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Diseases and Treatment

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Diseases of the aorta and aortic branches

  • Descending thoracic aortic aneurysms
    For more info, see Thoracic Aortic Aneurysm at www.vascularweb.org
  • Thoracoabdominal aortic aneurysms
  • Abdominal aortic aneurysms
    For more info, see Abdominal Aneurysm at www.vascularweb.org
  • Aneurysms of the visceral arteries
  • Aneurysms of the peripheral arteries
    For more info, see Peripheral Aneurysms at www.vascularweb.org
  • Mesenteric ischemia
    For more info, see Mesenteric Ischemia at www.vascularweb.org
  • Renovascular Conditions
    For more info, see Renovascular Conditions at www.vascularweb.org
  • Graft infections and mycotic (infected) aneurysms

Techniques and Procedures we use to treat Diseases of the aorta and aortic branches

  • Medical management and disease surveillance
  • TEVAR and EVAR (aortic stent grafts)
  • Traditional operations
  • Hybrid and Debranching procedures
  • Arterial bypass and replacement
  • Neoaortoiliac systems (NAIS) procedures

Cerebrovascular Disease

  • Asymptomatic and symptomatic carotid stenosis
    For more info, see Carotid Artery Disease, Stroke, Transient Ischemic Attacks (TIAs) at www.vascularweb.org
  • Prevention of stroke and recurrent stroke
  • Assessment and management of vertebral artery stenosis
  • Correction of aneurysms and occlusive lesions of the supra-aortic trunks
  • Diagnosis and management of nonatherosclerotic cerebrovascular diseases
    • fibromuscular disease
    • inflammatory arteritis

Techniques and Procedures we use to treat Cerebrovascular Disease

  • Best medical management and disease surveillance
  • Carotid endarterectomy
    For more info, see Carotid Endarterectomy at www.vascularweb.org
  • Carotid artery stenting with embolic protection
    For more info, see Carotid Stenting at www.vascularweb.org
  • Direct and extra-anatomic bypass procedures
  • Stenting of the supra-aortic trunks

Peripheral Artery Disease

For more info, see Peripheral Artery Disease at www.vascularweb.org

  • Acute limb ischemia
  • Assessment and management of intermittent claudication
    For more info, see Peripheral Arterial Disease (PAD) and Claudication at www.vascularweb.org
  • Assessment and management of critical limb ischemia for limb preservation
  • Assessment and management of nonhealing wounds

Techniques and Procedures we use to treat Peripheral Artery Disease

  • Best medical management, exercise therapy, and disease surveillance
    • Endovascular therapies
      • Balloon angioplasty including cryotherapy and cutting-balloons
      • Angioplasty with stenting
        For more info, see Angioplasty and Stenting at www.vascularweb.org
      • Recanalization of total occlusions
      • Orbital atherectomy
    • Bypass procedures
    • Endarterectomy including remote, single-incision endarterectomy
      For more info, see Endarterectomy at www.vascularweb.org
    • Hybrid or combination procedures
    • Thrombolytic therapy
    • Therapeutic Angiogenesis (stem cell therapy)

Acute Venous Thromboembolic Disease

  • Complications of indwelling ports, catheters and pacemakers
  • Superior vena cava syndrome
  • Pulmonary embolism
    For more info, see Pulmonary Embolism at www.vascularweb.org
  • Inferior vena caval interruption (filters)
  • Effort thrombosis (axillo-subclavian thrombosis)
  • Inferior vena caval thrombosis
  • Complications of inferior vena caval filters
  • May-Thurner syndrome (iliac and ilio-femoral thrombosis)
  • Lower extremity deep venous thrombosis
    For more info, see Deep Vein Thrombosis (DVT) at www.vascularweb.org

Techniques and Procedures We Use to Treat Acute Venous Thromboembolic Disease

  • Catheter-directed thrombolytic (clot-busting) therapy
    For more info, see Thrombolytic Therapy at www.vascularweb.org
  • Mechanical thrombectomies (removal of clot)
  • Rheolytic thrombectomy (angiojet)
  • Placement of vena caval filters
  • Removal of vena caval filters
  • Venous stenting and balloon angioplasty
    For more info, see Angioplasty and Stenting at www.vascularweb.org

Chronic Venous Disease

  • Chronic venous insufficiency
    For more info, see Chronic Venous Insufficiency at www.vascularweb.org
  • Varicose veinsChronic venous insufficiency
    For more info, see Varicose Veins at www.vascularweb.org
  • Spider and reticular veins
  • Venous ulcers and nonhealing wounds
  • Unilateral limb swelling
  • Arteriovenous malformations

Techniques and Procedures We Use to Treat Chronic Venous Disease

  • Endovenous laser ablation of varicose veins (EVLT)
  • Radiofrequency ablation of varicose veins (Closure)
  • Sclerotherapy
  • Veinwave
  • Micro-phlebectomy
  • Embolic therapy
  • Venous bypass procedures

Thoracic Outlet Syndrome

For more info, see Thoracic Outlet Syndrome at www.vascularweb.org

  • Medical assessment
  • Referral for physical therapy
  • Supraclavicular cervical and first rib resections
  • Transaxillary first rib resection

Hemodialysis Access

  • Autogenous AV fistula (fistula-first)
  • Dialysis grafts
  • Longterm and temporary dialysis catheters
  • Maintenance of access

For more info, see Dialysis Access at www.vascularweb.org

Techniques and Procedures We Use to Treat Hemodialysis Access

  • Creation of all types of AV fistula
  • Creation of complex (exotic) access
  • Placement of long-term and temporary dialysis catheters
  • Fistulography and angioplasty
  • Access thrombectomy (by catheter and by surgical techniques)

Venous Access

Vascular surgeons are uniquely qualified to manage the needs of patients requiring long-term access, as well as the complications of long-term access devices.

  • Long-term access for chemotherapy
  • Long-term access for plasmapharesis
  • Assessment and treatment for complications of long-term access

For more info, see Venous Access at www.vascularweb.org

Diagnostic Services

  • Noninvasive Vascular Diagnostic Laboratory at Norton Hospital
    • Duplex ultrasonography
    • Doppler and plethysmography
    • Ankle-brachial indices
  • Selective Angiography and Venography