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For more information, contact: Lynn Reich | 845. 703. 6342 | mailto:marketing@crystalrunhealthcare.com

CRYSTAL RUN HEALTHCARE'S VASCULAR SURGEONS PERFORM 'FIRST' IN ORANGE COUNTY

Middletown, NY —April 12, 2010- On April 1, Crystal Run Healthcare’s vascular surgeons, John Fiorianti, MD and Paul Kochupura, MD, performed a unique operation regarded as Orange County’s ‘first’ combined endovascular and open procedure for carotid artery disease at Orange Regional Medical Center’s Horton Campus in Middletown.

“The patient, a 62 year old male presented with a history of asymptomatic carotid artery stenosis. We had performed an angiogram two weeks prior, which demonstrated two critical stenoses, one in the common carotid artery and the other in the internal carotid artery. We were posed with the issue of protecting him from a life-threatening stroke, so we came up with a novel approach. Dr. Kochupura and I decided to perform a carotid artery stent for the common carotid artery stenosis via a femoral approach in addition to a standard carotid artery endartectomy for the internal carotid artery stenosis. The patient did remarkably well and was discharged home the next day,” said Dr. Fiorianti.

Vascular Surgeryis a specialty of surgery in which diseases of the vascular system, or arteries and veins, are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction.

Dr.’s Fiorianti and Kochupura are Fellowship-trained vascular surgeons and practice all aspects of vascular and endovascular (minimally invasive) surgery. They specialize in
areas such as cerebrovascular disease, aneurysms, dialysis access, peripheral vascular disease, and varicose veins.

John Fiorianti, MD is board certified in General Surgery. Dr. Fiorianti received his Medical Degree from New York Medical College, Valhalla, NY, where he also completed a Residency in General Surgery. He completed a Fellowship in Vascular Surgery at University of Medicine and Dentistry of New Jersey, Newark, NJ. He is a member of the Society of Vascular Surgeons, American Venous Forum and the Society of Clinical Vascular Surgeons. Dr. Fiorianti is Bi-lingual in English and Spanish.

Paul Kochupura, MD is board certified in General Surgery. Dr. Kochupura received his Medical Degree from Upstate Medical University, Syracuse, NY. He completed his Residency in General Surgery at Stony Brook University Medical Center, Stony Brook, NY, where he completed an additional year of research in cardiovascular tissue engineering. He earned three teaching awards, including designation in the Alpha Omega Alpha Honor Society. Dr. Kochupura completed his Fellowship in Vascular and Endovascular Surgery at Atlanta Medical Center, Atlanta, GA.

Dr. Fiorianti and Dr. Kochupura see patients at the 95 Crystal Run Road, Middletown location of Crystal Run Healthcare.

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About Crystal Run Healthcare:Crystal Run Healthcare is a premier multi-specialty group practice, and is among the fastest growing medical practices in the country. Crystal Run has a strong commitment to primary care, employing an outstanding group of physicians representing the specialties of Internal Medicine, Obstetrics/Gynecology, Family Practice and Pediatrics. The practice includes unsurpassed sub-specialists and an increasing variety of surgical specialty services, including General Surgery, Plastic & Reconstructive Surgery, Bariatric Surgery, Vascular Surgery, Urology and Otolaryngology. Crystal Run offers fully accredited, all-digital radiology and laboratory services, and is among few medical practices nationwide that utilizes electronic health records (EHR). Crystal Run Healthcare has 170+ physicians and 20 mid-level providers, in over 30 medical specialties with 11 practice locations focusing on the healthcare needs of the mid-Hudson Valley and lower Catskill region. Practice locations include Middletown, Rock Hill, Goshen, Harriman, Liberty, Monroe, Newburgh and Warwick.