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Vascular
Surgery
Vascular and
Endovascular
Surgery
provides
diagnosis and
treatment for
patients with
peripheral
artery
occlusive
disease,
abdominal and
thoraco-abdominal
aortic
aneurysms,
peripheral
artery
aneurysms,
carotid artery
disease, and
venous
insufficiency.
State-of-the
art techniques
of vascular
surgery -
including
angioscopy,
angioplasty,
atherectomy,
intra-arterial
stents,
minimally
invasive
surgery and
intraoperative
ultrasonography
- are available
for the
treatment of
peripheral
arterial
disease.
Care includes
treatment for
peripheral
vascular
disease,
aneurysms,
aortic
dissection and
carotid artery
disease.
Vascular
surgeons at
Renaissance
are key
players in
Renaissance
Cardiology's
most innovative
vascular
disease
programs. This
program pools
the talents of
cardiologists,
cerebrovascular
neurologists,
interventional
radiologists,
neurosurgeons
and vascular
surgeons to
offer every
available
option to
patients with
blocked carotid
arteries.
Aortic Aneurysm Treatment
There have been
many exciting
developments in
the treatment
of abdominal
aortic
aneurysms.
There are two
major
techniques for
the repair of
aortic
aneurysms. The
traditional
open surgical
operation is an
option
available to
most patients.
This is a major
surgical
procedure
performed
through an
abdominal
incision. The
aneurysm is
repaired by
replacing the
diseased
segment of the
aorta with a
strong and
durable
artificial
graft which is
sewn in its
place. Although
this is a major
operation, it
is an extremely
durable and
effective way
to treat
abdominal
aortic
aneurysms.
More recently,
newer
catheter-based
technologies
allow minimally
invasive
treatment of
aortic
aneurysms. In
this technique,
small incisions
are made in the
groin and,
using x-ray
control,
catheters are
placed
internally up
into the aorta.
The catheters
are then used
to deploy
aortic stent
grafts which
anchor above
and below the
aneurysm, thus
repairing the
aneurysm from
the inside.
This procedure
is generally
well tolerated
and results in
a shorter
hospital stay,
generally about
two days.
Following
placement of an
aortic stent
graft, patients
require ongoing
long-term
follow-up with
CT scans to
ensure that the
grafts are
functioning
properly. There
are certain
anatomic
requirements
for safe
placement of an
aortic stent
graft and not
all patients
have
appropriate
anatomy for
this procedure.
Carotid
Artery
Occlusive
Disease
There are two
options for the
management of
carotid artery
narrowing.
Currently, most
patients are
recommended
standard open
surgical
treatment of
the carotid
narrowing. This
operation,
called carotid
endarterectomy,
is performed
through a small
incision in the
neck and
involves a
"shelling out"
of the plaque
from the
diseased
artery. This
procedure
removes the
plaque from the
inside of the
artery wall and
restores normal
blood flow
through artery
to the brain.
The operation
is generally
well tolerated
and involves a
one to two day
hospital stay.
A new,
minimally
invasive
treatment for
carotid artery
narrowing,
which may be
offered to
patients on a
selective
basis, is
balloon stent
angioplasty of
the narrowed
vessel. This
procedure does
not require
incision in the
neck and can be
performed
through a
catheter
introduced
through the
groin
artery.This
procedure also
involves a one
day hospital
stay. After
either standard
carotid
endarterectomy
or balloon
stent
angioplasty,
patients are
followed with
serial duplex
ultrasound
studies to
monitor the
progress of
their carotid
arteries.
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