Vascular Surgery
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Vascular Surgery
Vascular surgery is a surgical subspecialty in which vascular diseases involving the arteries, veins, or lymphatic vessels, are managed by medical therapy, minimally-invasive catheter procedures and surgical reconstruction. The specialty evolved from general surgery, general and cardiac surgery, cardiovascular surgery where it refined the management of just the vessels, no longer treating the heart or other organs. Modern vascular surgery includes open surgery techniques, endovascular (minimally invasive) techniques and medical management of vascular diseases - unlike the parent specialities. The vascular surgeon is trained in the diagnosis and management of diseases affecting all parts of the vascular system excluding the coronaries and intracranial vasculature. Vascular surgeons also are called to assist other physicians to carry out surgery near vessels, or to salvage vascular injuries that include hemorrhage control, dissection, occlusion or simply for safe exposure of vascul ...
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Vascular Disease
Vascular disease is a class of diseases of the vessels of the circulatory system in the human body, body, including blood vessels – the arteries and veins, and the lymphatic vessels. Vascular disease is a subgroup of cardiovascular disease. Disorders in this vast network of blood and lymph vessels can cause a range of health problems that can sometimes become severe, and fatal. Coronary heart disease for example, is the leading cause of death for men and women in the United States. Types There are several types of vascular disease, including venous diseases, and arterial diseases, and signs and symptoms vary depending on the disease. Those of the arterial system are associated with blood supply to tissues and its obstruction due to blockages or narrowing. In the venous system disorders are often caused by a slow return of blood due to insufficient valves, or to a thrombus, blood clot. Venous disease Most disorders of the veins involve obstruction such as a thrombus or insuffici ...
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Carotid Stenting
Carotid artery stenting is an endovascular procedure where a stent is deployed within the lumen of the carotid artery to treat narrowing of the carotid artery and decrease the risk of stroke. It is used to treat narrowing of the carotid artery in high-risk patients, when carotid endarterectomy is considered too risky. Uses Carotid stenting is used to reduce the risk of stroke associated with carotid artery stenosis. Carotid stenosis can have no symptoms, or have symptoms such as transient ischemic attacks (TIAs) or strokes. While historically endarterectomy has been the treatment for carotid stenosis, stenting is an alternative intervention for patients who are not candidates for surgery. High risk factors for endarterectomy, which would favor stenting instead, include medical comorbidities (severe heart disease, heart failure, severe lung disease) and anatomic features (contralateral carotid occlusion, radiation therapy to the neck, prior ipsilateral carotid artery surgery, ...
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Endovenous Laser Treatment
Endovenous laser treatment (ELT) is a minimally invasive ultrasound-guided technique used for treating varicose veins using laser energy commonly performed by a phlebologist, interventional radiologist or vascular surgeon. Methods Endovenous laser treatment treats varicose veins using an optical fiber that is inserted into the vein to be treated, and laser light, normally in the infrared portion of the spectrum, shines into the interior of the vein. This causes the vein to contract, and the optical fiber is slowly withdrawn. Some minor complications can occur, including thrombophlebitis, pain, hematoma, edema and infection, which can lead to cellulitis. EVLT has the same meaning as ELT, but it is a trademark name owned by Diomed and used as the name for their 910 nm laser treatment unit for ELT. The 810 nm laser is the original laser fiber wavelength as pioneered by Dr. Luis Navarro, Dr. Carlos Bone and Dr. Robert Min, at the Vein Treatment Center in New York, New York. ...
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Sclerotherapy
Sclerotherapy (the word reflects the Greek ''skleros'', meaning ''hard'') is a procedure used to treat blood vessel malformations ( vascular malformations) and also malformations of the lymphatic system. A medication is injected into the vessels, which makes them shrink. It is used for children and young adults with vascular or lymphatic malformations. In adults, sclerotherapy is often used to treat spider veins, smaller varicose veins, hemorrhoids, and hydroceles. Sclerotherapy is one method for the treatment of spider veins, varicose veins (which are also often treated with surgery, radiofrequency, and laser ablation), and venous malformations. In ultrasound-guided sclerotherapy, ultrasound is used to visualize the underlying vein so the physician can deliver and monitor the injection. Sclerotherapy often takes place under ultrasound guidance after venous abnormalities have been diagnosed with duplex ultrasound. Sclerotherapy under ultrasound guidance and using microfoam s ...
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Stenting
In medicine, a stent is a tube usually constructed of a metallic alloy or a polymer. It is inserted into the lumen (hollow space) of an anatomic vessel or duct to keep the passageway open. Stenting refers to the placement of a stent. The word "stent" is also used as a verb to describe the placement of such a device, particularly when a disease such as atherosclerosis has pathologically narrowed a structure such as an artery. A stent is different from a shunt. A shunt is a tube that connects two previously unconnected parts of the body to allow fluid to flow between them. Stents and shunts can be made of similar materials, but perform two different tasks. There are various types of stents used for different medical purposes. Coronary stents are commonly used in coronary angioplasty, with drug-eluting stents being the most common type. Vascular stents are used for peripheral and cerebrovascular disease, while ureteral stents ensure the patency of a ureter. Prostatic stent ...
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Angiography
Angiography or arteriography is a medical imaging technique used to visualize the inside, or lumen, of blood vessels and organs of the body, with particular interest in the arteries, veins, and the heart chambers. Modern angiography is performed by injecting a radio-opaque contrast agent into the blood vessel and imaging using X-ray based techniques such as fluoroscopy. With time-of-flight (TOF) magnetic resonance it is no longer necessary to use a contrast. The word itself comes from the Greek words ἀνγεῖον ''angeion'' 'vessel' and γράφειν ''graphein'' 'to write, record'. The film or image of the blood vessels is called an ''angiograph'', or more commonly an ''angiogram''. Though the word can describe both an arteriogram and a venogram, in everyday usage the terms angiogram and arteriogram are often used synonymously, whereas the term venogram is used more precisely. The term angiography has been applied to radionuclide angiography and newer vascular ima ...
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Royal Australasian College Of Surgeons
The Royal Australasian College of Surgeons (RACS) is the leading advocate for surgical standards, professionalism and surgical education in Australia and New Zealand. Known by its common acronym RACS, it is a not-for-profit organisation, supports the ongoing development and maintenance of expertise during the lifelong learning that accompanies surgical practice of more than 7,000 surgeons and 1,300 surgical trainees and International Medical Graduates. In conjunction with the Australian Government, RACS also provides global surgery outreach by supporting healthcare and surgical education in the Asia-Pacific region and is a substantial funder of surgical research. Description The RACS is authorised and accredited by the Australian Medical Council on behalf of thMedical Board of Australia and the Medical Council of New Zealand to conduct training and education of surgeons across nine surgical specialties in Australia and New Zealand: Cardiothoracic surgery, General surgery, ...
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Society For Vascular Surgery
A society () is a group of individuals involved in persistent social interaction or a large social group sharing the same spatial or social territory, typically subject to the same political authority and dominant cultural expectations. Societies are characterized by patterns of relationships ( social relations) between individuals who share a distinctive culture and institutions; a given society may be described as the sum total of such relationships among its constituent members. Human social structures are complex and highly cooperative, featuring the specialization of labor via social roles. Societies construct roles and other patterns of behavior by deeming certain actions or concepts acceptable or unacceptable—these expectations around behavior within a given society are known as societal norms. So far as it is collaborative, a society can enable its members to benefit in ways that would otherwise be difficult on an individual basis. Societies vary based on l ...
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Venkatesh Ramaiah
Venkatesh G. Ramaiah FACS is a vascular surgeon and researcher. His areas of work include innovations in the treatment of abdominal aortic aneurysms and peripheral arterial disease. Formerly a director of the Arizona Heart Hospital, he is Chief of Complex Vascular Services and Network Director of Vascular Services of the HonorHealth hospital system based in Scottsdale, Arizona. Dr. Ramaiah is also a co-founder of Pulse Cardiovascular Institute, an ambulatory surgical center in Scottsdale. Biography Ramaiah was born in Tirupati and moved to Mumbai, India with his family as a child. He obtained his MBBS at Grant Medical College in Mumbai and completed his surgery residency at Temple University's Episcopal Campus in Philadelphia, Pennsylvania. He went on to complete a vascular surgery fellowship under surgeon Ted Diethrich at the Arizona Heart Hospital, where he practiced for 20 years. He resides in Scottsdale with his wife, with whom he has two children. Career Ramaiah h ...
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Abrazo Arizona Heart Hospital
Abrazo Arizona Heart Hospital is a privately owned hospital in Phoenix, Arizona, United States. History It was founded in 1981 by Edward Diethrich, and in 2010, it was purchased by Abrazo Community Health Network, a subsidiary of Vanguard Health Systems. The hospital was accredited by The Society of Chest Pain Centers and was mentioned in the 2008 Reuters Reuters ( ) is a news agency owned by Thomson Reuters. It employs around 2,500 journalists and 600 photojournalists in about 200 locations worldwide writing in 16 languages. Reuters is one of the largest news agencies in the world. The agency ... 100 Top Hospitals for Cardiovascular Care In 2013, Vanguard was acquired by Tenet Healthcare. References {{authority control Tenet Healthcare Hospitals established in 1998 Companies based in Phoenix, Arizona Hospitals in Arizona Buildings and structures in Phoenix, Arizona ...
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Minimally Invasive Surgery
Minimally invasive procedures (also known as minimally invasive surgeries) encompass surgical techniques that limit the size of incisions needed, thereby reducing wound healing time, associated pain, and risk of infection. Surgery by definition is invasive, and many operations requiring incisions of some size are referred to as ''open surgery''. Incisions made during open surgery can sometimes leave large wounds that may be painful and take a long time to heal. Advancements in medical technologies have enabled the development and regular use of minimally invasive procedures. For example, endovascular aneurysm repair, a minimally invasive surgery, has become the most common method of repairing abdominal aortic aneurysms in the US as of 2003. The procedure involves much smaller incisions than the corresponding open surgery procedure of open aortic surgery. Interventional radiologists were the forerunners of minimally invasive procedures. Using imaging techniques, radiologists ...
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Edward Diethrich
Edward "Ted" B. Diethrich, MD (August 6, 1935 – February 23, 2017), was an American cardiovascular surgeon, author, and innovator. He was renowned for his contributions to the field of vascular surgery and for founding the Arizona Heart Hospital in Phoenix, Arizona. Early life and education Diethrich was born in Hillsdale, Michigan, in 1935. He earned his undergraduate degree in 1956 and his medical degree in 1960 from the University of Michigan. He completed his surgical residency at St. Joseph's Mercy Hospital in Ann Arbor, Michigan, and the Henry Ford Hospital in Detroit. Diethrich then pursued specialized training in thoracic and cardiovascular surgery at the Baylor College of Medicine in Houston, Texas, where he collaborated with renowned surgeon Michael DeBakey on the development of human heart transplantation. Career After moving to Arizona, Diethrich founded the Arizona Heart Institute in 1971, the nation's first freestanding clinic solely devoted to cardiac and v ...
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