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Vascular Services

Vascular Services

Our experts utilize the latest technology and techniques in vascular care, therefore providing our patients with more precise and less painful treatments than ever before. Together our team provides a wide variety of services to address anything from leg pain to circulation problems, and specialize in treatment of venous disease, peripheral arterial disease, carotid artery stenosis and aortic aneurysm surgery. Our comprehensive care team wants to help you further understand your condition and treatment options. We are more than happy to address any questions that you may have and also offer several seminars and screenings to further discuss vein disease

 

 

Angiogram – A same-day procedure that allows your vascular surgeon to view the blood flow to your legs or arms to evaluate for blockages. Your surgeon may proceed to an intervention such as angioplasty (balloon) and/or place a stent in the blockages while you are on the table at the same time, still allowing you to go home the same day. These procedures are performed to improve blood flow to your legs and enable you to walk further and have less pain in your legs than before surgery. Your surgeon may determine the best course of action will be to perform surgical bypass. This will be discussed with you after the angiogram. These procedures are performed through your groin in the femoral area and require a few days of restriction from lifting more than 10 lbs.
Peripheral Intervention - A same-day procedure that allows your vascular surgeon to balloon (angioplasty) and/or place a stent in a blockage in either your legs or arms allowing for greater blood flow and decreased pain. These procedures allow you to ambulate further and have less pain in your legs. These procedures are performed through the groins in the femoral area and require a few days of restriction from lifting more than 10 lbs.
Peripheral Bypass – A procedure performed in the operating room to bypass the blockages in your legs using either your own veins, or a graft. These procedures usually require an overnight stay, but are done to improve the blood flow to your legs to prevent limb loss.
AVF/AVG – Performed for patients who need to undergo hemodialysis and need a permanent access placed, usually done in either arm, and as a same-day procedure.
Renal Artery Intervention – performed as a same-day procedure where a balloon and/or stent are placed in the renal arteries leading to your kidneys.
Carotid Endarterectomy – Performed if your surgeon sees a blockage in your carotid artery leading to your brain and prevention of stroke. This usually requires an overnight stay and is done to clean out the cholesterol build up in your carotid arteries.
Carotid Stent – Performed if your surgeon sees a blockage in your carotid artery. This allows for better blood flow to your brain and prevention of stroke. This requires an overnight stay in the hospital.
EVAR – Endovascular Abdominal Aortic Repair – This is done to repair a bulge in the main blood vessel in your abdomen, called the aorta. The aorta is the main blood vessel in the body, extending from your heart to your belly-button area. This procedure is performed minimally invasive through your femoral arteries in your groins. An endovascular graft is placed through the groins and requires an overnight stay. There are mild weight-lifting restrictions and several days of no driving after the procedure.
Open Abdominal Aortic Aneurysm Repair – Sometimes the bulge in your blood vessel (aorta)does not meet criteria for an EVAR, and must be done as an open procedure. This requires an incision in your abdomen and a graft is sewn into place, replacing the diseased portion of the aorta. On occasion, this is performed as an emergency, if the aorta has ruptured. The goal of the Dare to Care screening is to identify aneurysms before they rupture and repair them with an elective well controlled procedure.
TEVAR – Thoracic Endovascular Aortic Repair – This procedure is done to repair an aneurysm or diseased portion of aorta. The aorta is the main blood vessel in the body, extending from the heart to your belly-button area. The aorta in your chest is called the thoracic aorta. This is similar to the EVAR in that it is minimally invasive, done through your groins. It does require 1-2 overnight stays in the hospital.
IVC Filter Placement – A small device placed in your vein to prevent a blood clot from travelling to your lungs. This is done through the groin and is a same-day procedure. It can also be removed at a later date.
Catheter-Directed TPA – Medication that is placed through a catheter to deliver clot-busting medication to a precise area where the blood clot is blocking blood flow. This usually requires an overnight stay to observe for any bleeding and for resolution of the blood clot.
Temporal Artery Biopsies – completed on the blood vessels in your temple to rule out certain inflammatory vascular conditions. Completed in the Operating room as a same-day procedure.
Venous Ablations – completed in the office in a short procedure to seal off the varicose veins that cause pain and swelling.
Microphlebectomies – completed in the office in a short procedure to remove pieces of enlarged veins that cause pain and swelling.
Testing that is offered during an office visit by experienced, specialized vascular ultrasound specialists are:
Carotid Artery Duplex (Ultrasound)
Abdominal Artery Duplex (Ultrasound)
ABI/PVR – ankle-brachial index used to measure blockages in either the legs or arms that is non-invasive
WBI/PVR – wrist-brachial index
VVI Duplex – Venous Valvular Insufficiency study to diagnose varicose veins with faulty valves
Venous Ultrasound – used to evaluate for a blood clot in either legs or arms
Arterial Ultrasound – used to evaluate the blood flow in legs or arms, usually performed after an intervention in follow up.
AVF Duplex – Ultrasound to evaluate your AVF after placement and prior to hemodialysis.
Vein Mapping – Ultrasound study used to measure blood vessel sizes and lengths to evaluate prior to surgery.

Vascular Services

 
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