Vascular

Abdominal Aortic Aneurysm

What it is: When the wall of a blood vessel weakens, a balloon-like dilation called an aneurysm sometimes develops. This happens most often in the abdominal aorta, an essential blood vessel that supplies blood to your legs.

Treatment: Stent Graft including custom made fenestrated stent grafts and Open Repair based on individual anatomy

Acute and Chronic Aortic Dissection

What it is: Due to high blood pressure and other reasons, sometimes the wall of a blood vessel splits into two and can cause decreased flow to organs in the body endangering life and limbs.

Treatment: Both endovascular and open repair based on location.

Aortic arch, Thoracic and Thoracoabdominal Aortic Aneurysm

What it is: When the wall of a blood vessel weakens, a balloon-like dilation called an aneurysm sometimes develops. This can happens in the upper aorta, an essential blood vessel that supplies blood to the whole body.

Treatment: Stent Graft including custom made fenestrated stent grafts and Open Repair based on individual anatomy

Aortoiliac Occlusive Disease

Aortoiliac occlusive disease is the blockage of the aorta, the main blood vessel in your body, or the iliac arteries. The iliac arteries are the branches that your aorta divides into around the level of the belly button to provide blood to your legs and the organs in your pelvis. This blockage is typically caused by a buildup of plaque within the walls of your blood vessels.

Treatment: This involves getting through the blockage and stenting it open or doing an open bypass around the blockage to provide blood flow to the pelvis and legs.

Atherosclerosis

Atherosclerosis is a disease process leading to hardening and narrowing (stenosis) of your arteries. The buildup of fat, cholesterol, calcium and other substances creates plaques inside arteries, which can lead to serious problems including heart attack, stroke, amputation and death.

Treatment: This involves overall medical management

Carotid Artery Disease

The carotid arteries are the main arteries in your neck that supply blood to your brain. A substance called plaque accumulates inside your arteries as you age. If too much plaque builds up in your carotid artery, it can cause the artery to narrow (carotid stenosis). Small clots can form, then break off and travel to the brain, causing a minor or major stroke.

Treatment: This involves open carotid endarterectomy in which the artery is cleaned out or carotid stenting in which a stent is used to open the blockage.

Connective Tissue Disorder

These disorders affect the main proteins that are responsible for the strength and integrity of all of our organs, vessels, skin and bones. They cause weakness in the blood vessels, particularly the arteries, that can lead to vascular problems such as aneurysms, aortic dissections, and ruptures.

Endoleaks (Type I-V)

Endoleaks occur when blood leaks back into an aneurysm sac following an endovascular aneurysm repair (EVAR) procedure—one of the procedure’s most common complications.

Treatment: This could involve wait and watch with CT scan versus coiling or stenting the cause of the endoleak

Fibromuscular Disease

Fibromuscular disease causes narrowing of arteries throughout your body, most frequently the arteries to the kidneys (renal arteries) and brain (carotid arteries). In rare cases, FMD can affect leg or intestinal arteries.

Giant Cell Arteritis

Giant cell arteritis encompasses two distinct disorders, both causing severe inflammation in the affected arteries. Though both disorders are rare, they can cause damage to your arteries that lasts for years and can lead to serious consequences.

Treatment: This involves corticosteroids and biopsy of the artery is needed to make the diagnosis.

Hemodialysis Vascular Access

End stage renal disease ultimately needs shunt/fistula creation for dialysis.

Treatment: AV Fistula, AV graft, Tunneled dialysis catheter placement and Balloon Assisted Maturation

Hyperlipidemia

Hyperlipidemia is an umbrella term that refers to any of several acquired or genetic disorders that result in a high level of lipids (fats, cholesterol and triglycerides) circulating in the blood. These lipids can enter the walls of arteries and increase your risk of developing atherosclerosis (hardening of the arteries), which can lead to stroke, heart attack and the need to amputate. The risk of atherosclerosis is higher if you smoke, or if you have or develop diabetes, high blood pressure and kidney failure.

Mesenteric Ischemia

Mesenteric ischemia is poor circulation in the vessels supplying blood flow to your mesenteric organs: your stomach, liver, colon and intestine. With poor circulation, blockages can form and compromise the function of these organs.

Treatment: This involves getting through the blockage and stenting it open or doing an open bypass around the blockage to provide blood flow to the bowels and liver.

Peripheral Aneurysm

A weakening in the wall of a blood vessel in your abdomen or sometimes in a leg which results in an abnormally dilated area. This dilated area is prone to clotting off and interrupting blood flow; rupturing and causing serious bleeding; compressing adjacent tissues.

Treatment: This involves getting through the aneurysm and putting stent-graft across it or ligating it and doing an open bypass around it to provide blood flow distally.

Peripheral Arterial Disease

PAD is a chronic disease in which plaque builds up in the arteries to the legs. This buildup typically occurs gradually. If allowed to progress, blood flowing that artery can become limited or blocked all together.

Treatment: This involves getting through the blockage and using ‘roto-rooter’ or stents to open it or doing an open bypass around the blockage to provide blood flow distally.

Renovascular Conditions

The renal arteries originate from the aorta and are responsible for carrying blood rich in oxygen and nutrients to your kidneys. When the renal arteries become blocked, a condition called renal artery stenosis, your kidneys do not receive enough blood or oxygen. These arteries can also be affected by a number of diseases, most commonly atherosclerosis. Less common conditions that may occur in the renal arteries include: renal artery aneurysms, fibromuscular dysplasia (FMD), and vasculitis (inflammation of the arteries).

Treatment: This could involve conservative management versus stenting.

Stroke

The blood supply to a part of your brain is suddenly interrupted.

Thoracic Outlet Syndrome

A group of conditions that result from compression of the nerves or blood vessels that serve your arms. Usually affects otherwise healthy, young and active people.

Treatment: Usually it’s the first or cervical rib which causes the compression and is surgically removed.

Upper extremity Artery Disease

Arm artery disease is rare, and usually indicates other health issues. Typically, blockages in your arm arteries occur when blood clots float there from your heart or from an injured artery within your chest.

Ulcers

Ulceration of the lower extremities can be caused from both arterial disease processes as well as venous. Physical exam in addition to ultrasound imaging can help determine the correct diagnosis and guide the treatment plan.

Treatment: Arterial causes can be treated with endovascular intervention or surgical bypass in order to ensure adequate blood supply to the wound for proper healing. Venous related ulcers can be improved with radiofrequency ablative therapy and wound care.

Vascular Infections

An artery or vein or a graft that has been used to replace an artery or vein can get infected by bacteria, viruses or fungus. The infection flows through your bloodstream, and may cause you to become very sick with fevers, chills and weight loss. The infection could occur within months of the replacement procedure or many years later.

Treatment: Usually involves resection of the infected graft and replacement with cryopreserved grafts.

Vascular Screening

ABI, Carotid, Abdominal and Extremity Ultrasound

Vascular Trauma

The term “vascular trauma” refers to injury to a blood vessel—an artery, which carries blood to an extremity or an organ, or a vein, which returns blood to the heart.

Vasculitis

Vasculitis refers to a group of disorders that involve inflammation of blood vessels. The inflammation is due to the immune system attacking and damaging your arteries, veins and/or capillaries.

Visceral Artery Aneurysm

An aneurysm is an expansion of an artery due to a weakening of the artery wall. As the artery enlarges like a balloon, the wall becomes thinner and can burst. A visceral artery aneurysm is one associated with the arteries supplying your liver, spleen, kidneys or intestines.

 

Vascular and Vein Institute

1385 W Brierbrook Road
Germantown, TN 38138
2693 Union Ave Ext St 100
Memphis, TN 38112
902 Holiday Dr St 106
Forrest City, AR 72335
7600 Airways Blvd St B
Southaven, MS 38671
901-390-2930
901-390-2940

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