Vascular Services 
 
 
 

Our team of highly-skilled specialists can provide patients with comprehensive and multidisciplinary care in the treatment of vascular and other diseases. Every day, our vascular specialists are able to diagnose and treat the full spectrum of diseases that affect blood vessels throughout the body.

Vascular Diagnostics

The first step to treating vascular disease is diagnosis. And the team of professionals at Good Samaritan are able to provide some of the most advanced diagnostics available, including:

  • Carotid, extremity arterial, & venous duplex
  • Magnetic Resonance Angiography (MRA) and Computed Tomography Angiography (CTA)
  • Physiologic arterial testing
  • Renal artery angiogram/angioplasty/stent

Vascular Treatments

  • Ablation therapy
  • Arterial embolization/transarterial chemo embolization
  • Carotid angiogram/stenting
  • Dialysis catheter placements
  • DVT thrombolysis and vena caval filter placement
  • Fistulogram/open and closed thrombectomy
  • Peripheral angiogram/intervention
  • PICC placement
  • Port insertion and removal
  • Renal angiogram/intervention
  • Thoracic and aortic aneurysm endovascular stent graft
  • Transjugular Intrahepatic Portosystemic Shunt (TIPS)

Contact Us

To schedule an appointment or for more information, please call 561-650-6023.

 

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Abdominal Aortic Aneurysm (AAA)

The largest artery in the body is called the aorta. It carries oxygen-rich blood away from the heart to the chest, where it is referred to as the thoracic aorta. It is called the abdominal aorta when it reaches the abdomen. The abdominal aorta supplies blood to the liver, spleen, stomach, intestines, kidneys and spinal cord. The aorta then splits into two branches, called the iliac arteries, just below the navel to carry blood into each leg.

Under normal circumstances, the aorta is about one inch in diameter. But sometimes a weak area in the wall of the abdominal aorta can bulge out, like a balloon that has been squeezed. This bulge is called an abdominal aortic aneurysm (AAA). The aneurysm can burst if it gets too big, causing severe internal bleeding that can lead to shock and even death. Most of the 1.5 to 2 million Americans who have an abdominal aortic aneurysm are not aware of this threat to their lives. Unfortunately, the survival rate for a ruptured AAA is very low, only about 10 to 20 percent.

People at risk for developing AAA are those who smoke, have a family history of the condition, are male or have high blood pressure. The condition usually does not cause any symptoms, but as it develops it may trigger abdominal pain, lower back pain and a pulsing feeling in the abdomen. AAA can be treated, and even cured, when detected in the early stages.

Physical examination and ultrasound screening for AAA is recommended for men between the ages of 65 and 70 who have ever smoked. An abdominal aortic aneurysm may feel like a soft mass in the abdomen that seems to pulse like a heartbeat or be detected during an ultrasound. If AAA is diagnosed, a computerized tomography (CT) scan, magnetic resonance imaging or anteriogram may be necessary to determine the size and location of the aneurysm.

Abdominal aortic aneurysms are treated one of three ways, watchful waiting, open surgical aneurysm repair, or endovascular stent graft. Watchful waiting usually is recommended if the aneurysm is less than two inches in diameter. Regular ultrasounds or CT scans may be ordered every six to 12 months to closely monitor the aneurysm for any signs of change. Open surgical aneurysm repair involves replacing the weakened part of the aorta with a graft that is attached above and below the aneurysm to act as a bridge for the blood flow. An endovascular stent graft requires the placement of a stent through a catheter that has been guided to the aneurysm site to redirect blood flow.

A ruptured AAA is a life-threatening situation that requires immediate medical attention. Signs of a burst AAA include sudden, severe back or abdominal pain, paleness, nausea, vomiting, dry mouth, or signs of shock, such as dizziness, fainting, sweating and rapid heartbeat.

Carotid Artery Stenting (CAS) is performed by an interventional radiologist who threads a catheter through a blood vessel in the groin to the carotid arteries. Once the catheter is in place, a removable protection device resembling a tiny umbrella is placed inside the artery to capture any plaque that could loosen and cause a stroke. Next, a mesh-like metal device called a stent is placed in the narrowed portion of the artery to keep it open. The stent restores blood flow to the brain. The minimally invasive procedure is performed while the patient is under local anesthesia. CAS offers high-risk patients an alternative to surgery.

Carotid Stenosis or blockage in the carotid arteries is diagnosed with cerebral arteriogram and may be treated with either endarterctomy (surgical procedure) or with stenting depending on patient symptom and other medical conditions.

Cirrhosis & Portal Hypertension

In patients with Cirrhosis, a serious liver disease, blood can’t flow through the liver properly, causing poisons and wastes to build up in the body. Our team can treat Cirrhosis patients with the following procedures:

  • Partial splenic embolization
  • Transjugular Intrahepatic Portosystemic Shunt (TIPS)

Interventional Oncology

Patients can benefit from a variety of minimal and non-invasive therapies that can decrease their hospital stays or even be done as outpatient procedures, providing shorter recovery times, including:

  • Arterial embolozation
  • Percutaneous ablative therapies
  • Transarterial chemoembolization
  • Uterine fibroid embolization

Peripheral Arterial Disease (PAD) is a serious condition caused by the obstruction of large arteries in the arms and legs. It can cause painful symptoms or even the loss of a limb, and it can increase a patient’s risk of heart attack or stroke. The vascular team at Good Samaritan is experienced at treating patients diagnosed with peripheral angiogram and stent if required.

Venous Disease

Our team is experienced at diagnosing and treating a variety of venous diseases, ranging from minor issues to severely painful and life-threatening conditions, including:

DVT Thrombolysis

  • May thurner syndrome
  • Thoracice Outlet Syndrome (TOS)

Vena Cava Filters

Pelvic Pain

  • Pelvic congestion syndrome
  • Varicocele

 

Contact Us

To schedule an appointment or for more information, please call 561-650-6023.