Vascular Surgery Center of Excellence
We aim for excellence in all areas and techniques of vascular surgery so that we can achieve the best possible results for our patients and their families. Community Physician Network vascular surgeons continue to lead the way in providing patients with a range of effective and minimally-invasive treatments for emergent problems and elective procedures. Medical director Dennis Jacob, MD, spearheads one of the top vascular programs in Indiana and in the region, offering patients the most advanced treatment options available.
In a vascular patient's words...
“I suffered from leg pain for 14 years. My condition started after my first pregnancy and got worse over the years, affecting my life in many ways. I’ve tried other vein clinics but never really got that far. Upon visiting Community Heart and Vascular Hospital, I had a renewed hope. I met with Dr. Jacob who was thorough and suggested an ultrasound. He explained why we needed to fix my vascular condition and the benefits of it for my long-term health. He treated me with compassion, as if I were the only patient. My legs had a lot of raised purple, red and blue veins. I was very self-conscious, never able to wear shorts and always dealing with the pain. I have a better quality of life now. Today, I am pain free and this summer I look forward to wearing shorts!”—Anita Johnson, patient
Our surgeons use a multidisciplinary approach to treat illnesses affecting the vascular system. When appropriate, our team places special emphasis on minimally-invasive vascular surgery procedures as an alternative to traditional, open surgical procedures.
Our physicians have extensive experience in performing all of the newest procedures including stents and angioplasty for carotid artery disease, aortic aneurysms, and blockages in arteries throughout the body. Comprehensive management is also available for many disorders of the venous system including phlebitis, arteriovenous malformations, and pulmonary embolisms.
Vascular surgery procedures
Vascular surgery specializes in treating the blood vessels of the body, with the exception of the vessels of the heart. Our surgeons work to restore blood flow to an area of the body after trauma, disease or other conditions that damage the blood vessels.
An atherectomy is performed under local anesthesia that utilizes a catheter with a sharp blade on the end to remove plaque from a blood vessel. The catheter is inserted into the artery through a small puncture in the artery. It is designed to collect the removed plaque in a chamber located in the tip, which allows removal of the plaque as the device is removed from the artery. The process can be repeated at the time the treatment is performed to remove a significant amount of disease from the artery, therefore eliminating a blockage from atherosclerotic disease. The goal is to remove build-up of plaque in the arteries. This procedure is performed if arteries become too narrowed or blocked from plaque inside the artery walls. If arteries are blocked, blood cannot get through to nourish the tissues, causing the muscles of the lower extremities to cramp and lose strength. An atherectomy is particularly helpful in treating blockages in arteries that occur around branches or in vessels that are not easily treated with stents.
An atherosclerosis endarterectomy is the open surgical removal of plaque from a blood vessel. The goal of treatment is to eliminate the build-up of plaque in the arteries. The atherosclerosis endarterectomy procedure is performed if arteries become too narrowed or blocked from plaque inside the artery walls. If arteries are blocked, blood cannot get through to nourish the tissues, causing the muscles of the lower extremities to cramp and lose strength. In severe cases, patients could experience pain at rest or develop ulcers on their feet.
Bypass for atherosclerosis/PAD/PVD
Also called lower extremity bypass surgery, this surgical procedure reroutes blood flow around a blocked blood vessel by creating a new pathway for blood flow using a graft. This procedure is performed if arteries become too narrowed or blocked from plaque inside the artery walls. If arteries are blocked, blood cannot get through to nourish the tissues, causing the muscles of the lower extremities to cramp and lose strength. In severe cases, patients could develop pain or develop ulcers on their feet.
Carotid endarterectomy (CEA)
Carotid endarterectomy is the surgical removal of plaque within the carotid artery (the artery that supplies blood to the brain), and is the most commonly performed surgical treatment for carotid artery disease. This procedure may be recommended for patients who have had a transient ischemic attack (TIA) or a mild stroke due to significant carotid artery disease. For these patients, carotid endarterectomy can be highly beneficial in preventing future strokes. CEA may also be recommended if the carotid artery has severe narrowing or blockage. If that is the case, an individual is at risk for embolization, where debris in the area of narrowing can break off and head upstream into a blood vessel in the brain blocking the supply of oxygen to cells in the brain. To reduce this risk, CEA must be done to open the artery and allow blood flow to the brain. In such instances, a stroke could occur if the patient does not receive treatment for carotid artery disease.
Endovascular grafting for aneurysms (minimally-invasive repair)
Endovascular grafting is the minimally invasive approach to aortic aneurysm treatment. Instead of an open aneurysm repair, a newer procedure called an endovascular aneurysm repair (EVAR, TEVAR, TA-EVAR) is available. Endovascular surgery is performed inside your aorta using thin, long tubes called catheters to place a stent surrounded with a fabric liner to reinforce the weak spots. Eligible patients for endovascular stent grafting is possible if the aneurysm has not ruptured and the aneurysm is 5 centimeters or more in size. The best approach to repairing an aneurysm depends upon several factors, including the location and shape of the aneurysm as well as the physical condition of the patient. Each patient is evaluated, and treatment is personalized for the patient’s situation.
Traditional open surgery for aneurysms
Traditional open surgery as a treatment for abdominal aortic aneurysms and other types of aneurysm includes a long incision to gain entry to and repair the aneurysm. The best method to repair an aneurysm depends upon several factors, including the location and shape of the aneurysm as well as the physical condition of the patient. Each patient is evaluated, and treatment is personalized for the patient’s situation.