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Vascular & Endovascular Surgery

Vascular Surgery

Vascular surgery is a specialty that focuses on the treatment of arteries and veins outside of the brain and heart. This means that vascular surgeons operate all over the body. MarinHealth’s board-certified Vascular Surgeons provide the comprehensive expertise of their university training with the familiar, personal touch of a community hospital. Taking advantage of the most extensive electronic medical record network, we work closely with your primary care physician, specialists, podiatrist, and other care team members to best serve the needs of our patients.

Our surgeons are highly qualified and experienced in traditional open vascular surgery, but also in the minimally invasive techniques referred to as endovascular surgery. An endovascular approach means putting wires and special catheters into an artery or vein through a small needle hole in the skin to fix a problem inside the vessel. The decision between an open or endovascular operation depends on many factors and is one made carefully together with your surgeon. Some conditions can be treated by combining open and endovascular skills into a “hybrid” operation that allows for the benefits of both techniques with lower risk and optimal outcomes.

MarinHealth Medical Center has a dedicated operating room that is specifically designed to do both open and endovascular procedures. At MHMC, our expert team uses state-of-the-art technologies in a patient-centered, community-based setting. We offer the full spectrum of vascular and endovascular care, aiming for minimal incisions, reduced pain and shorter recovery time. We also can treat a wide range of wounds and assist in arranging and coordinating associated nursing, equipment and supply needs.

Commonly Seen Conditions

  • Carotid stenosis
  • Thoracic outlet syndrome (including Paget-Schrotter Syndrome)
  • Aneurysms (non-cerebral, non-cardiac)
  • Aortoiliac occlusive disease
  • Mesenteric ischemia (including SMA syndrome and median arcuate ligament syndrome)
  • Renal artery stenosis
  • Peripheral arterial disease (PAD – upper and lower extremity)
  • Deep venous thrombosis and pulmonary embolus
  • Venous insufficiency
  • Varicose and spider veins
  • May-Thurner Syndrome
  • Pelvic congestion syndrome (including Nutcracker syndrome)
  • Vascular malformation
  • Dialysis access
  • Lymphedema
  • Wound care

Common Operations

Carotid

  • Carotid endarterectomy
  • Carotid angioplasty and stent (transcarotid or transfemoral)
  • Carotid-subclavian bypass or subclavian-carotid transposition

Aortic

  • Thoracic, abdominal, and iliac aneurysm repair
  • Mesenteric stent or bypass
  • Renal stent or bypass

Peripheral Arterial

  • Femoral or popliteal aneurysm repair
  • Revascularization
    • Bypass
    • Endarterectomy
    • Angioplasty, stent, and atherectomy
  • Thromboembolectomy and thrombolysis

Venous

  • Vena cava filter placement and removal
  • Saphenous vein ablation (thermal and non-thermal)
  • Sclerotherapy
  • Vein stripping and phlebectomy
  • Thrombolysis and thrombectomy
  • Angioplasty and stent

Dialysis access management

  • Arteriovenous fistulae and graft planning and creation
  • Tunneled central venous catheters
  • Fistula/graft maintenance (revision, fistulogram)

Wound management

  • Amputation