vascular surgery
Vascular surgery is a subspecialty of general surgery in which diseases of the vascular system, or arteries and veins, are managed, largely via surgical intervention. The vascular surgeon is trained in the diagnosis and management of diseases affecting all parts of the vascular system except that of the heart and brain. Cardiothoracic surgeons manage surgical disease of the heart and its vessels. Neurosurgeons manage surgical disease of the vessels in the brain (eg intracranial aneurysms).
Breadth of discipline
- Arterial diseases ( especially in Diabetics )
- Aneurysms
- Ischemia
- Limb ischemia
- Acute limb ischemia
- Thrombectomies
- Embolectomies
- Anti-coagulation and Thrombolysis
- Chronic limb ischemia
- see intermittent claudication and peripheral artery occlusive disease
- Diabetic foot ulcers
- Acute limb ischemia
- Mesenteric ischemia
- Renal ischemia
- Limb ischemia
- Extracranial cerebrovascular disease
- Carotid Endarterectomy and other carotid surgery
- Surgery of the vertebral system
- Venous disease
- Deep Vein Thrombosis
- Thrombophelebitis
- Varicose Veins and Varicosities
- Venous malformations
- Lymphatic disease
- Vascular Medicine
- Medical disorders with a significant vascular components, for example:
Training
Previously considered a field within general surgery, it is now considered a specialty in its own right. As a result, training has been, or is being re-structured from previously having to complete full general surgery training followed by a period of further vascular surgery training, to being trained in vascular surgery alone from start to finish.
Programs of training are slightly different depending on the region of the world one is in.
| Country | Standards body | Professional representation | Minimum Length of training (post intern) |
|---|---|---|---|
| Australia and |
Royal Australasian College of Surgeons | Australian & New Zealand Society of Vascular Surgery (ANZSVS) | 6 years |
| United Kingdom | Royal College of Surgeons of England, Royal College of Surgeons of Edinburgh | Vascular Society of Great Britain and Ireland | 8 years |
| Accreditation Council for Graduate Medical Education (ACGME) | American College of Surgeons
Multiple vascular societies |
8 years |
Surgical Procedures
By no means exhaustive, but below are a number of common procedures and indications for vascular surgeons.
| Indication/disease | Procedure | External link |
|---|---|---|
| Abdominal aortic aneurysm | Open AAA repair
Endoluminal AAA repair (EVAR) |
|
| Carotid stenosis | Carotid endarterectomy | |
| Varicose veins | Vein stripping
Sclerotherapy and Foam sclerotherapy |
|
| Peripheral arterial occlusive disease | Angioplasty with/out Stenting | |
| Acute limb ischaemia | Balloon embolectomy | |
| Aortic dissection | Open repair
Thoracic stent graft |
External links
- Vascular surgery Material on arterial and venous surgery.
- Vascular Surgery Information in the South
- Aesthetic Medical Educators Training (AMET) provides instructional seminars to medical professionals.
- European Journal of Vascular and Endovascular Surgery: the official journal of the European Society for Vascular Surgery.
| Health Science – Medicine - Surgery - Vascular surgery procedures | |
|---|---|
| Aortic aneurysm / dissection | Open AAA repair - Endoluminal AAA repair (EVAR) |
| Carotid stenosis | Carotid endarterectomy - Carotid stenting |
| Varicose veins | Ambulatory phlebectomy - Laser ablation - Sclerotherapy - Vein stripping |
| Peripheral arterial occlusive disease | Angioplasty with/out Stenting - Balloon embolectomy - Peripheral arterial bypass surgery - Thrombectomy |
| Other vascular procedures | Transjugular intrahepatic portosystemic shunt (TIPS) - Venous cutdown |
This entry is from Wikipedia, the leading user-contributed encyclopedia. It may not have been reviewed by professional editors (see full disclaimer)
