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Vascular Surgery in MA & RI

At the Vascular Surgery and Endovascular Services Department at Southcoast Health, our vision is to provide bleeding-edge care and treatment plans to residents in southeastern Massachusetts and Rhode Island.

Our vascular surgeons in Middletown, RI, Dartmouth and Wareham, MA offer considerable experience and expertise in patient-focused care. Through our new state-of-the-art clinics, we are able to provide minimally invasive, technically advanced methods, specializing in aortic, carotid, mesenteric, renal venous and peripheral vascular surgery.

Locate a vascular surgeon near you through our Find a Doctor tool to set up a consultation and learn more about our vascular treatment options.

Common Vascular Surgery Procedures at Southcoast Health

We offer a variety of options for vascular surgery, including minimally invasive procedures:

  • Thoracic or abdominal aortic aneurysm stent-graft repair: This surgical procedure uses a fabric tube (graft) supported by metal mesh (stent). It can be used for a variety of conditions involving the blood vessels, but most commonly to reinforce a weak spot in an artery called an aneurysm.
  • Balloon angioplasty: Insertion of a small balloon into a blocked artery, which is then inflated to push obstructing plaque against the arterial wall and improve blood flow. In peripheral artery disease (PAD), this is used to restore blood flow mainly in leg arteries.
  • Carotid artery stent: A small, self-expanding, stainless steel mesh tube that is placed within a carotid artery to keep the vessel open.
  • Venous angioplasty: The use of angioplasty to treat clots and stenoses (narrowing) in veins.
  • Endarterectomy: Endarterectomy is the surgical removal of plaque from an artery that has become narrowed or blocked. A variety of surgical techniques can be used to remove plaque.
  • Endovenous Closure: Performed either using non-thermal ablation (Varithena) or thermal ablation using radiofrequency or laset. This is used to treat varicose veins and performed in an outpatient setting.
  • Surgical bypass: This vascular surgery treats narrowed arteries by creating a bypass around the section of the blocked artery. During a bypass procedure, your vascular surgeon creates a new pathway for blood flow using a graft. A graft can be a portion of one of your veins or a synthetic graft.

Specialty in Vascular Surgery Throughout the Body

Learn more about the conditions we treat and the treatments we provide in each of these specialties.

Aortic Conditions we treat:

  • Thoracic aortic aneurysms
  • Abdominal aortic aneurysms
  • Thoracic-abdominal aortic aneurysms
  • Paravisceral aortic aneurysms
  • Aorto-iliac occlusive disease
  • Thoracic and abdominal aortic graft infections
  • Traumatic aortic tears
  • Acute and chronic type B dissections (involving the descending aorta)
  • Infrarenal AAA repair (Cook Zenith EVAR)
  • Juxtarenal AAA repair (Cook Zenith Fenestrated graft ZFEN)
  • Thoracic aortic aneurysm repair (Cook TX2 thoracic aortic endograft)

Aortic Treatments we provide:

  • Abdominal aortic endovascular grafts
  • Thoracic aortic endovascular grafts*
  • Endovascular aortic endografts in combination with visceral debranching
  • Catheter based treatment of aortic dissections*
  • Fenestrated and branched stent grafting for thoracoabdominal aortic aneurysms
  • Open thoracoabdominal aortic aneurysm repair
  • Angioplasty and stenting of aortic coarctations

*Permission for use granted by Cook Medical Incorporated, Bloomington, Indiana.

Carotid Conditions we treat:

  • Carotid artery stenosis
  • Stroke
  • Transient Ischemic Attack (TIA)
  • Aortic arch disease
  • Atherosclerosis involving the carotid artery, vertebral artery, subclavian artery and innominate artery
  • Fibromuscular dysplasia of internal carotid artery
  • Head and neck trauma (carotid, vertebral, subclavian or innominate trauma)
  • Vertebral basilar insufficiency (due to vertebral artery, subclavian or innominate disease)

Carotid Artery Treatments we provide:

  • Carotid endarterectomy
  • Carotid subclavian bypass
  • Carotid angioplasty and stenting
  • Carotid/vertebral artery transposition
  • Aortic arch and carotid angiography
  • Cerebral angiography

Peripheral Artery Conditions we treat:

  • Arterial blockages
  • Claudication (pain while walking)
  • Critical limb ischemia
  • Gangrene
  • Infection in legs or feet
  • Leg cramps
  • Leg pain
  • Neuropathy due to peripheral arterial disease (PAD)
  • Ulcers

Peripheral Artery Treatments we provide:

  • Peripheral angioplasty
  • Stenting
  • Atherectomy
  • Laser
  • Thrombolysis
  • Thrombectomy
  • Collaboration with cardiology and wound care teams to provide a multidisciplinary approach to peripheral vascular disease

Pulmonary Artery Conditions we treat:

  • Pulmonary embolism

Pulmonary Artery Treatments we provide:

Renal Artery Conditions we treat:

  • Renovascular hypertension
  • Renal artery stenosis
  • Renal failure

Renal Artery Treatments we provide:

  • Aortorenal bypass
  • Autologous dialysis access creation (forearm, upper arm or leg fistulas)
  • Hybrid prosthetic grafts
  • Hickman, HERO and dialysis catheter placement
  • Maintenance of hemodialysis access (with ultrasound monitoring)
  • Prosthetic arteriovenous grafts
  • Renal artery stenting
  • Renal artery angioplasty and stenting

Venous Artery Conditions we treat:

  • Ankle edema
  • Blood clots
  • Chronic venous insufficiency
  • Deep vein thrombosis
  • Leg swelling and leg pain
  • Leg ulcers
  • Pelvic congestion syndrome
  • Phlebitis (inflammation of the vein)
  • Spider veins
  • Thrombophlebitis
  • Varicose veins
  • Vascular malformations
  • Venous malformations

Venous Artery Treatments we provide

Mesenteric Artery Vascular Conditions we treat:

  • Acute mesenteric ischemia
  • Chronic mesenteric ischemia

Mesenteric Treatments we provide:

  • Aortomesenteric bypass
  • Splenorenal artery bypass
  • Hepatorenal artery bypass
  • Superior mesenteric artery angioplasty and stenting
  • Celiac artery angioplasty and stenting
  • Mesenteric artery coil embolization

Vascular Lab

Your doctor may recommend non-invasive vascular imaging to evaluate:

  • Aneurysms, a weak area of a blood vessel that can balloon outward and burst
  • Blockages, such as blood clots
  • Blood flow to organs
  • Blood vessel malformations
  • Narrowing of blood vessels due to plaque buildup and hardening of the arteries (atherosclerosis)
  • Procedure outcomes, such as the success of a graft or bypass
  • Varicose veins

Vascular Testing we provide in MA & RI:

  • Extracranial cerebrovascular diagnostic testing
    • Carotid, vertebral ultrasound
    • Carotid stent surveillance
  • Peripheral arterial physiologic diagnostic testing
    • Pulse volume recording, segmental pressures, ankle-brachial indices, and exercise treadmill
  • Peripheral arterial duplex diagnostic testing
    • AAA screening
    • EVAR surveillance for endoleak
    • Lower or upper extremity graft surveillance
    • Lower extremity stent surveillance
  • Venous duplex ultrasound diagnostic testing
    • Venous reflux duplex (valve closure times)
    • Testing for deep venous thrombosis (DVT )
    • Nonthrombotic venous obstruction (May Thurner)
    • Perforator vein reflux
  • Visceral vascular duplex ultrasound diagnostic testing
    • Celiac, SMA, splenic obstruction or aneurysms
  • Dialysis
    • Preoperative vein and arterial mapping
    • Surveillance of arteriovenous fistula and grafts
    • Venous outflow obstruction

Southcoast Health is a leader in vascular surgery in Middletown, RI, Wareham, Fall River, Dartmouth and New Bedford, MA through our advanced cardiovascular clinics.