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Vascular Surgery

Vascular conditions can affect your ability to function, cause pain and even threaten your life. If you have a vascular condition that requires surgery, the experienced heart care team at HCA Midwest Health offers several vascular surgery options to treat and manage your condition, and help you get on the path to full function. The vascular surgery procedures we offer are described below.

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Carotid Endarterectomy

The carotid artery carries blood through the neck and into the brain. When this artery becomes blocked, a stroke can occur. Your doctor may recommend a carotid endarterectomy. This procedure removes deposits from the carotid where it has become thickened or damaged allowing better blood flow.

Aneurysmal Treatments

An aneurysm is a bulge of the wall of the blood vessel. Depending on its size, location and condition, treatment for an aneurysm may range from careful observation to immediate surgical intervention. Your cardiologist may prescribe medications to lower your blood pressure or reduce the force of your heart’s contractions to minimize the risk of an aneurysm rupturing. If surgery is recommended, your surgeon may insert a clip that cuts off blood flow to the affected area. Alternatively, a surgeon may remove the aneurysm and replace that section of your artery with a synthetic graft.

Endovascular Therapies

These are minimally invasive treatments are used to treat peripheral artery disease. Typically, you might need an endovascular procedure if more conservative treatment such as medication and exercise has not been effective. In an endovascular procedure, your doctor inserts a thin, long tube called a catheter into your artery to remove the plaque buildup.

Peripheral Vascular Disease

In people with this condition, narrowed arteries reduce blood flow to the limbs, often causing pain in the legs while walking. Sometimes, quitting smoking, exercising and eating healthy can successfully treat peripheral artery disease (PAD). In other cases, your doctor may prescribe medication to manage the symptoms and slow the progression of this condition. Medications might include:

  • Cholesterol-lowering medication
  • High blood pressure medication
  • Medication to control blood sugar
  • Medication to prevent blood clots
  • Symptom-relief medication

When medications alone are not enough to treat PAD, your doctor may recommend angioplasty or surgery. In an angioplasty, the surgeon will insert a catheter through a blood vessel and into the affected artery. Then, the surgeon inflates a small balloon on the tip of the catheter in order to re-open the artery. In bypass surgery, the surgeon will create a graft bypass using a vessel from another part of your body or a blood vessel made of synthetic fabric. In doing so, blood can flow around—or bypass—the artery affected by PAD. Alternatively, your doctor may recommend thrombolytic therapy, which uses a clot-busting drug to break up the blood clot in your artery.