Vascular Surgery

PAMF Surgeons Join the Vascular Quality Initiative

Outcomes Reporting Improves Vascular Health Care

The Palo Alto Medical Foundation (PAMF) reached a significant program milestone with their participation in the Vascular Quality Initiative® (VQI) of the Society for Vascular Surgery® (SVS), a national registry and outcomes reporting system designed to improve vascular health care.

As of March 1, 2013, all vascular surgical procedures at PAMF are entered into a national registry to track risk adjusted quality outcomes. The registry will include patients being treated at PAMF centers in Burlingame, Mountain View, Palo Alto and Santa Cruz, Calif. 

Tej Singh, M.D.

“This is the first dedicated peripheral vascular registry to start at PAMF,” said Tej Singh, M.D., chief of vascular surgery and director of the Robert L. Mitchell Vascular Center at PAMF’s Mountain View Center. “The timing could not be better as cost and quality will be driving much of America’s health care reform and reimbursement.”

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PAMF Vascular Surgeon Returns from Volunteer Service at U.S. Military Hospital

Tej M. Singh, M.D., chief of Vascular Surgery for the Palo Alto Medical Foundation, recently returned from two weeks at the U.S. Army’s Landstuhl Regional Medical Center (LRMC) in Germany, where he performed life- and limb-saving surgeries for U.S. soldiers wounded while serving in Iraq and Afghanistan in November 2011. America’s largest hospital outside its borders, LRMC is a state-of-the-art Level I Trauma Center that provides medical care for coalition forces from 48 countries.

In this video, Dr. Singh talks about his experiences and how it has affected his perspective on his medical practice at home.

Dr. Singh was the first surgeon from Northern California to volunteer his time and expertise in vascular care and surgery. Dr. Singh was selected by the Society for Vascular Surgery (SVS) to be the lead volunteer vascular surgeon, providing emergency vascular and endovascular care for wounded military personnel. He performed rounds and surgeries for traumatic injuries from explosives, requiring reconstruction surgery or amputation. Dr. Singh also did “best practices” trainings for the medical staff. Read More

PAMF Vascular Center Achieves Accreditation for Vascular Testing


Quick action by a doctor results in patient’s life-saving vascular surgery.

The Palo Alto Foundation Vascular Center has been recognized for its commitment to providing a high level of patient care and quality testing for the diagnosis of vascular disease by the Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL). The PAMF Vascular Center, located in Mountain View, CA, is one of a growing number of vascular laboratories in the United States, Canada and Puerto Rico to meet or exceed the ICAVL standards for noninvasive vascular testing.

“ICAVL accreditation is a great honor for our vascular laboratory and was a high priority goal when we started our Vascular Center in 2006,” said Tej M. Singh, M.D., Chief of Vascular Surgery and Director of the PAMF Vascular Center. “Accreditation assures our patients and providers that the Vascular Laboratory has high quality skilled personnel evaluating our vascular studies to insure accurate results and patient care. Our laboratory was able to reach this very important goal with the combined efforts of the Department of Radiology and Vascular Surgery. Truly a team effort! Special recognition has to go to our Technical Director Yelena Shub, RVT, for her efforts to complete this task.” Read More

PAMF First on the Peninsula to Offer New Treatment for Spider Veins



Dr. Corito Tolentino, Interventional Radiologist, PAMF Vascular Surgery Department

Nearly half of all women have spider veins (medically known as telangiectasias), small red and purple blood vessels on the thighs or lower legs, that can be unsightly and even cause some discomfort. Although laser and saline treatments to eliminate or reduce spider veins have been available for years, a new more effective treatment called Veinwave™ is now available at the Vascular Center of the Palo Alto Medical Foundation. PAMF is one of only two providers in the San Francisco Bay Area to offer this new improved procedure.

Different from lasers, Veinwave, approved by the FDA in June 2009, is a relatively painless outpatient procedure with no risk of bruising or scarring. Veinwave uses a small heated wire to target each individual vein for treatment.

“Patients find the Veinwave procedure easy to tolerate and they are pleased to see their symptoms abate and legs look better after healing,” said Corito Tolentino, M.D., vascular expert at PAMF’s Mountain View Vascular Center.

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