Vascular Services
Procedures -
Vascular Services Procedures
Peripheral Vascular Disease Screening Free Service offered for people 55 or older with a history of smoking or diabetes, and any one over age 70. No physician referral necessary. Service Includes Ankle Brachial Index (ABI) & Screening
CT Angiography
MR ANGIOGRAPHY (MRI study of blood vessels) (MRA) MR-ANGIOGRAPHY (MRI study of blood vessels)
Peripheral Angiography, Angioplasty, Athrectomy & Stenting Angiography- dye is injected into the arteries & x-ray pictures are taken. Dye will not be able to flow into the areas narrowed or blocked by plaque; therefore the narrowing or specific area of blockage will be identified.
Angioplasty a minimally invasive procedure used open narrowed or clogged blood vessels. A vascular surgeon inflates a small balloon inside the narrowed blood vessel. The balloon helps to widen the blood vessel to improve blood flow.
Atherectomy- a minimally invasive procedure to remove cholesterol plaque from arteries. Stenting –is a mesh like tube or cylinder that is placed into the inner layer of an artery & supports the artery walls to keep the blood vessels open so that they don’t re-narrow
Fox Hollow/Silver Hawk atherectomy (plaque excision or plaque removal) A minimally invasive method using a shaver device on the end of a catheter to remove and collect plaque within the arteries of the legs; restoring blood flow to the legs and feet.
Excimer Laser or “cool laser” is used for severely blocked or total occluded blood vessels in the legs. (both above and below the knee). A minimally invasive procedure for the treatment of critical limb ischemia using a catheter with small flexible silica fibers to reach a blockage within the artery; which then sends out short bursts of cool ultraviolet energy vaporizing the blockage formed from plaque.
Coronary (heart) Artery Angiography, Angioplasty & Stenting Angiography- dye is injected into the arteries & x-ray pictures are taken. Dye will not be able to flow into the areas narrowed or blocked by plaque; therefore the narrowing or specific area of blockage will be identified.
Mesenteric Angiogram, Angioplasty, Stenting, and or Coiling A mesenteric angiogram is a test that involves injecting a special dye into your bloodstream to highlight the arteries of the large and small intestine, and then taking x-rays of the area. Narrowing of the arteries that supplies blood to the intestines causes mesenteric ischemia (a restriction in blood supply to the area).
Renal (kidney) Artery Angiography, Angioplasty, Atherectomy, and Stenting Angiography- dye is injected into the arteries & x-ray pictures are taken. Dye will not be able to flow into the areas narrowed or blocked by plaque; therefore the narrowing or specific area of blockage will be identified.
Cerebral Angiogram & minimally invasive carotid artery stenting A procedure done to detect and to treat carotid artery disease. An x-ray procedure that visualizes the blood vessels of the head and neck using a tiny catheter inserted into an artery in the groin; which is navigated through the body up to the neck and head. Dye is then injected through the catheter. This procedure allows visualization of narrowed blood vessels, cerebral aneurysm, and malformation of blood vessels. An area of narrowing may be gently pushed open with a soft balloon on the tip of the catheter. If necessary a stent may be used to keep the expanded area open.
Endovascular Coiling of Cerebral Aneurysms A minimally invasive procedure which uses X-ray and contrast dye to visualize and treat an aneurysm of the brain. (Aneurysm – is a weakness in the wall of a cerebral artery or vein which causes the blood vessel to dilate or balloon; which could lead to rupture of the blood vessel). A catheter is inserted into the femoral artery in the leg and is advanced into the head and then into the aneurysm. Coils are then threaded through the catheter, and placed into the aneurysm to block blood flow to the aneurysm so that the aneurysm won’t rupture causing stroke, serious brain damage or death.
A surgical procedure used to remove plaque from the inside of the carotid artery to prevent stroke from occurring when oxygenated blood is unable to pass through the blocked artery.
Endovascular treatment of Abdominal Aortic Aneurysms (AAA) X-ray pictures are viewed on a video screen to allow the surgeon to guide a catheter from the groin through the blood vessels to the site of the aneurysm. An endovascular stent (tube) is inserted at the site of the aneurysm which strengthens the aorta (largest artery in the abdomen). preventing the aneurysm from leaking or rupturing.
Abdominal Aortic Aneurysm (AAA) Surgery Open surgical repair is performed when endovascular repair is not warranted; because not all patients are candidates for endovascular repair due to the extent of the aneurysm.
Vascular access, interventions and preventive maintenance (P.I.CC., Groshong, Midiport, & Dialysis catheters)
(Catheter-based procedure used for thrombolysis)
There are many operations to restore blood flow to the legs depending on where the blockage is at.
Femoral-popliteal bypass surgery – a blood vessel from some where else in the body (often the leg) is used to bypass around a blockage. It is attached from the femoral artery
Femoro-femoral grafting (fem-fem bypass)- a graft is placed from a normal femoral artery in one leg, which then takes blood to the femoral artery in the opposite leg. (often involving incisions in both groins).
Axillo femoral grafting (Ax-fem bypass) – a graph is placed at the axillary artery (supplies blood to the arms) and extends to the femoral arteries.
Medical treatment of intermittent claudication Smoking cessation programs, supervised exercise rehabilitation, behavior modification, dietician referral, &/or medication.
Wound care If you have a wound or sore that has not healed within in a month you should be screened for Peripheral Artery Disease (PAD), this can be done free of charge by calling Vascular Services @ 906-225-7587. You May also schedule an appointment at Marquette General Hospital's Outpatient Wound Care Clinic; which uses a team approach to evaluate and manage your wound.
Medical treatment of vaculitis Lab work and organ function tests are often performed to determine if there is inflammation in the tissues and blood vessels of the body, and if organs are involved. The treatment of vasculitis depends on the severity of the illness. Most often treatment is geared toward stopping the inflammation (caused by the immune system) through the use of cortisone as well as other immune suppression medications Affected organs (such as the heart or lungs) may require specific medical treatment when the disease is active.
Comprehensive breast diagnostic and treatment services, including breast MRI, MRI-guided breast biopsy, along with same day ultrasound guided breast biopsy’s for patients with palpable lumps.
ESI (Epidural Steroid injections) Used to decrease chronic back and/or leg pain through the use of an epidural injection given into the epidural space. Relief of pain will vary for individuals ranging from one week to one year.
RFA Radiofrequency ablation (RFA) Used to treat liver cancer without surgery or chemotherapy by slowing or destroying the growth. A special needle electrode is placed into the tumor with the use of ultra sound or CT (computed tomography. A radiofrequency current then passes heat to the tumor tissue to eliminate the tumor.
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