint is actually incisional numbness as well as numbness over the jaw bone of the operated side. Male patients have to be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Smoking Vascular Dz: Smoking accelerates the development of atherosclerosis (plaque formation / cholesterol build-up / formation of blockages) in blood vessels. The exact ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
No: Gout is when uric acid crystals form in your joints. Gangrene is when you lose blood flow to your tissues and they die. Gout isn't associated with gan... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Unlikely: It is very unlikely to lose a leg from a venous ulcer. They are very painful and cause significant discoloration of the ankles. You are far more likel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Depends: The operation for disabling claudication can be done either using endovascular techniques or open surgical techniques. The type of surgery chosen depe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Silent until rupture: Aaas are typically silent- no signs or symptoms until it starts to rupture. If you are thin and have a large aneurysm you may see it pulsating above t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Not really: The is no great natural way to get rid of the blockage. However, he can take measures to keep it from getting worse such as: not smoking, lowering cho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Yes: Yes. If the AAA is fixed then flying is safe.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
See your surgeon: It is pretty common to have an infection of the incisions after a lower extremity bypass. If the incision is red, tender and draining fluid it makes s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Depends: This all depends on what your definition of prophylactic means. If you mean "asymptomatic", then yes. We recommend a carotid endarterectomy for people... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Like an onion: Arteries have layers similar to onions, but only 3. The disease which causes the blockage ( atherosclerosis / plaque formation / cholesterol build-up ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
95% Blocked: Ultrasound is a great way to determine how blocked the carotid arteries are. It turns out that the more blocked they are the greater the risk for a st... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Good: As long as you let clinicians know that you have had mrsa, the next time you have an infection they are more likely to make sure it is covered by the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Inflammatory process: The exact mechanism for AAA formation is not known. There are several etiologies/theories. The most widely accepted is that aaas form due to an inflam... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Not sure: We are not sure why this is the case. The most widely accepted theory is that aaas arise from an inflammatory process related to atherosclerosis. The ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Yes: Breast reduction surgery usually does not include removal of the lymph nodes in the arm pit and should not cause arm lymphedema. The leg lymphedema is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Compression: If you have lymphedema and venous insufficiency (leaky valves in your veins) the best thing you can do is get a pair of below knee compression socks.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Depends: If you have < 80% blockage and have not had any mini-stokes or full blown stokes (a symptomatic), then medical management is the best way to go. This ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Aspirin / Plavix (clopidogrel): Aspirin and Plavix (clopidogrel) are the most commonly used anti-platelet agents.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
No: Trauma such as falling does not cause aaas. They typically form slowly over time due to inflammation in the wall of the aorta. Risk factors are age >6... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Extremely unlikely: At 20 yrs of age it is really unlikely to have an aaa. The situations where young people have aneurysms are with connective tissue disorders such as m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old female asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
No Clear Association: Pvd does not necessarily cause cloudy vision. The eye conditions which cause cause cloudy vision are cataracts and glaucoma. Pvd may cause loss of vis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Months: It is best to wait months before being fitted for a prosthesis. The reason for this is to allow the leg "stump" swelling to go down completely and to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
No: Use Heparin (blood thinner give IV during dialysis) or start taking Coumadin (warfarin) (blood thinner pill) if you have a lot of clotting issues duri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Yes, normal: Varicose veins are veins under high pressure. This causes inflammation / pain, especially at the end of the day if you have been active on your feet. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Not necessarily: In medicine we make decisions based on risk assessment. If it is more risky for your grandmother to keep the leg wound than to have her leg amputated,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Not necessarily: Sometimes blockages within the arteries of the neck can cause "swishing" sounds. The medical term for this is a "bruit". In the neck this is most ofte... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
All structures Cut: During a leg amputation, the surgeon starts by making a skin incision. This is designed to help in the closure of the stump. Next the muscle fascia is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Weeks: It takes weeks for the foot wound to heal and before it is safe to put full weight on the amputated foot. If you need a foot amputation in the first p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
No: No, there is no well established relationship between migraines and aaas. Symptoms of rupture are excrutiating abdominal/flank or back pain, and shoc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
No: Absolutely not. Varicose vein are not a sign of ovarian cancer. Unfortunately, ovarian cancer it typically diagnosed late after it has spread. When th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Unlikely: Burns cause a break in the skin which leads to massive fluid losses. Unless lymphedema was present before the burn, it is unlikely to have occured due... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Unlikely: No. Sitting is not associated with atherosclerosis or vascular disease. However, having said that, if you do have vascular disease and claudication, r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Depends: There are multiple risk factors for abdominal aortic aneurysms. The biggest risk factors are being a male smoker over the age of 65. Family history i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Pain more than Ache: Aaas are typically silent / asymptomatic while they are growing. Once they start to rupture people do experience abdominal / back pain. If you are >65... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Yes: Yes, but the standard levels of amputation are 1) toe, 2) trans-metatarsal (half the foot), 3) below the knee, and 4) above the knee. These are standa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Ultrasound: A carotid duplex scan or ultrasound is the best test to start with to evaluate your carotid arteries for blockages. If you have blockages, a blood tes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Conservative: Assuming you have not had a stroke or TIA symptoms, medical management with observation is the appropriate management for you. Medical management cons... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Yes: Bruits can change their sound depending on the degree of blockage. In the carotid arteries, for example, as a blockage is almost complete ( > 90%), th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Very: As long as the portable ultrasound screening program is icavl accredited, the results will be 90%-98% accurate. Ultrasounds are operator dependent, th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Not likely: Blockages of arteries to the arms are possible but much less likely to occur than blockages in the legs. In addition, the blockages in the arms are a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Yes: Yes, even smoking of marijuana has been shown to have adverse effects on blood vessels. There are debates about this, but the official stance by the s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
30min-1hr: A straight forward diagnostic angiogram will take anywhere from 30min to 1hr. If a carotid stent is being placed it will take between 1hr and 3hrs dep... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Days to weeks: It takes several days before someone is released from the hospital after a femoral artery bypass and it takes weeks for the wounds to heal fully and f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Absolutely: Someone who is having tias should most definitely have their carotids checked since the carotid arteries are the number one source for embolic strokes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Yes: If you have swelling that is more than usual and is not going away, then a trip to the primary physician makes sense. There are many reasons people de... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Depends on Approach: The recovery depends greatly on whether the vein is harvested via an "open" technique or an "endoscopic" technique. Surprisingly vein harvest incision... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Closer to skin: This is to bring the vein which the dialysis nurses are trying to "needle" / access closer to the skin. Sometimes the vein itself is robust and the bl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Oliver Aalami
Vascular Surgery 24 years experience
Turbulence in Artery: A carotid bruit is a "swishing" sound heard when listening to the neck with a stethoscope. The noise is turbulence caused by blood flowing past a bloc... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

10
Recommendations
457
Thank you notes
Nov 9, 2012
As a Healthtap scholar, one of my duties to both peers and patients is to evaluate the quality of answers. Dr Aalami provides not only accurate answers, but with compassion and completeness. I endorse...Read More
Dec 2, 2012
I endorse this doctor. Dr. Aalami is an outstanding vascular surgeon and well respected by his peers.
Sep 10, 2013
a great doc with helpful answers! thank you!
HealthTap member
Well now I wonder if it could be something because I have one on the other side with the same situation - it started small and unnoticable and has grown quite a bit. Someone suggested a tumor? I don't...Read More
HealthTap member
Thank you for the detailed response, we appreciate your comments and will investigate your suggestion
HealthTap member
Ive always been so curious! Now I'll know what to tell my friends at dinner parties!

Education & Training

Medical/Graduate school

Boston University School of Medicine, MA
Graduated 1998MD

Awards

HealthTap Founding Doctor
HealthTap ClubMD
HealthTap Editorial Board
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