What is Endovascular Surgery?

  • Surgery is performed from inside the blood vessel (veins, arteries)

  • With endovascular surgery, there is rarely a need for using large incisions, directly opening the blood vessel, or clamping blood vessels for repair

  1. The blood vessel of the arm and/or leg are accessed with a needle

  2. Wires and catheters serially dilate the needle access site

  3. Blocked arteries are identified using an x-ray screen and/or ultrasound in a specially equipped room


What are Endovascular Surgery treatment options?

Treatment recommendations are individualized to each patient.

Options for blood vessel treatment often include:

  • Angioplasty- catheters with a balloon attached

  • Stent placement- catheters with deployable cylindrical devices

  • Stent graft placement- stents covered with man-made material

  • Atherectomy- catheters which mechanically turn to decrease the bulkiness of plaque

  • Pharmaco-mechanical thrombolysis-catheters which disrupt clot      and allow delivery of clot-disrupting medication 

What are the common risks?

  • Overall rate of complications is less than 1%.

  • Bleeding

  • Infection

  • Need for additional and possibly an open procedure

  • Allergy to contrast


Why use Endovascular Surgery?

  • Reduced hospital stay                     

  • Quicker return to work and normal activities.

  • May be performed with local anesthesia and minimal sedation.