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Understanding What A Vascular Surgeon Is
Vascular surgeons are specialists who are highly trained to treat diseases of the vascular system. Your blood vessels –arteries carrying oxygen-rich blood and veins carrying blood back to the heart — are the roadways of your circulatory system. Without smoothly flowing blood, your body cannot function. In this article, we shall look at a better understanding of what a vascular surgeon is.
A vascular surgeon may perform procedures on the arteries and veins of a wide variety of areas of the body, including the arms, legs, organs, and other tissues.
You will be referred to a vascular surgeon by your primary care physician for conditions such as peripheral arterial disease. Or, you may need a vascular surgeon after a traumatic injury or another medical emergency, such as an aortic aneurysm.
What a Vascular Surgeon Does
Vascular surgeons typically work to restore blood flow to an area of the body after trauma, disease, or another issue that damages blood vessels. This may mean that they perform a bypass procedure to restore good blood flow to a foot, or they may place an arterial-venous (AV) shunt for an individual who needs to start dialysis. For patients who have clogged arteries in their neck, the surgeon may perform a carotid endarterectomy to improve blood flow to the brain.
In addition to critical care for vascular surgery patients, the vascular surgeon provides comprehensive care to the patient. She is not just focused on surgery but also works with patients to improve their conditions with medication, exercise, and other forms of therapy.
According to the Society for Vascular Surgery, the vascular surgeon is not focused on providing one type of treatment but instead works with each case to find the best solution, whether it be a complicated surgery, a minimally invasive procedure, or no surgery at all.
They evaluate the patient and do tests such as angiography, MRI, CT scans, and duplex ultrasonography. They manage vascular disease in their patients, including health screens, following patients who have an ongoing condition, prescribing medications, advising patients on how to reduce their risk factors and wound management.
Some of the typical treatments she may provide include amputation, thrombolytic therapy, diabetic foot care, dialysis access, PICC line, aortic repair, carotid endarterectomy, open and endovascular surgery for aortic aneurysms, and dissections. Vascular surgeons are also experts in treating varicose veins, venous insufficiency, spider veins, and leg swelling.
Training
A vascular surgeon typically completes medical school, followed by a general surgery residency of five years, and then a fellowship specializing in vascular surgery. The programs must be approved by the Accreditation Council for Graduate Medical Education (ACGME) in the U.S., or by the Royal College of Physicians and Surgeons of Canada (RCPSC). They must be certified by exams from the American Board of Surgery within seven years of completing their training to receive certification before starting independent practice.
Vascular Conditions Treated by Surgery
The major conditions that vascular surgeons treat are:
- Abdominal aortic aneurysm: This is a bulge in the largest artery in the abdomen. If it weakens and ruptures, you would have massive internal bleeding, risking death.
- Carotid artery disease: When the main artery in the neck has a buildup of plaque, it can lead to a stroke.
- Peripheral arterial disease: This is a buildup of plaque in the blood vessels that nourish all areas of your body. Blockages in the leg can cause pain, foot ulcers, and gangrene, requiring amputation. This can also lead to a heart attack or stroke.
- Venous disease: These conditions include deep vein thrombosis, varicose veins, spider veins, venous insufficiency, and leg swelling.
- Dialysis: A vascular surgeon may also perform the procedure that creates a dialysis access point, as well as perform dialysis access maintenance.
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