Tratamientos Vasculares

Your specialist may recommend creating an entryway into your bloodstream that lies completely under your skin, usually in your arm. This entryway or "port" allows your doctor to remove and return blood quickly and safely during dialysis. This is the most common treatment for kidney failure and requires minor surgery.

An arteriovenous fistula (AVF) can be surgically created and used for hemodialysis. Once created, the fistula is a natural part of the body. This is the preferred type of access because it’s completely natural. Once the fistula properly matures, it provides an access with good blood flow that can last for decades.

A hemodialysis reliable outflow, or HeRO, graft is another surgical option we provide. The HeRO graft removes the need for a catheter. It’s also useful if a fistula fails. Patients can be more comfortable with less likelihood of infection than with catheters.

Central venous obstruction is a common problem in patients with chronic kidney failure who undergo ongoing hemodialysis. Under certain circumstances, we perform central vein (CV) bypass surgery to reduce or avoid this kind of condition.

This is the surgical removal of plaque from a narrowed or blocked artery. A sticky substance called plaque can build up in your artery walls (atherosclerosis) and reduce or cut off oxygen to your organs or muscles. Your vascular surgeon makes an incision in the artery to remove the plaque and restore blood flow.

A carotid endarterectomy (CEA) may be used to treat your carotid artery disease. During this operation, your surgeon performs the procedure on the arteries on either side of your neck.

During this procedure, your vascular surgeon inserts a slender, metal-mesh tube, called a stent, into an artery to increase blood flow in areas blocked by plaque. This plaque buildup may result from hyperlipidemia.

Carotid artery stenting (CAS) is a procedure where your vascular surgeon places the stent inside the arteries on either side of your neck.

Your vascular surgeon repairs or removes an aneurysm, an enlarged and weakened section of an artery, through an incision in your skin. An aneurysm is a serious health concern. It can rupture or allow blood clots to form.

Aneurysms can be repaired safely either by open vascular surgery or through an endovascular procedure using a stent graft.

Many of our cardiothoracic and vascular surgeons are experienced in TVAR. We perform this surgery inside your aorta using thin, long tubes called catheters. The catheters are used to guide and deliver a stent-graft through the blood vessels to the aneurysm through small incisions in the groin. The stent graft is then deployed in the diseased segment of the aorta and "relines" the aorta like a sleeve to divert blood flow away from the aneurysm.

We also perform Fenestrated Endovascular Aortic Aneurism Repair (FEVAR) with grafts that are custom designed to fit each patient’s unique aortic anatomy. FEVAR is a minimally invasive surgical alternative to the traditional open aortic aneurysm repair.