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Vascular Surgery

Abdominal Aortic Aneurysm

Abdominal Aortic Aneurysm Treatment | ChicoAn aneurysm is a bulge in the artery wall that is weakened by smoking, hypertension, or other causes. Aneurysms can form in arteries throughout the body, but most occur in the aorta. The aorta is the largest artery in the body and carries blood directly from the heart to other smaller blood vessels in the rest of the body. Aneurysms can be repaired with an aortic stent graft or with a traditional open procedure.

Aortic Endovascular Stent Grafting

In an endovascular stent-grafting procedure, a small fabric tube which is attached to self expanding metal stent is guided up the aorta from small groin incisions. The graft is allowed to expand into place thus creating a new lining for the weakened aorta. The aneurysm generally shrinks around the stent as time passes.

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Open Aneurysm Repair

Some aneurysms cannot be repaired by the endovascular stent graft approach and must be repaired with the traditional open repair. Open aneurysm repair involves making an incision in the abdomen, opening the aneurysm, and sewing in a graft made of a synthetic tube. This is a much larger operation than the endovascular stent graft procedure requiring a longer hospital stay.

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Carotid Artery Disease

Carotid Artery Disease Treatment  | ChicoThe carotid arteries in the neck carry blood from the heart to the brain. Carotid artery disease results from a build-up of plaque that hardens the artery, a condition called atherosclerosis. This plaque can narrow the artery and restrict blood flow or it can break off and lodge in an artery in the brain causing a stroke. Carotid surgery is performed to clear a blockage in the carotid artery and restore blood flow to the brain. Carotid surgery procedures may take the form of an endarterectomy or an angioplasty with stent placement.

Carotid Endarterectomy

An endarterectomy surgically removes diseased material and clogged deposits from the inside of an artery to restore normal blood flow. By keeping blood flow open to the brain, a carotid endarterectomy helps prevent the occurrence or recurrence of stroke.

Carotid Stenting

Carotid stenting involves the implantation of a metal mesh tube (stent) to hold a clogged artery open so blood can flow through it unobstructed. The stent is put in place through a small tube inserted into an artery in the groin. It is threaded up through the blood vessels to the carotid artery, and gently expanded, pushing open the blockage and restoring blood flow.

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Peripheral Artery Disease (PAD)

Peripheral Artery Disease (PAD) Treatment | ChicoPeripheral artery disease (PAD) occurs when blood vessels to the arms and legs are blocked, hardened and narrowed with plaque in a condition called atherosclerosis. The risk factors for PAD include smoking, hypertension, elevated cholesterol, obesity, lack of exercise, and a poor diet. Symptoms of PAD are muscle pain in the legs brought on by exercise and relieved with rest. More severe symptoms may be pain in the foot--even at rest.

There are several treatment methods for peripheral artery disease (PAD), ranging from life-style changes (e.g. exercise and diet modifications, no smoking, control of blood sugar and blood pressure) and medications (such as blood thinners and cholesterol-lowering statins) to angioplasty and surgery.

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Vascular Access

Dialysis treatments require reliable access to the patient’s blood so that it can be cleaned by the dialysis machine. There are three basic kinds of vascular access for dialysis treatments, including: arteriovenous (AV) fistula, AV graft, and venous catheter. Your doctor will determine which type of access is most appropriate for you based on a thorough evaluation of your condition.

Endovascular & Minimally Invasive Therapies

Endovascular surgery involves minimally invasive techniques of treating blocked or damaged arteries. Clogged arteries can be opened with balloon dilation and this is called angioplasty. If the artery does not stay open, then a metal mesh tube called a stent may be inserted to keep the vessel open. Atherectomy or plaque removal can be performed with a laser or with a device that shaves it away. Sometimes clot melting medications are infused to open vessels up. These minimally invasive techniques are employed when appropriate. Sometimes patients benefit from a combination of endovascular and open surgery.

Inferior Vena Cava Filter Placement

IVC Filters are inserted through a small incision in the groin and placed in the inferior vena cava (IVC) in the abdomen to prevent blood clots that have broken loose from other parts of the body from reaching the heart and lungs.

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