Vascular and Endovascular Surgery

Our vascular and endovascular surgeons provide comprehensive, leading-edge treatment for the entire spectrum of vascular disease.
Vascular diseases involve blood vessels throughout the body. Our specialists are trained and highly experienced in performing open and minimally invasive endovascular surgery for:

Peripheral Artery Disease (PAD)

Peripheral artery disease (PAD) is a condition that impacts the blood vessels in the legs or lower extremities, causing them to become narrow or blocked. The blockage is caused by plaque buildup in the leg arteries.

The buildup of plaque is caused by several factors including a history of smoking, diabetes, high blood pressure, high cholesterol, and being over the age of 50. In the United States, over eight million people are affected by PAD, which can impact mobility and cause pain. There are several options for improving the symptoms associated with PAD, including lifestyle changes and minimally invasive medical procedures.

Signs and Symptoms

If you are at risk of PAD, it is essential to understand the symptoms and early warning signs so you can take action before the disease begins to impact your movement. Only one in four people experience typical peripheral artery disease symptoms, such as pain, aching, or heaviness in the legs. Many people do not have any symptoms, particularly early on in the disease.

Treatments

Minimally invasive treatment options include:
• Angiography
• Angioplasty and Stenting
• Atherectomy
• Shockwave Angioplasty

Open surgical treatment usually involves bypass surgery also called lower extremity or leg bypass. This procedure is similar to a road detour, the surgeon uses a natural or synthetic graft to route blood flow around a blockage.

Carotid Artery Disease

Carotid artery disease is a serious medical condition that can cause a TIA or stroke and loss of life. Strokes can occur when plaque decreases blood flow to your brain because of the narrowing of an artery or by breaking loose and blocking an artery in your brain itself.

Signs and Symptoms

• Numbness on one side of your body
• Weakness, paralysis or loss of coordination on one side of your body
• Drooping on one side of your face or mouth
• Blindness or loss of part of the vision in one eye that typically is described as like a shade being drawn over an eye
• Loss of speech or garbled speech
• The inability to write or understand writing
• Episodes of memory loss
• Loss of consciousness

Treatments

Minimally invasive treatments include:

• Trans Carotid Arterial Revascularization (TCAR) is a treatment that reduces the risk of stroke for high-risk surgical patients. TCAR minimizes surgery risks by keeping potential stroke-causing plaque away from the brain using a breakthrough proprietary device. The procedure is performed in less than half the time of a carotid endarterectomy procedure, which limits stress on the heart and significantly reduces the risk of having a stroke or heart attack during the procedure. Patients who undergo the TCAR procedure recover quickly and return to their day-to-day activities the next day, with less pain, smaller incision, and a reduced risk of future strokes. Eisenhower Health is one of the leading hospitals in California offering the TCAR procedure for carotid stenosis with over 700 of these procedures being performed.
• Transfemoral carotid artery stenting for carotid artery disease opens a blocked artery. It improves blood flow and reduces your stroke risk. This minimally invasive procedure takes place through a small groin incision and your femoral artery. Using a balloon device and stent (mesh tube) to push plaque aside and keep the artery open.

Open Surgical Treatment Options

• Carotid Endarterectomy involves removing plaque that builds up inside the carotid artery. The surgeon will make a cut (incision) on the side of the neck over the affected carotid artery. The artery is opened and the plaque removedand the artery is stitched back together. This restores normal blood flow to the brain. You may have this procedure while you are awake under local anesthesia or while you are asleep under general anesthesia.

Aortic Aneurysm

Minimally Invasive Treatment Options:

• EVAR (Endovascular Abdominal Aortic Aneurysm Repair)\
• FEVAR (Fenestrated Abdominal Aortic Aneurysm Repair)
• TEVAR (Thoracic Endovascular Aortic Repair

Open Surgical Treatment Options:

Aortic bypass/reconstruction

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Fistulagram with angioplasty and stunting
Percutaneous Mechanical Thrombecttomy

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Surgical Arteriovenous Fistula Creation
Arteriovenous Graft Placement

Venous Disease

Venous Insufficiency / Deep Vein Thrombosis- informational

Treatment options
Venogram, Intravascular Ultrasound, Stenting
Vein Closure
Phlebectomy