Endovascular Treatment: On the Leading Edge

This article originally appeared in Connections, a magazine published for physicians and the community by UMass Memorial Medical Center.

"Over the last 15 years, there's been a tremendous evolution in the technology for minimally invasive treatment of peripheral vascular disease," said Andres Schanzer, MD, vascular surgeon, Division of Vascular and Endovascular Surgery at UMass Memorial Medical Center.

"As a result, today we can use endovascular techniques to re-establish arterial perfusion for a wide array of vascular conditions, without open surgery," he said. These conditions include claudication, ischemic limb disease, abdominal aortic aneurysms, and renal and carotid artery blockages. In fact, Dr. Schanzer noted, "At UMass Memorial, we are able to perform every type of endovascular treatment currently available."

The clear advantages of using an endovascular approach are found in decreased  perioperative morbidity and mortality for high-risk patients, and faster recovery. The patient can usually go home the same day or the next day, compared to the often-prolonged ICU stay and hospitalization of open vascular surgery, Dr. Schanzer explained.

UMass Memorial has invested in a state-of-the-art Catheterization Lab that is available 24/7 for endovascular procedures, as well as catheterization equipment in its operating rooms, enabling surgeons to perform hybrid procedures that incorporate open and endovascular techniques.

Equally important, the Medical Center has a cohesive team of vascular surgeons, endovascular specialists, cardiologists, cardiac surgeons and other specialists who collaborate to determine the most appropriate treatment approach for each patient.

"We tailor treatment to the individual patient to ensure optimal outcomes," Dr. Schanzer said. "We are not limited based on infrastructure, or endovascular or surgical skill set." As testament to the endovascular expertise at UMass Memorial, the Medical Center was selected to participate in several large, national trials to develop and test new endovascular technologies, allowing it to remain among the leaders in endovascular innovation.

"With one phone call to our office, you can talk to an attending endovascular or open specialist at any time," Dr. Schanzer added. "We're happy to consult by phone or in person."

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