Dr. Annette Margrethe Holmvang – Vascular Surgeon / Phlebologist | Richmond, BC

Dr. Annette Margrethe Holmvang is a highly skilled Vascular Surgeon, dedicated to the diagnosis and treatment of diseases affecting the vascular system (arteries, veins, and lymphatic circulation). Her practice is based at a specialized vascular clinic located in Richmond, BC, where she provides comprehensive vascular care in a professional and patient-oriented environment. She, as a Vascular Surgeon, combines expertise in general surgery with specialized skills in managing vascular diseases. This includes treating common general surgical issues as well as complex arterial and venous conditions. Dr. Holmvang adheres to the highest standards set by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring safe and effective care for her patients.

Her medical education includes graduating with an MD from the University of British Columbia in 1979. She holds specialty certification as a Vascular Surgeon and is credentialed by the Royal College of Physicians and Surgeons of Canada. Her extensive training and certification reflect her commitment to excellence in vascular surgery and patient safety.

Dr. Holmvang’s professional philosophy is centered on providing state-of-the-art vascular care with a focus on patient safety and optimal outcomes. She emphasizes a patient-centered approach, involving patients in understanding their condition and treatment options. Utilizing the least invasive effective techniques tailored to each patient's specific vascular problem, she aims to achieve the best possible results. She collaborates closely with referring physicians and other specialists for comprehensive management and remains dedicated to ongoing learning and application of advancements in vascular and endovascular surgery. Dr. Holmvang is committed to maintaining vascular health for her patients in Richmond and provides surgical consultations and care primarily in English.

Dr. Annette Holmvang provides expert diagnosis and treatment for a wide spectrum of vascular conditions, including:

Arterial Occlusive and Stenotic Diseases

Dr. Holmvang treats conditions characterized by narrowing or blockage of arteries, restricting blood flow to vital organs and limbs.

• Peripheral Artery Disease (PAD) / Peripheral Vascular Disease (PVD): Narrowing of the arteries primarily supplying the legs and feet, leading to claudication (pain on exertion), rest pain, or non-healing sores.
• Critical Limb Ischemia (CLI): A severe form of peripheral artery disease characterized by rest pain, non-healing ulcers, or gangrene, threatening limb viability.

Aortic and Other Arterial Aneurysmal Diseases

Dr. Holmvang treats weakening and expansion of arteries, which can occur in the abdomen (AAA), chest (TAA), or peripheral arteries.

• Peripheral Artery Aneurysms (e.g., Popliteal, Femoral): Can lead to thrombosis (clotting), embolization (clots traveling downstream), or rupture.
• Thoracic Aortic Aneurysm (TAA): Dilation of the aorta in the chest cavity, which can also lead to dissection or rupture.

This list is not exhaustive. For a comprehensive evaluation of your vascular health, a consultation with Dr. Annette Holmvang is necessary.

• Pre-operative Evaluation for Vascular Surgery: Detailed planning of complex vascular interventions, including imaging review and discussion of surgical approaches.
• Renal Artery Stenosis Treatment: Renal artery angioplasty and stenting for significant stenosis.
• Post-operative Vascular Care and Surveillance: Long-term surveillance of bypass grafts, stents, or aneurysm repairs using clinical assessment and imaging.
• Carotid Artery Disease Surgery (Carotid Endarterectomy / Stenting): Carotid artery stenting as a minimally invasive alternative for select patients with carotid stenosis.
• Chronic Venous Insufficiency and Venous Ulcer Care: Treatment of underlying superficial or deep venous reflux.
• Mesenteric Ischemia Treatment: Emergency management of acute bowel ischemia.

Note: This list provides an overview. Specific procedures are determined after thorough consultation with Dr. Holmvang.

All vascular surgical and endovascular services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC) and relevant Canadian Society for Vascular Surgery (CSVS) guidelines and best practices. A referral from a physician is typically required for consultation.

Dr. Holmvang's primary clinic is situated within a specialized vascular center in Richmond, BC, in the Central Richmond (City Centre North) neighborhood. The clinic offers a professional environment dedicated to advanced vascular care, easily accessible via TransLink (SkyTrain Canada Line, Bus) with nearby parking and wheelchair accessible facilities. Complex surgical procedures are typically performed at affiliated major hospitals in Richmond, which are equipped to handle a wide range of vascular surgeries. The clinic and hospital facilities are designed for patient comfort and privacy, with parking typically available at or near the locations, including designated accessible spots. The practice emphasizes a convenient, accessible, and patient-focused approach to vascular health.

What is the typical recovery after vascular surgery or an endovascular procedure by Dr. Holmvang?

The recovery period after a vascular intervention with Dr. Holmvang depends heavily on whether it's an open surgery or an endovascular (minimally invasive) procedure. Endovascular treatments usually mean a shorter hospital stay and a faster return to normal activities. Open surgeries, such as an open aortic aneurysm repair, are more extensive and require a longer convalescence. Dr. Holmvang will discuss your specific expected recovery timeline.

Does Dr. Holmvang create or manage access for kidney dialysis?

Indeed. Vascular surgeons like Dr. Holmvang are specialists in establishing and preserving hemodialysis access. This involves surgically creating AV fistulas (connecting an artery to a vein) or implanting AV grafts. Dr. Holmvang also treats problems that can arise with these access sites to ensure they remain functional for dialysis patients.

When should I be referred to a Vascular Surgeon like Dr. Holmvang?

Referral to a Vascular Surgeon like Dr. Holmvang is typically indicated if you have symptoms or diagnostic findings suggestive of significant arterial or venous disease. This might include: pain in your legs when walking (claudication), non-healing sores on your feet or legs, a diagnosis of an aortic or peripheral aneurysm, symptoms of a TIA ('mini-stroke') potentially related to carotid artery disease, severe varicose veins with complications, or problems with your dialysis access. Your family doctor or another specialist will usually make the referral.

What does a Vascular Surgeon like Dr. Holmvang specialize in?

A Vascular Surgeon, such as Dr. Holmvang, is a highly trained specialist who diagnoses, treats, and manages conditions affecting the arteries, veins, and lymphatic system – collectively known as the vascular system. This excludes vessels of the heart and brain, which are typically managed by cardiologists/cardiac surgeons and neurologists/neurosurgeons respectively. Dr. Holmvang is skilled in a range of treatments including medical management, minimally invasive endovascular procedures, and open surgical reconstructions. A Vascular Surgeon, specializing in the diagnosis and comprehensive management of diseases affecting the arteries, veins, and lymphatic system, utilizing medical, endovascular, and open surgical techniques.

What is the difference between endovascular and open surgery, and does Dr. Holmvang perform both?

Open vascular surgery requires a larger incision to expose the blood vessel for repair. Endovascular procedures are less invasive, using catheters and wires inserted through small access points to treat the problem from inside the vessel with balloons or stents. Dr. Holmvang is likely proficient in both techniques and will determine the most appropriate method for your situation, considering factors like the location and severity of the disease, and your fitness for surgery.

What are some common conditions treated by Dr. Holmvang?

Dr. Holmvang treats a wide range of vascular disorders. Common conditions include Peripheral Artery Disease (PAD), which causes blockages in leg arteries; Abdominal Aortic Aneurysms (AAA); Carotid Artery Disease, which can lead to stroke; Varicose Veins and chronic venous insufficiency; and Deep Vein Thrombosis (DVT). Dr. Holmvang also specializes in creating and maintaining access for hemodialysis.

a specialized vascular clinic in Richmond
355-7031 Westminster Hwy
Richmond, BC V6X 1A3

Clinic Phone: (604) 671-7175

The clinic and affiliated hospital facilities are wheelchair accessible and designed for patient comfort and privacy.

Dr. Holmvang is a licensed Vascular Surgeon regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician or another specialist is generally required for a consultation with Dr. Holmvang for services covered by the provincial health plan (Medical Services Plan (MSP)).

Verify Dr. Holmvang's registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/352950/Holmvang%2CAnnette