The field of Vascular Surgery is specialized in diagnosing and treating diseases of the blood vessels, excluding diseases of the heart and brain. Throughout the body, arteries, veins, and lymphatic vessels are managed by cardiovascular surgeons. Among these conditions are peripheral artery disease (PAD), varicose veins, deep vein thrombosis (DVT), aneurysms, and vascular trauma. The goal of vascular surgery is to restore proper blood flow, alleviate symptoms, prevent complications, and improve overall vascular health.
A thorough evaluation by a vascular surgeon is the first step in preparing for vascular surgery. The surgeon will assess the patient's medical history, perform a physical examination, and order diagnostic tests to determine the underlying condition of the vascular system. Ultrasound imaging, computed tomography angiography, magnetic resonance angiography, and angiography are some of these tests. Depending on the diagnosis, the surgeon will discuss treatment options, including the risks and benefits of surgery. Depending on the type of surgery being performed, preoperative preparation may include lifestyle adjustments, medication adjustments, and specific instructions on fasting or bowel preparation.
Vascular surgery procedures vary based on the type and location of the vascular disorder. Common vascular surgery procedures include:
Angioplasty, stenting, atherectomy, and thrombolysis are all minimally invasive procedures that open blocked or narrowed arteries and veins using catheters and guidewires inserted through small skin incisions.
In bypass surgery, a graft (synthetic tube or vein harvested from another part of the body) is used to bypass a blocked or diseased blood vessel. Aneurysms are typically repaired with bypass surgery (peripheral artery bypass) or arterial blockages in the legs.
In carotid arteries, endarterectomy reduces the risk of stroke by removing plaque buildup (atherosclerosis) from the inner lining of the artery.
Procedures to treat varicose veins, spider veins, or chronic venous insufficiency. These include vein stripping, sclerotherapy, endovenous laser therapy (EVLT), or radiofrequency ablation (RFA).
It depends on the complexity of the procedure, the patient's overall health, and whether any complications occurred. Following surgery, patients may expect to spend some time in the hospital for monitoring and pain management. Healthcare providers will monitor vital signs, wound healing, and vascular function during this period. Discharge instructions will include guidance on wound care, medication management, activity restrictions, and follow-up appointments as tolerated to promote circulation and prevent complications such as blood clots.
There are potential risks and complications associated with vascular surgery, including:
Bleeding
Infection
Blood clots (deep vein thrombosis or pulmonary embolism)
Anesthesia-related complications
Nerve injury
Graft failure or blockage
Wound healing problems
Stroke or heart attack (in high-risk patients)
Before undergoing surgery, patients should discuss these potential risks with their vascular surgeon.
After vascular surgery, patients will receive instructions for postoperative care and follow-up appointments with their healthcare providers. These instructions may include guidelines for wound care, activity restrictions, medication management (such as blood thinners or pain relievers), and lifestyle modifications (such as quitting smoking and changing your diet). Healthcare providers can monitor recovery progress, assess vascular function, and address any concerns or complications that may arise during follow-up appointments. By following medical advice and optimizing aftercare, patients can achieve better vascular health and optimize their recovery.
