Vascular surgery and endovascular therapy program at The Medical Center of Aurora
At The Medical Center of Aurora, a team of expert doctors diagnose and treat all types of vascular conditions. Led by board-certified vascular surgeons, The Medical Center of Aurora provides both innovative and holistic approaches to treating a patient's vascular disease.
Vascular disease can impact the veins and arteries that carry oxygen and nutrients to all of the cells in your body. These include blood vessels to the brain that can cause strokes, blood vessels to the legs that can cause pain while walking as well as blood vessels that can become dilated and aneurysmal, leading to potential blood vessel rupture. Not all blood vessel conditions require surgical treatments. Many are managed through medications and lifestyle modification. Types of vascular conditions treated at The Medical Center of Aurora include:
- Abdominal aortic aneurysm
- Aortic dissection
- Aortoiliac occlusive disease
- Arm artery disease
- Carotid artery disease
- Chronic venous insufficiency
- Connective tissue disorder (CTD)
- Diabetic foot
- Deep vein thrombosis (DVT)
- Endoleaks (Type I-V)
- Fibromuscular disease
- Giant cell arteritis
- Mesenteric ischemia
- Peripheral aneurysm
- Peripheral arterial disease (PAD)
- Peripheral vascular disease (PVD)
- Renovascular conditions, including dialysis access
- Thoracic aortic aneurysm
- Thoracic outlet syndrome
- Varicose veins
- Vascular infections
- Vascular trauma
- Visceral artery aneurysm
Preventative vascular care at The Medical Center of Aurora
At The Medical Center of Aurora, treatment for vascular conditions starts at prevention. Our board-certified physicians specialize in treating patients with vascular diseases and provide patients with a comprehensive treatment plan for many different vascular diseases.
Many patients might not know that they need to see a vascular specialist, or be aware of the preventive steps they can take to reduce their risk of vascular disease. One in 20 Americans 50 years old and older have peripheral arterial disease and one in three people with diabetes 50 years old and older have peripheral vascular disease. Our physicians believe that when it comes to peripheral vascular disease (a blockage in the arteries), you can't treat PAD on its own. They treat all the problems related to the condition, such as high blood pressure, diabetes and high cholesterol. This is where the preventive medicine comes into play.
According the Society for Vascular Surgery (SVS), peripheral artery disease affects more than 10 million people in the U.S. PAD refers to conditions that affect the arteries alone, while PVD refers to any condition impacting the blood vessels and veins.
Atherosclerosis (a buildup of plaque inside the arteries) can lead to serious health problems, including heart attack, stroke, amputation and death. According to the SVS, atherosclerosis-related diseases are the number one cause of death for both men and women in the U.S.
Due to the prevalence of vascular disease, it's imperative for patients who are at risk to see a specialist early on.
Vascular and endovascular surgical procedures
In many cases, vascular conditions can be treated without the need for large surgical incisions. As a leader in treating vascular disease, The Medical Center of Aurora offers a number of minimally invasive surgical procedures along with traditional open surgical approaches for different types of vascular conditions.
Vascular procedures performed at The Medical Center of Aurora include:
- Endovascular or open repair of abdominal aortic aneurysms, thoracic aortic aneurysms and thoracoabdominal aneurysms, including fenestrated stent grafts
- Endovascular repair of thoracic aortic dissections
- Open surgical reconstructions and endovascular surgical interventions such as balloon angioplasty and stenting in all vascular areas
- Carotid endarterectomy, carotid artery stenting and transcervical carotid stenting
- Bypass surgery and endovascular therapy for peripheral artery disease and gangrene of the limbs
- Endovascular and open surgical treatment for peripheral artery aneurysms
- Endovenous laser therapy treatment or perforator surgery for varicose veins and venous ulcers
- Endovascular and open surgical reconstruction for deep vein occlusions
- Hemodialysis access, including femoral vein fistulas
- Treatment of thoracic outlet syndrome
- Treatment of carotid body tumors and other vascular tumors
An example of our progressive approach to vascular disease includes transcarotid artery revascularization (TCAR). This is a new, innovative procedure designed to reduce the risk of stroke or treat patients who have had strokes. During a TCAR procedure, a small incision (much smaller than a typical carotid endarterectomy incision) is made at the neckline just above the clavicle. A surgeon then places a tube directly into the carotid artery, temporarily reversing flow to the brain to protect from debris floating towards the brain. A stent is placed in the artery to stretch open the blockage and once the stent is properly in place, blood flow is allowed to resume its normal direction.
The Medical Center of Aurora is one of the first hospitals in Colorado to offer the TCAR procedure, along with other minimally invasive treatment options for vascular disease.
Quality care from a team of vascular specialists
The care of a vascular patient truly requires a multidisciplinary team specializing in the needs of patients with PAD. Our team of skilled practitioners work closely together in order to provide the most specialized and precise care for your loved ones. A good example of this collaboration is our limb salvage program at TMCA.
As a Wound Care Center, The Medical Center of Aurora provides immediate and emergency care for patients with extremity wounds and serious traumatic injuries. One of the major goals of our Vascular Program is to reduce the need for amputation and provide early intervention for patients with vascular disease. In some cases, an extremity wound could be related to or the result of vascular disease, which is why it is imperative for patients to see a specialist during the initial stages of treatment. Each year, more than 160,000 amputations occur in the U.S. alone as a result of PAD. The focus of our multidisciplinary team is to provide the highest care leading to limb salvage, one extremity at a time.
The Medical Center of Aurora is dedicated to high-quality care and individualized treatment options for all patients with vascular disease. Our vascular surgeons are committed to helping every patient reduce their risk of vascular disease and improve their quality of life.
Advanced noninvasive vascular imaging
Noninvasive vascular imaging uses state-of-the-art imaging technology to diagnose vascular diseases and assist our cardiologists, cardiothoracic surgeons and vascular surgeons with diagnosing and planning surgical procedures.
These imaging studies provide valuable information needed to plan procedures such as aortic aneurysm repair and transcatheter aortic valve repair (TAVR), a new method of replacing the aortic valve without requiring open-heart surgery.
There are a variety of medical examinations to accurately diagnose patients' vascular conditions. These examinations include:
- Vascular ultrasound: This noninvasive exam uses high-frequency sound waves to create images to visualize blood vessels as well as detect the rate of blood flow through blood vessels. Ultrasound imaging can be used to detect blood clots and narrowed blood vessels throughout the body. It can also be used to evaluate varicose veins and determine candidates for endovenous (vein) ablation.
- Computed tomography angiography (CTA): CTA is a noninvasive exam that uses computed tomography (CT) technology to look at the blood vessels. It is used to evaluate abnormal narrowing or enlargement of blood vessels in the chest, abdomen, pelvis and extremities. Our CTA techniques minimize radiation exposure while providing high-quality diagnostic images.
- Magnetic resonance imaging/angiography (MRI/A): Magnetic resonance imaging is a noninvasive technique that uses magnetic resonance (MR) technology—not ionizing radiation—to look at blood flow through the blood vessels. MR techniques can also be used to identify flow and areas of stress in blood vessels that can lead to problems in the future.