Community Health Network

Ranked among the nation's most integrated healthcare systems, Community Health Network is Central Indiana's leader in providing convenient access to exceptional healthcare services, where and when patients need them—in hospitals, health pavilions, workplaces, schools and homes.

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Vascular care

We aim for excellence in all areas and techniques of vascular care, including vascular surgery, so that we can achieve the best possible results for our patients and their families. Vascular diseases affect the circulatory system, including arteries, veins and blood vessels. Common vascular disorders include peripheral arterial disease (PAD), aneurysms, varicose veins and more. Community Physician Network vascular surgeons provide patients with a range of effective and minimally-invasive treatments for emergent problems and elective procedures.

To find out if you have vascular conditions, we offer low-cost vascular screenings and free visible vein screenings. To get a referral to a vascular specialist or receive a free visible vein screening, call 800-777-7775.

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. Our physicians have extensive experience in performing all of the newest vascular 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.

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.

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 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 is also recommended if the carotid artery has severe narrowing or blockage, even without the presence of TIA or any other significant symptoms. In this case, an individual is at risk for embolization. This occurs when debris in the area of narrowing breaks off in a blood vessel in the brain and blocks the supply of oxygen to cells in the brain, causing a stroke. To reduce this risk and avoid a stroke, CEA must be done to open the artery and allow blood flow to the brain.

Endovascular grafting is the minimally-invasive approach to abdominal aortic aneurysm (AAA) 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. Patients may be eligible for endovascular stent grafting if the aneurysm has not ruptured and the aneurysm is 5 centimeters or more in size or has grown significantly. 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 as a treatment for abdominal aortic aneurysms (AAA) 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.

To get a referral to a vascular specialist at Community, call 800-777-7775.

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