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Procedures -
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Peripheral Vascular Disease Screening |
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CT Angiography |
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MR Angiography (MRI study of blood vessels) |
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Peripheral Angiography, Angioplasty, Atherectomy, & stenting |
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Fox Hollow/Silver Hawk Atherectomy |
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Eximer Laser |
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Coronary (heart) Angiography, Angioplasty, & stenting |
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Mesenteric Angiogram, Angioplasty, Stenting, and or Coiling |
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Renal (kidney) Artery Angiography, Angioplasty, Atherectomy, and Stenting |
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Cerebral Angiogram & minimally invasive carotid artery stenting |
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Endovascular Coiling of Cerebral aneurysms |
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Carotid Endarectomy |
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Endovascular treatment of Abdominal Aortic Aneurysms |
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Abdominal Aortic Aneurysm (AAA) Surgery |
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Vascular Access, interventions and preventive maintenance |
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Angiojet Thrombectomy |
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Surgical Bypass of the legs (Aorto-bifem, Fem Pop, Fem-fem bypass, Ax-fem) |
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Medical treatment of intermittent claudication |
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Wound Care |
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Medical treatment of vasculitis |
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Breast Imaging |
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ESI (Epidural Steroid injections) |
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RFA Radiofrequency ablation (RFA) |
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
Assess peripheral vascular disease
Assess pulmonary Embolism
Identify renal artery stenosis that may be causing or lead to hypertension
Identify aneurysms in the Aorta & other major blood vessels
Identify dissection in the aorta or its major branches
Detect thrombosis (blood clots) in the veins & arteries
Detect coronary artery disease

MR ANGIOGRAPHY (MRI study of blood vessels)
(MRA) MR-ANGIOGRAPHY (MRI study of blood vessels)
A magnetic resonance angiogram used to detect, diagnose and aid in the treatment of heart disorders, stroke and blood vessel diseases. MRA provides detailed images of blood vessels using a magnetic field, and pulses of radio wave energy to provide pictures of blood vessels inside the body.

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
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.
Angioplasty-A minimally invasive procedure to open narrowed arteries in the heart by means of a small balloon that's inflated at the blockage site to flatten plaque against the blood vessel wall. (Link to MGH”S Percutaneous Transluminal Coronary Angioplasty)
Atherectomy- a minimally invasive procedure to remove cholesterol plaque from arteries.
Stent is a small stainless steel coiled mesh device that is place in a narrowed coronary artery to hold it open. It is a permanent device that will stay in your artery. (Link MGH’S coronary stent)

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),
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.
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.
Coiling a mechanical blocking device to prevent bleeding from the major arteries that supply blood to the small and large intestines.

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.
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.

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.
Surgical coiling or surgical clipping is also available for cerebral aneurysm depending on individual circumstances and severity of the aneurysm.

Carotid Endarterectomy
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.
You will have a cut, either down or across your stomach and occasionally a smaller cut may be needed in one or both groins. The enlarged segment of aorta (the largest artery in the body, which is in the abdominal cavity) will be replaced by an artificial blood vessel. Sometimes this will be a simple tube, and sometimes, a branching graft to each lower limb(leg) artery is used. You will usually spend 1-2 days in the Intensive Care unit. The entire hospital stay may be 8-10 days because following this sort of surgery the bowel stops working for a while and you will be given all the fluids you require in a drip (or IV) until your bowel begins working again.

Vascular access, interventions and preventive maintenance
(P.I.CC., Groshong, Midiport, & Dialysis catheters)

Angiojet Thrombectomy
(Catheter-based procedure used for thrombolysis)
Used to break up a blood clot that is causing partial or full obstruction of blood flow in an artery or vein. Delivers a saline solution under high pressure into the artery or vein and directly at the blood clot. Saline jets create a powerful vacuum within the vessel, breaking up the clot, and removing pieces through the catheter. Hospitalization time from endovascular stent repair is often many days shorter than open surgery and recovery time is also shorter.

Surgical Bypass of the Legs
There are many operations to restore blood flow to the legs depending on where the blockage is at.
Aorta- bifemoral grafting - a graft is used to take blood from the aorta, which is the main artery in the abdomen, to the femoral (groin) or iliac arteries (pelvis). Often resulting in an incision in the abdomen and both groins.
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
(in the groin) to the popliteal artery (above or below the knee). This involves incisions in the groin and at the knee region.
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.

Breast Imaging
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.
An epidural can be very helpful for patients during a time of severe back pain, resulting in sufficient pain relief to allow the patient to progress with their rehabilitation program.

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.

Toll free Helpline - 1-866-906-2852
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