Endovascular interventions represent roughly 70 percent of our elective surgeries and the share continues to grow as our patient cohort trends older and with more comorbidities. These minimally invasive procedures are typically tolerated better because they more often require only local anesthesia, involve smaller incisions with less tissue damage and bleeding, and are followed by in-hospital recoveries ranging from a few hours to two or three days. The endovascular interventions we offer include percutaneous transluminal angioplasty of the carotids and peripheral arteries to normalize impaired blood flow; endovascular aortic surgery to treat abdominal and thoracic aortic aneurysms and thoracic aortic dissections to correct and prevent further dissection; and orbital atherectomy to debulk arterial plaque and expand lumens by mechanical shaving. We are also participating in a NIH trial looking at new minimally invasive endovascular treatments for deep vein thrombosis of the upper and lower extremities.
Despite the many advantages of endovascular surgeries, open vascular approaches are sometimes the better option especially where a minimally invasive approach cannot or should not be performed. These include some abdominal aortic aneurysms; carotid endarterectomy for patients with asymptomatic severe carotid stenosis; and some arterial revascularizations of the upper and lower extremities. Some procedures our vascular and endovascular surgeons perform include: