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Vascular Surgery

Mesenteric Aneurysm Repair Merits a Vascular Surgeon

Over the last several years there have been multiple advances in vascular surgery. One of these is the treatment of mesenteric aneurysms, which are treatable via both endovascular and open means. While the aneurysm itself may cause pain, it is often asymptomatic. Depending on the size and symptoms, an aneurysm may require treatment as if…

Open Repair

For those patients with compromised skin or unresponsive to other treatment modalities open surgical repair remains the best option. The surgeon will place sutures in the broken arterial wall and remove the surrounding hematoma.

Thrombin Injection

The least invasive and often first line treatment is injection of the pseudoaneurysm with a medication that induces clotting. The medication induces clotting, which effectively closes off the communication between the artery and tissue cavity. Patients most suited to this treatment have specific pseudoaneurysm characteristics that your surgeon will discuss.

Repair of Pseudoaneurysms

Vascular surgeons are often called upon to assist other interventionalists. Occasionally, during a procedure such as a cardiac catheterization, the artery can be damaged. Over the area where the vessel was punctured it may not seal properly and form a pseudoaneurysm or false aneurysm. A true aneurysm involves all three layers of the arterial wall…

Lumbar Sympathectomy

Chronic limb ischemia can be difficult to treat. Medications and an exercise regimen are the first line of treatment. Should these measures fail, patients may benefit from endovascular intervention. However, with rest pain or tissue loss patients may require a bypass or repeated endovascular interventions. Some patients, despite a surgeon’s best efforts, continue to have…

Treatment of Popliteal Artery Aneurysms

Aneurysms can form in any blood vessel in the body. An aneurysm is a dilation of an artery. Typically, an aneurysm is defined as 1.5 times the normal diameter of an artery. However, the size of an aneurysm requiring treatment varies based on anatomic site. One of the most common sites of aneurysmal disease is…

Thromboembolectomy of the Lower and Upper Extremities

Atrial fibrillation is an extremely common medical problem. Patients usually require medication to thin their blood to prevent blood clots. However, for those patients who are unaware of their atrial fibrillation and not on blood thinners they can form clots in the heart that can travel to other parts of the body, blocking blood flow…

Treatment of Phlebitis

Phlebitis is inflammation of the blood vessels. The most common reason for phlebitis is instrumentation of the vessel such as after an IV has been placed or after IV drug use. Most often the inflammation is localized and self-limited. For most patients, warm compresses, anti-inflammatory medications, and elevation are all that are needed to treat…

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