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OPEN VASCULAR SURGERY


OPEN VASCULAR SURGERY PROCEDURES

Below are the procedures that our board certified vascular surgeons perform:

ARTERIAL GRAFT

Arterial grafting is performed to bypass a blocked or diseased part of an artery in order to restore proper blood flow and reduce the risk of serious complications. During this procedure, part of a blood vessel from another area of the body is used to prevent blood from passing through narrowed vessels affected by a wide range of vascular conditions to ensure that oxygen-rich blood can successfully reach the heart. The graft used in this procedure is often taken from a healthy artery in the chest, leg or arm.

This procedure is usually performed under general anesthesia and may take several hours, depending on the number of arteries being bypassed. A hospital stay is often required after this procedure and patients will be given specific post-operative instructions in order to promote proper healing and effective heart function.

CAROTID ENDARTERECTOMY

A carotid endarterectomy begins with an incision in the neck, exposing the narrowed carotid artery. At this point, a shunt may be used to direct blood flow away from the area being operated on. Then, the surgeon opens the artery and removes the plaque, usually in one piece. In some cases, a vein from the leg is grafted onto the carotid artery to widen it. The shunt is then removed and all incisions are closed.

Recovery from Carotid Endarterectomy

A hospital stay of 1 to 3 days is usually required after a carotid endarterectomy. Day-to-day activities can be continued about a week after surgery, as long as they don’t involve strenuous physical labor. Neck aches may last for about 2 weeks after surgery; therefore, it is important for you not to turn your head too fast during the recovery period.

TREATMENT & SURGICAL ANEURYSM REPAIR

An aneurysm is an abnormal bulge in the wall of an artery. They can occur in the brain, intestine, neck, spleen, legs, or heart. Aneurysms usually develop wherever pressure is strongest, i.e., in areas where blood vessels divide and branch off to other parts of the body. Aneurysms are extremely risky: if the aneurysm bursts, it can cause life-threatening internal hemorrhaging.

Aneurysms can be caused by illness or injury, but some people are genetically predisposed to aneurysms due to the poor elasticity of their arteries. Other factors include: plaque buildup, cigarette smoking, high blood pressure, and blood infections.

ABDOMINAL AORTIC ANEURYSM TREATMENT

An aneurysm is a localized, balloon-like expansion in a blood vessel, caused by weak vessel walls. The abdominal aorta refers to the part of the aorta (the artery that carries oxygen-rich blood from the heart to the legs) between the diaphragm and the legs. Hence, when a bulge occurs in the abdominal aorta, it is called an abdominal aortic aneurysm. Most aortic aneurysms occur in the abdomen, and most abdominal aortic aneurysms occur beneath the kidneys and may continue into the iliac (leg) arteries.

Surgery is recommended for arteries at great risk for rupture: those over six centimeters wide, and those four to six centimeters wide in patients otherwise in good health. Surgery is performed immediately on arteries that threaten imminent rupture or have already ruptured, although success is far less likely once the vessel has burst.

DIALYSIS ACCESS

Short for hemodialysis, dialysis is the most common treatment for chronic kidney failure. Healthy kidneys effectively remove excess fluid, minerals and waste from the blood to keep it clean and prevent disease. When the kidneys fail, they can no longer filter wastes from the blood. Dialysis does the kidneys’ job for them: blood is removed from a vein in the patient’s arm or leg, circulated through a filtering machine, and returned to the body through an artery.

Because veins tend to have weak blood flow, doctors often connect one of the patient’s nearby arteries to the vein being accessed for dialysis. This increases blood flow and strengthens the vein, which in turn allows more blood to flow. The vein’s increased strength and capacity helps create a durable access site and provide ample blood flow for patients undergoing long-term dialysis.



EDGEWOOD


1952 Pulaski Hwy
Suite B-2
Edgewood, MD 21040


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1 Barrington Pl
#103
Bel Air, MD 21014


ELKTON


125 E. High Street
Elkton, MD 21921



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Whitesquare Professional Building
9105 Franklin Square Drive
Suite 318
Baltimore, MD 21237


ABERDEEN


Aberdeen Medical Pavilion
(Old Aberdeen High School Building)
34 N. Philadelphia Blvd
Suite 100
Aberdeen, MD 21001


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