Division of Vascular Surgery
The past 15 years has seen incredible change in the treatment of patients with peripheral vascular disease. Less invasive alternatives to treat aneurysmal and obstructive disease, new methods of treating patients with venous disease, and non-invasive imaging of vascular pathologies have all combined to make the treatment of vascular pathologies more patient-specific and more tolerable. Here at the University of Vermont, the vascular surgical group has embraced these new technologies to improve the care we deliver. Minimizing complications and resource utilization while maximizing patient outcomes is the focus of our practice.
Both medical students and general surgery residents rotate through our service. Many students have participated in research projects with us through the senior major program that have gone on to publication. Residents rotating through our service enjoy participating in the clinical care of our patients, involving themselves in our clinical research efforts, and many have gone on to careers in vascular surgery.
Clinical research studies have a day to day relevance in our delivery of care. Currently, we are actively investigating: Accurately adjusting cardiac risk in our patients to help direct them away from therapies where the chance of cardiac complication was too high. Looking specifically at gender and its relationship to functional outcome following lower extremity bypass. Use of IV insulin protocols in diabetic patients to help reduce post-op complications-specifically infectious.
Our research activities currently include participation in clinical trials and research utilizing the Vascular Study Group of New England (VSG-NE) vehicle. Our clinical trials span the use of experimental covered stents to participation in percutaneous treatment of reno-vascular hypertension, to the use of post-operative adjuncts like insulin protocols to reduce patient morbidity.
Vascular Study Group of Northern New England
Since 2003, our surgeons have participated in the Vascular Study Group of Northern New England. The stated mission of the study group is “The Vascular Study Group of New England is a voluntary, cooperative group of clinicians, hospital administrators, and research personnel organized to improve the care of patients with vascular disease. By collecting and exchanging information, the group strives to continuously improve the quality, safety, effectiveness, and cost of caring for patients with vascular disease.”
Participation in this group has led to relevant clinical research studies that affect our clinical practice every day. Some examples are:
- Evaluating cardiac risk in vascular surgical patients
- Choosing appropriate interventions when more than one therapeutic option is available
- Instituting processes to help reduce the risk of post-op cardiac events and wound infections.
These are just a few examples steps taken to improve the care of our vascular patients using collaborative, relevant clinical research. Visit the VSGNE website
Innovative Hybrid OR SuiteFletcher Allen Health Care is constructing a state-of the art hybrid suite in its operating room. The thrust of this project is to allow for intra-operative fluoroscopic imaging of the arterial and venous circulation. Fixed fluoroscopic imaging in an operating room suite will allow our surgeons to expand their use of less invasive and endovascular techniques. This suite will allow many more patients to be treated utilizing less-invasive techniques. Complex aortic reconstructions, multiple level lower extremity disease and emergent aortic repairs are just some of the pathologies that will now be addressed using less invasive/endovascular techniques.
Experienced and highly trained surgeons, nurses and support staff help work with patients, their family and friends through evaluations, operations and post-surgical follow-ups to assure high quality care. Among the conditions that our vascular surgeons treat are:
- Blockages in the neck arteries that can cause strokes
- Blockages in the leg arteries that can lead to serious debilitation
- Aneurysms of the aorta and its branches
- Chronic disorders of the veins in your legs
- Compressed blood vessels or nerves in the thoracic outlet
- Other blockages in the arteries of the body which can lead to:
- Inability to eat and gain weight (Mesenteric Occlusive Disease)
- High blood pressure (Renal Artery Hypertension)
Fletcher Allen offers the full scope of surgical treatment for vascular disease including:
- Minimally invasive or percutaneous techniques (stenting, angioplasty)
- Traditional surgical therapies (bypass, endarterectomy or removal of plaque, and aneurysm repair)
- Treatment of chronic lower extremity ulcers due to diseases of the veins (thrombosis, phlebitis)
Visit Vascular Surgery at Fletcher Allen Health Care, our clinical teacher partner.
Last modified December 04 2013 11:21 AM