Dr. Puggioni received her Medical Degree in 1994 and is Double Board-Certified in General Surgery and Vascular Surgery.
She completed a Fellowship at he Mayo Clinic in Vascular Surgery.
Dr. Puggioni received her MD degree Cum Laude in 1994, at age 23 from the Universty of Rome "La Sapenza" - a top performer in international university rankings- which counts six past Nobel Prize recipients, is one of the oldest universities in the world, and the largest one in Europe.
Dr. Puggioni is a very experienced vein doctor who was trained by the surgeons who pioneered venous valve repairs, deep venous reconstructions, perforators ablations and has completed additional advanced training in endovascular techniques. She won several awards during her residency, including the "Best Resident`s Chairman Award" for two consecutive years, due to her superior surgical skills, patient management and team leadership.
Dr. Puggioni has over 20 years of experience treating venous disorders, and is one of the very few female Vascular Vein Doctors in New York.
In 2002 Dr. Puggioni spent a whole year as a Venous Surgery Fellow at the Straub Clinic, where she trained to perform the full range of superficial and deep venous interventions, including RFA, sclerotherapy as well as more complex venous surgeries.
Dr Puggioni completed her Vascular Surgery Fellowship at the Mayo Clinic in Rochester, Minnesota in 2006. During her 25-year medical career Dr. Puggioni has won several prestigious awards, such as the BSN research Fellowship of the American Venous Forum for her original experimental research and Marco Polo Fellowship by the Society for Vascular Surgery.
After Fellowship Dr. Puggioni worked as an academic vascular surgery attending at Maimonides Medical Center in New York, where she held a position as Ass. Professor at Mount Sinai School of Medicine in New York, NY. Dr. Puggioni is double board-certified by the American Board of Surgery in General Surgery and Vascular Surgery.
Dr. Puggioni is former Chair of Vascular Surgery of Honor Health Osborn Medical Center in Scottsdale AZ and has been awarded status of Distinguished Fellow of the American Venous Forum in 2016. Dr Puggioni is a Distinguished Reviewer and a member of the Editorial Board of for the Journal of Vascular Surgery: Venous and Lymphatic Disorders, the top ranked medical journal in the field of venous disease, elected "Best New Reviewer" in 2020.
Dr. Puggioni is a nationally and internationally known vascular expert serving as member of several vascular societies committees and councilor. She has presented her research work at major national and international vascular meetings worldwide, and has authored numerous peer-reviewed pubmed-indexed medical articles and over fifteen book chapters. Dr. Puggioni was the 2020-2021 Chair of patient Education Committee of the American Venous Forum, as well as a past Director of the the American Venous Forum Foundation.
Dr. Puggioni was elected to the Board of Directors of the AVF in 2022, currently is the Education Councilor (which includes the Patient Education Committee, Early Career Committee, Annual Program Committee, CME Committee) and is also serving on the Healthcare Policy and Guidelines Committee.
- American Board of Surgery Diploma in General Surgery
- American Board of Surgery Diploma in Vascular Surgery
- Registered Physician in Vascular Interpretation
- Registered Phlebology Sonographer
h-index=15 i10 index= 19
1. Mingoli A, Puggioni A, Sgarzini G, Luciani G, Corzani F, Ciccarone F, Baldassarre E, Modini C. Incidence of incisional hernia following emergency abdominal surgery.
Ital J Gastroenterol Hepatol. 1999 Aug-Sep;31(6):449-53.
2. Mingoli A, Civitelli S, Sgarzini G, Ciccarone F, Corzani F, Puggioni A, Modini C. Influence of acute cholecystitis on surgical strategy and outcome of inapparent carcinoma of the gallbladder: a report on two cases.
Anticancer Res. 1997 Mar-Apr;17(2B):1235-7.
3. Mingoli A, Sapienza P, Puggioni A, Cavallaro A. A possible side-effect of human erythropoietin therapy: thrombosis of peripheral arterial reconstruction.
Eur J Vasc Endovasc Surg. 1999 Sep;18(3):273-4.
4. Weber CA, Decker RA, Puggioni A, Tom PM, Bendtsen D. Previously undiagnosed infiltrating lobular carcinoma of the breast presenting as a gastric outlet obstruction.
Am J Gastroenterol. 2001 Dec;96(12):3475-7.
5. Puggioni A, Parsa FD. Is premedication required for operations under local anesthesia?
Plast Reconstr Surg. 2002 Oct;110(5):1370.
6. Puggioni A, Lurie F, Kistner RL, Eklof B. How often does deep venous reflux disappear after saphenous ablation?
J Vasc Surg. 2003 Sep; 38 (3): 517-21.
7. Puggioni A, Wong L.L.: A metaanalysis of laparoscopic cholecystectomy in patients with cirrhosis.
J Am Coll Surg. 2003 Dec;197(6):921-6.
8. Puggioni A, Kistner RL, Eklof B, Lurie F. Surgical disobliteration of postthrombotic deep veins— endophlebectomy—is feasible.
J Vasc Surg. 2004 May;39(5):1048-52.
9. Puggioni A, Kalra M, Gloviczki P. Superficial vein surgery and SEPS for chronic venous insufficiency.
Semin Vasc Surg. 2005 Mar;18(1):41-8.
10. Puggioni A, Kalra M, Gloviczki P. Practical aspects of the post-thrombotic syndrome.
Disease a Month. 2005 Feb-Mar;51(2):166-75.
11. Puggioni A, Delis KT, Fields C, Viozzi CF, Kallmes DF, Gloviczki P. Large symptomatic body tumor resection aided by preoperative embolization and mandibular subluxation.
Perspect Vasc Surg Endovasc Ther. 2005 Mar;17(1):21-8.
12. Puggioni A, Kalra M, Carmo M, Mozes G, Gloviczki P. Endovenous laser therapy (EVLT) and radiofrequency ablation (RFA) of the great saphenous vein: analysis of early efficacy and complications.
J Vasc Surg. 2005 Sep;42(3):488-93.
13. Puggioni A, Kalra, M, Gloviczki, P. Regarding" Laser therapy and radiofrequency ablation of the great saphenous vein: Analysis of early efficacy and complications"-Reply.
J Vasc Surg. 2006 Mar; 43.3: 642-3.
14. Masuda EM, Kessler DM, Lurie F, Puggioni A, Kistner RL, Eklof B. The Effect of ultrasound- guided sclerotherapy of incompetent perforator veins on venous clinical severity and disability scores.
J Vasc Surg. 2006 Mar;43(3):551-6.
15. Marks NA, Ascher E, Hingorani AP, Shiferson A, Puggioni A. Gray-scale median of the atherosclerotic plaque can predict success of lumen re-entry during subintimal femoral-popliteal angioplasty.
J Vasc Surg. 2008 Jan;47(1):109-15.
16. Misra S, Fu AA, Puggioni A, Karimi KM, Mandrekar JN, Glockner JF, Juncos LA, Anwer B, McGuire AM, Mukhopadhyay D. Increased shear stress with upregulation of VEGF-A and its receptors and MMP-2, MMP-9, and TIMP-1 in venous stenosis of hemodialysis grafts.
Am J Physiol Heart Circ Physiol. 2008 May;294(5):H2219-30.
17. Misra S, Fu AA, Puggioni A, Glockner JF, Rajan DK, McKusick MA, Bjarnason H, Mukhopadhyay D. Increased expression of hypoxia-inducible factor-1 alpha in venous stenosis of arteriovenous polytetrafluoroethylene grafts in a chronic renal insufficiency porcine model.
J Vasc Interv Radiol. 2008 Feb;19(2 Pt 1):260-5.
18. Puggioni A, Boesmans E, Deloose K, Peeters P, Bosiers M. Use of StarClose for brachial artery closure after percutaneous endovascular interventions.
Vascular. 2008 M ar-Apr;16(2):85-90.
19. Kallakuri S, Ascher E, Hingorani AP, Marks N, Shiferson A, Tran V, Patel N, Puggioni A, JacobT. Effect of Duplex arteriography in the management of acute limb-threatening ischemia from thrombosed popliteal aneurysms.
Angiology. 2008 Apr 29.
20. Hingorani A, Ascher E, Marks N, Puggioni A, Shiferson A, Tran V, Jacob T. Limitations of and lessons learned from clinical experience of 1,020 duplex arteriography.
Vascular. 2008M ay-Jun;16(3):147-53.
21. Hughes D, Fu A A, Puggioni A , Glockner J F, Anwer B,McGuire A M, Mukhopadhyay D, Misra S. Adventitial transplantation of blood outgrowth endothelial cells in porcine hemodialysis grafts alleviates hypoxia and decreases neointimal proliferation through a matrix metalloproteinase-9-mediated pathway--a pilot study.
Nephrol Dial Transplant. 2009J an;24(1):85-96.
22. Hingorani A P, Ascher E, Marks N, Shiferson A, Puggioni A, Tran V, Patel N, Jacob T . 219 vascular fellows' perception of the future of Vascular Surgery.
Ann Vasc Surg. 2008 Oct 28.
23. Misra S, Fu AA, Puggioni A, Glockner JF, McKusickM A, Bjarnason H, Mukhopadhyay D.
Proteomic profiling in early venous stenosis formation in a porcine model of hemodialysis grafts.
J Vasc Interv Radiol. 2009 Feb;20(2):241-51.
24. Ascher E , Hingorani A P, Marks N, Puggioni, A, Shiferson A, TranV , Jacob T . Predictive factors of femoropopliteal patency after suboptimal duplex-guided balloon angioplasty and stenting: is recoil a bad sign?
Vascular. 2008 Sep-Oct;16(5):263-8.
25. Puggioni A, Marks N, Hingorani A, Shiferson A, Alhalbouni S, Ascher E. The safety of radiofrequency ablation of the great saphenous vein in patients with previous deep venous thrombosis.
J Vasc Surg. 2009 May;49(5):1248-55.
26. Hingorani A P, Ascher E, Marks N, Shiferson A, Puggioni A, Tran V, Patel N, Jacob T . Hybrid approach for treatment of behind the knee popliteal artery aneurysms.
Vascular. 2009 Sep-Oct;17(5):290-2.
27. Shiferson A , Ascher E, Hingorani A , Puggioni A, Marks N, TranV, Patel N, Jacob T .Bilateral internal iliac artery aneurysm infected with Campylobacter fetus.
Vascular. 2009 Jul-Aug;17(4):226-9.
28. Alsheekh A, Puggioni A, Hingorani A, Marks N, Ascher E. The Sticky platelet syndrome during carotid endarterectomy.
Ann Vasc Surg.2015 Aug;29(6):1317.
29. Puggioni A. Invited commentary. (Comment on “Effect of treated length in endovenous laser ablation of great saphenous vein on early outcomes”). Shoab SS, Lowry D, Tiwari A.
J Vasc Surg Venous Lymphat Disord. 2016 Oct;4(4):421.
30. Kabnick LS, Sadek M, Bjarnason H, Coleman DM, Dillavou ED, Hingorani AP, Lal BK, Lawrence PF, Malgor R, Puggioni A. Classification and treatment of endothermal heat-induced thrombosis: Recommendations from the American Venous Forum and the Society for Vascular Surgery. (This practice guidelines paper was published in 2 journals)
J Vasc Surg Venous Lymphat Disord. 2021 Jan;9(1):6-22. Phlebology. 2021 Feb;36(1):8-25.
31. Bosiers M, Puggioni A, Deloose K, Verbist J, Peeters P. The endovascular approach to treatment of critical limb ischemia in patients with below-knee pathology.
Touch Briefings: Interventional Cardiology 2006, 53-5.
32. Gloviczki P, Puggioni A, Kalra M. Overview of endovenous thermal ablation of varicose veins.
Endovascular Today 2007, 1-6.
33. Puggioni A, Kalra M, Charboneau WJ, Gloviczki P. EVLT for venous ulcer.
Endovascular Today 2004 Nov-Dec: 1-3.
34. Puggioni A, Lurie F. Advances in the surgical treatment of post-thrombotic syndrome. Phlebolymphology 2007; 14 (3):99-104.
35. Puggioni A. What is the evidence for the 3-month compression stockings trial insurance requirement?
AVF Newsletter 2020; Feb: 7-9.
36. Puggioni A. SCIENTIFIC S ESSION 4- Deep Venous Disease II
AVF Newsletter 2021; Apr: 12.
37. Puggioni A. Understanding Venous Disease: A 3-minute Face-to-face Conversation AVF Newsletter 2021; Aug: 6-7
38. Puggioni A. The AVF Commitment to Patient Education.
AVF Newsletter 2021; Nov: 13-15.
39. Puggioni A. Member Matters: Alessandra Puggioni, MD, RPVI, DFAVF
AVF Newsletter 2022; Jan: 20-21.
40. Puggioni A. Increasing the success rates of iliac venous stents: highlights from the Frank J. Veith International Society iliofemoral venous stenting webinar.
Veith Symposium Bulletin 2022; Feb: 4-5
41. (Corresponding Author) International Guidelines on the Prevention and Management of VTE. Ed. A. Nicolaides.
International Angiology 2023 (In review)
Puggioni A, Chan B. Consent for Venaseal ®– cyanoacrylate adhesive closure.
AVF Patient education materials 2021
Puggioni A, SaleemT, Chan B. Brochure on Thermal ablation. AVF Patient education materials 2021
Puggioni A, SaleemT, Chan B. Brochure on Non-thermal ablation. AVF Patient education materials 2021
Puggioni A, Draughn D. Brochure on Venous Ulcers.
AVF Patient education materials 2021
Chen B, Puggioni A, Brochure on Lymphedema.
AVF Patient education materials 2021
1. Puggioni A, Gloviczki P. Combined exposure of the aorta, renal and visceral arteries for simultaneous reconstruction.
Basics of Vascular Surgery, Ed.: Cavallaro A, 2006
2. Lurie F, Puggioni A, Kistner RL. Ultrasound-guided sclerotherapy of incompetent perforating Veins.
The Vein Book 1st Edition. Ed.: Bergan J, 2006
3. Gloviczki P, Kalra M, Puggioni A. Subfascial endoscopic perforator surgery (SEPS) for chronic venous insufficiency.
The Vein Book 1st Edition. Ed.: Bergan J, 2006
4. Gloviczki P, Puggioni A. Venous Bypass.
Mastery of Surgery 5th Edition.: Ed.: Fischer J, 2006
5. Puggioni A, Kalra M, Gloviczki P. Endovenous laser and radiofrequency ablation of the saphenous vein: patient selection, techniques and short- and long-term outcomes.
Advances in Vascular Surgery Ed.: Perler B, 2007
6. Puggioni A, Gloviczki P. Chronic Venous Insufficiency.
Atlas of Vascular Disease 3rd edition. Ed.:Creager M, 2007
7. Puggioni A, Gloviczki P. Indications for perforating vein surgery.
European Vascular Course Textbook, EVC publisher 2008
8. Lurie F, Puggioni A. Chronic Venous Insufficiency: Management of Perforator Vein Incompetence.
Rutherford `Vascular Surgery 7th Edition. Ed.: Rutherford J, 2010
9. Gloviczki P. Puggioni A. Endoscopic and Percutaneous techniques for Treatment of Incompetent Perforators.
Endovascular Surgery 4th edition. Ed.: Moore W, Ahn S, 2011
10. Puggioni A. Treatment of Lower Extremity Deep Venous and Perforator Incompetence.
Atlas of Vascular Surgery and Endovascular Therapy: Anatomy and Technique, 1st Ed.: Chaikof E. and Cambria R, 2014
11. Lurie F, Puggioni A. Chronic Venous Insufficiency: Management of Perforator Vein Incompetence.
Rutherford`s Vascular Surgery 8th edition. Ed.: Cronenwett J and Johnston W, 2014
12. Lurie F, Puggioni A, Kistner RL. Ultrasound Guided sclerotherapy of perforating veins in chronic insufficiency.
The Vein Book. 2nd edition Ed.: Bergan J, Bunke-Paquette N, 2014
13. Gloviczki P, Kalra M, Puggioni A. Subfascial endoscopic perforator surgery (SEPS) for chronic venous insufficiency.
The Vein Book. 2nd edition Ed.: Bergan J, Bunke-Paquette N, 2014
14. Lurie F, Puggioni A. Chronic Venous Insufficiency: Management of Perforator Vein Incompetence.
Rutherford’s Vascular Surgery and Endovascular Therapy 9th edition. Ed.: Sidawy A, Perler B. 2019
15. Lurie F, Puggioni A, Russell T. Chronic Venous Insufficiency: Management of Perforator Vein Incompetence.
Rutherford’s Vascular Surgery and Endovascular Therapy 9th edition. Ed.:
Perler B. 2021
16. Puggioni A, Saleem T. Living with Venous Insufficiency.
The Healthy Veins Book of the AVF. Ed.: Blebea J. 2021
17. Puggioni A, Elias S. Sealing the Veins with Glue.
The Healthy Veins Book of the AVF. Ed.: Blebea J. 2021
18. Puggioni A. Endovenous laser treatment of superficial truncal veins.
Handbook of Venous Disorders. 5th Edition. Ed.: Gloviczki P. 2023
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