Kansas City’s first choice for vascular surgery expertise.
Vascular conditions can affect your ability to function, cause pain and even threaten your life. The board-certified vascular surgeons at the HCA Midwest Health Heart and Vascular Institute offer comprehensive care for even the most complex vascular problems.
Benefits of the HCA Midwest Health Heart and Vascular Institute
- Leading-edge treatments – We offer the latest life-saving therapies including minimally invasive endovascular approaches that are associated with a shorter recovery time and open surgical approaches that are not widely available at other hospitals
- A team approach to complex vascular conditions – Our vascular surgeons will often team up to perform complex surgeries which can help expedite care and reduce a person’s exposure to general anesthetics
- A multidisciplinary approach to care – Our team consists of highly-skilled vascular surgeons, cardiothoracic surgeons, interventional cardiologists, cardiologists, nurses and technicians working together to develop the best treatment plan for each and every patient
- An individualized care plan – Our vascular specialists devise a customized treatment plan tailored to you and your unique pathology for the best possible outcomes
Meet our vascular surgeons
Learn more about our vascular surgery specialists by watching the video playlist below:
Conditions we treat
- Peripheral vascular disease
- Peripheral artery disease
- Carotid artery disease
- Abdominal aortic aneurysm
- Thoracic aortic aneurysm
- Aortic dissection
- Critical limb ischemia
- Fibromuscular dysplasia
- Renal artery disease
- Vertebral artery disease
- Visceral artery disease
- Thoracic outlet syndrome
- Varicose veins
- Deep vein thrombosis (DVT)
- May-Thurner syndrome
- Nutcracker syndrome
Leading vascular surgery treatment
The vascular surgeons at the HCA Midwest Health Heart and Vascular Institute offer the most cutting-edge technology and minimally-invasive procedures available.
Aortic aneurysm surgery
Aortic aneurysms are bulges in the wall of the aorta. Aortic dissections (tears) and ruptures can be fatal.
Surgery is recommended for all symptomatic abdominal and thoracic aortic aneurysms. For aneurysms without symptoms, surgery is not recommended until it is at risk of rupturing or until other complications outweigh the risk of surgery.
Thoracic and abdominal aortic aneurysm repairs can be done via open surgery or a minimally invasive endovascular procedure. During an endovascular aneurysm repair (EVAR), a small incision is made in the groin and a catheter is guided up to the aneurysm where a stent graft is deployed to reinforce and seal off the area so that blood can flow without risking rupture.
Fenestrated graft for difficult Abdominal Aortic Aneurysm
Traditionally, with endovascular aortic aneurysm repairs a stent is placed below the kidney arteries. For the graft to seal, there needs to be approximately 1 centimeter of normal aorta. About 10 percent of aneurysms are too close to the kidney arteries to use this approach. Until recently, open surgery or no surgery were the only option for these patients.
At HCA Midwest Health, we will custom build a graft based on your unique anatomy. This custom graft has holes or fenestrations that line up with the renal arteries. This allow the graft to seal without shutting off blood supply to the kidneys. Using this approach we are able to treat difficult aortic aneurysm minimally invasively which may result in a shorter hospital stay and quicker recovery.
Vascular surgery for Carotid Artery Disease
The carotid artery carries blood through the neck and into the brain. Carotid disease is when plaque builds up inside the carotid artery. It can block blood flow to the brain and is one of the leading causes of stroke (up to 40% of all strokes). Surgery to clean out the artery may be recommended for people with our without symptoms.
Carotid Endarterectomy (CEA)
Carotid endarterectomy is a surgery used to treat carotid artery disease. A vascular surgeon makes an incision in the neck and removes the plaque clogging the artery.
- Hospital Stay: 1-2 night hospital stay
- Recovery: You may need to limit physical activity for a week after surgery and your neck may ache for up to two weeks.
- Results: This has been the standard treatment because it has a low procedural stroke risk.
TransCarotid Artery Revascularization (TCAR)
TransCarotid Artery Revascularization is a leading-edge method of treating carotid artery disease. It is a clinically proven, minimally-invasive alternative to surgery.
During a TCAR procedure, a vascular surgeon makes a small incision just above the collar bone to access to the carotid artery. Then a sheath (tube) is inserted into the artery. Using cutting-edge technology, blood flow is temporarily reversed away from the brain and any potential debris is collected in a filter. A transcarotid stent is then put in place to stabilize the plaque against the wall of the artery and reduce the possibility of a stroke.
- Hospital Stay: Overnight stay for monitoring
- Recovery: There is virtually no recovery period. You are able to return to all your normal activities right away.
- Results: TCAR has the lowest risk of stroke among carotid stenting procedures.
Surgery for Thoracic Outlet Syndrome
Thoracic outlet syndrome can cause chronic pain in your shoulder, arm, neck and head. This occurs when nerves, arteries or veins just below your neck are compressed. A vascular surgeon decompress the thoracic outlet by removing the first rib, one of the neck muscles and some scar tissue.
- Hospital Stay: A two night hospital stay is typical
- Recovery: You will need to limit physical activity for four to six weeks after surgery. Physical therapy will be need and it can take up to a year to fully recover.
- Results: For the majority of people symptoms are immediately resolved.
Treatment for Peripheral Vascular Disease (PVD)
Plaque buildup can cause poor circulation in your feet or legs. Early treatment is essential to reduce your risk of amputation. If lifestyle changes and medications are not sufficient, the vascular surgeons at the HCA Midwest Health Heart and Vascular Institute offer minimally invasive endovascular approaches to treating PVD such as:
- Balloon angioplasty – A small balloon is used to open the narrowed artery
- Stenting – A small, mesh tube is used to hold the artery open
- Laser atherectomy – A tiny laser is used through a catheter to remove plaque
Open surgical procedures may also be used when endovascular procedures are not an option.
- Peripheral artery bypass – When a graft (plastic tube or blood vessel) is used to reroute the blood flow around the blockage
- Endarterectomy – Surgery to remove plaque from a blood vessel
Vein disease treatment
The vein clinics at HCA Midwest Health offer state-of-the-art treatments for chronic venous insufficiency (the vein valve system is not functioning properly) and varicose veins. Our vascular surgeons take a comprehensive approach to diagnosing and treating vein disease which allows for an optimal treatment plan with the best possible outcomes.