Endovascular surgery
Cerebrovascular disease
We treat other complex cerebrovascular problems such as carotid aneurysms, carotid
body tumors, and vertebrobasilar disease. These processes require a team of expert surgeons,
interventionalists, and neurologists all of whom work well together at
RWJUH.
- Carotid angioplasty and stenting
We have been performing carotid artery angioplasty and stenting with our
interventional radiologists for several years. Recent studies have demonstrated that the safety of
the procedure has increased substantially with the used of antiembolic devices. Now that the
FDA has approved the procedure and the stent with
its device, we are also able to perform this with even lower risk of stroke than before. For
additional information, please call for an appointment or visit the link above.
Thoracic and abdominal aorta
- Thoracic aortic stent grafting
Minimally invasive techniques in vascular surgery are continuously improving.
Soon stent grafting for thoracic aortic disease will be available. Our vascular center is at the
forefront of utilizing such technology. Stay tuned!!
- Abdominal aortic stent grafting
Abdominal aortic stent grafting: With the advent of endovascular aortic stent
grafting, patients can now get their abdominal aortic aneurysm repaired under local anesthesia,
and with minimal risks. We have been performing this procedure for 5 years and currently perform
about 60 endovascular aortic stent grafts per year. We use all of the
FDA approved devices and
have the lowest complication rate in NJ.
- Abdominal aortic angioplasty and stenting
Renal-vascular
- Renal angioplasty and stenting
Treatment of the renal artery has also improved with technology. Balloon
angioplasty and stenting has changed. What once required multiple days in the hospital and an
abdominal incision, to a needle stick as an outpatient.
- Percutaneous hemodialysis catheter placement
- Fistula, shunt, and catheter rescue
End stage renal disease is a process that is life-long. Often multiple surgeries
are needed for maintaining adequate access for hemodialysis. Our philosophy is to create the best
long-term access and to revise and rescue any access that may be failing. We use the non-dominant arm
and avoid using prosthetic materials. We also use endovascular techniques for the salvage of failing
access sites.
Mesenteric or visceral
- Mesenteric artery angioplasty and stenting
- Celiac artery angioplasty and stenting
Peripheral vascular disease
- Iliac and peripheral artery angioplasty and stenting
With the appropriate patient, minimally invasive techniques can increase the walking
distance and heal ulcers. Newer developments such as
cryoplasty and
atherectomy
are available and have also been used with minimal risk and excellent results.
Venous disease
Varicose veins are not only unsightly, but can also cause painful, swollen legs.
New, minimally invasive techniques have been developed that minimize discomfort and allow return to
normal activity immediately. Many procedures can be performed in the office and some as outpatient
procedures.
- Endovenous radiofrequency saphenous closure
This procedure is one of the newest forms of treatment for varicose veins. We
perform this minimally invasive procedure with a mild tranquilizer and no incision is necessary.
For more information, please call for an appointment or click the link above.
- Trivex excision of varicose veins
- Sub-facial endoscopic perforator ligation (SEPS)
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