We treat diseases of the vascular system, or arteries and veins, in a plethora of ways, including medical therapies, minimally-invasive catheter procedures, and surgical reconstruction. Our job is to determine the best procedure for patients based on overall health, history of vascular issues, and the location and severity of the arterial blockages.
Abdominal Aortic Aneurysm Repair – Surgery
An abdominal aortic aneurysm is an enlargement of the lower part of the aorta that extends through the abdominal area. Like most arteries, the aorta is elastic, which allows it to be filled with blood under high pressure. An aneurysm develops when the wall of the artery becomes weakened and distended like a balloon, and it may rupture if it becomes too large. Since a ruptured aneurysm is extremely dangerous and can cause life-threatening bleeding, aneurysms are best corrected by an operation before this happens.
Endovascular abdominal aortic aneurysm repair is surgery to repair a widened area in your aorta called an aneurysm. In this procedure, a small surgical cut is made near the groin, to find the femoral artery and insert a stent and a man-made graft. Using X-rays, we guide the stent graft to where the aneurysm is located and open the stent using a spring-like mechanism. It attaches to the walls of the aorta so your aneurysm will eventually shrink around it.
A peripheral angiogram is a test that uses X-rays and dye to find narrowed or blocked areas in one or more arteries that supply blood to your legs. The angiogram can help us decide if a surgical procedure is needed to open the blocked arteries.
After a peripheral angiography, we will look at the results to determine what sort of procedure will be best for you. Stents are small steel mesh tubes that can be placed inside an artery during an angioplasty procedure. Atherectomy is a minimally invasive endovascular surgery technique for removing atherosclerosis from blood vessels within the body. It is an alternative to angioplasty for the treatment of peripheral artery disease.
A peripheral surgical bypass is a vascular procedure in which a surgical bypass routes blood flow around an area of blockage caused by peripheral arterial disease (PAD) with the help of a natural or synthetic graft. It can be done in the leg or abdomen.
Carotid angiography is an invasive X-ray imaging procedure used to detect the presence of narrowing or blockage, also known as atherosclerosis, in the carotid arteries and determine your risk for future stroke. Carotid angiography may be performed when carotid artery disease is suspected. If blockage is discovered, we can perform an angioplasty with a stent to provide support to keep the artery open.
When kidney function falls below a certain threshold, dialysis is needed and we must establish dialysis access. An AV fistula is when we take a piece of a vein from your arm or leg and sew it into a nearby artery, allowing the sewn-in vein to enlarge and become thicker, like an artery. An AV graft is the sewing of a prosthetic graft between an artery and vein in your arm or leg, and it is generally used if your veins are too small for an AV fistula.