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Elliot Health System is a non-profit organization serving your healthcare needs since 1890.
Comprehensive Vein & Vascular Care Center

Elliot Vascular Surgery Perry SmithElliot Vascular Surgery

Elliot at River's Edge
185 Queen City Avenue
Manchester, NH 03101

Phone: 603-627-1102
Fax: 603-647-5524



Elliot Vascular Surgery offers comprehensive screening, diagnosis, and treatment for a wide range of vascular disorders.

Our board-certified vascular surgeons work in collaboration with the expert providers at Massachusetts General Hospital to ensure patients receive top-quality care locally with access to the latest research and treatments.


What is vascular surgery?

Your vascular system – or circulatory system – is made up of arteries and veins that carry blood throughout the body. As you age, build-up of plaque and cholesterol may cause them to become stiff and narrow. This can obstruct the smooth and efficient flow of blood, resulting in various complications depending on where the “traffic jam” is occurring.

Board-certified vascular surgeons have extensive training on how to diagnose and treat the full range of vascular conditions. They help patients understand their health issues and treatment options. Many vascular conditions can be treated with medications. If surgery is necessary, our vascular surgeons are skilled in cutting-edge, minimally invasive endovascular techniques, as well as open surgery.


What We Treat

At Elliot Vascular Surgery, we provide leading-edge care for a variety of conditions and diseases that include:

Our vascular surgeons are skilled in both open and minimally invasive treatment techniques, including:

  • Carotid artery procedures for stroke prevention
  • Minimally invasive endovascular procedures and open procedures to restore blood flow in the legs
  • Minimally invasive and open procedures for aortic aneurysms
  • Minimally invasive procedures for varicos and spiderveins including radiofrequency ablation, sclerotherapy, and microphlebectomy.
  • Non-invasive and minimally imaging for the diagnosis of arterial and venous pathology


Vein Care

Elliot Vascular Surgery provides specialized vein care to patients with cosmetic venous disease, such as varicose veins and spider veins. We use the latest technologies to diagnose and treat these conditions and improve your confidence and quality of life.

Risk factors for varicose and spider veins include long periods of standing, pregnancy, obesity, family history, and age. They can be a cosmetic concern but, if left untreated, they can sometimes cause swelling and pain.

Our board-certified vascular surgeons are trained in many minimally-invasive options so you know you are getting the best and safest care for these conditions.

Treatment options for varicose and spider veins can include:

  • Sclerotherapy: is a safe and effective procedure that can be performed in your physician’s office. A medication is delivered directly into the problematic vein with a small needle, causing the vein to seal shut. The unwanted vein then collapses, is reabsorbed into local tissue, and eventually fades. Patients often experience relief of symptoms within two months.
  • Radiofrequency ablation delivers heat created from radiofrequency into the vein through a thin, flexible tube to close off blood flow in the unhealthy vein. Results from this treatment are seen within a few months.
  • Phlebectomy removes varicose veins through small incisions in the skin. This procedure is typically recommended for larger veins that are near the skin’s surface. It is performed under local anesthesia during an outpatient visit.
  • The VenaSeal system delivers a small amount of a medical adhesive to seal the diseased vein, which in turn reroutes blood through healthier veins.


No matter your vascular health concern, our providers will work with you and in collaboration with your primary care provider to personalize a care plan based on our needs. We look forward to helping you regain your best health.

For more information about our services, please call Elliot Vascular Surgery at 603-627-1102.