Patient Care; Research; Education

The Division of Vascular Surgery and Endovascular Therapeutics is a dynamic and growing academic division of the Department of Surgery. The vascular division has a tripartite mission which includes the provision of clinical care and services, conduct of clinical and translational research, and education which includes undergraduate medical, graduate, and continuing medical education.

Faculty of the vascular division provide comprehensive clinical services within the Downtown Louisville Medical Center. Compassionate care is provided for patients with routine disorders as well as complex challenges. The faculty often employ innovative endovascular and hybrid procedures in circumstances in which traditional, open surgical approaches are deemed either too risky or too morbid. The faculty strives to individualize approaches to achieve the best outcome for each patient. Collaborative care and teamwork are used in many cases of complex traumatic and oncologic problems as well.

The clinical research program has steadily gained momentum since 2009. Presently, the vascular division faculty are engaged in clinical trials involving carotid artery stenting, use of stents in peripheral artery disease, autologous stem cells for severe arterial insufficiency with poor or no surgical options, lining or “sodding” of prosthetic vascular grafts, and hemodialysis access. Moreover, through collaboration with Dr. Stuart Williams and the Cardiovascular Innovations Institute, efforts are ongoing towards the development of an agenda to investigate fundamental problems in the development and treatment of degenerative vascular disease.

The vascular division strives to provide the best educational experiences possible for the medical students and residents of the University of Louisville School of Medicine through regularly scheduled lectures, conferences, Grand Rounds, and visiting professor programs. These programs dovetail with the division’s continuing medical education program in which faculty provide practicing physicians updates on basic guidelines and new approaches for the management of vascular illness.

Comprehensive, Patient-centered Care
with all the Options

Carotid Stent

Faculty members of the Division of Vascular Surgery and Endovascular Therapeutics have the technical expertise to offer the entire range of vascular therapy, from cutting-edge technologies to well-established operations, to meet the needs of an individual patient.

The series of selective carotid arteriograms shown above are those from a 75 year-old grandmother from Boonville, Indiana. She was first referred for an extensive, recurrent right carotid stenosis 6 years following a redo right carotid endarterectomy. As an alternative to a third open operation, a carotid artery angioplasty and stenting procedure was successfully performed. Figure 1 shows the appearance of the right carotid artery 14 months after the procedure.

Even though atherosclerotic risk reduction therapies were utilized, she developed a similar recurrent left carotid stenosis (Figure 2). She was offered treatment in the CHOICE clinical registry and had a left carotid stent (Figure 3). The procedure was accomplished with minimal sedation. She spent six hours at bedrest and went home the next morning. She continues to do well.

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Clinical Service Photo

Amit J. Dwivedi, M.D. , R.V.T., R.P.V.I., F.A.C.S
Associate Professor of Surgery and Chief Division of Vascular Surgery and Endovascular Therapeutics
Medical Director, Louisville Vein Care Institute