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Heart & Vascular Institute

Vascular Services at the Heart & Vascular Institute


Peripheral Vascular and Endovascular Surgery


Traditionally, the treatment of diseases that involve the arteries and veins were once performed solely by general surgeons using often antiquated open surgical techniques with high morbidity and mortality.  Today, Stamford hospital’s Heart and Vascular Institute has 5 board certified Vascular/Endovascular surgeons who dedicate 100% of their time to the treatment of vascular disease. Our vascular surgeons have all trained at major University Hospitals throughout the country and are currently able to offer their patients an array of  minimally invasive endovascular procedures.  At Stamford Hospital our surgeons use the latest technology available (The Hybrid Room )to perform such delicate procedures.   “We pride ourselves on having the capability to offer these minimally invasive techniques, but also to know when a more traditional open surgical operation (The Gold Standard) is more suited for an individual patient."

What separates Stamford’s Peripheral vascular program apart from others is our collaboration among the vast number of specialists found within our Heart & Vascular Institute. Here we often utilize the expertise of cardiologists, cardiac surgeons, vascular surgeons, Interventional radiologists and supportive medical staff to optimize each individual patients medical care and needs all In a Planetree environment.
 

Our Capabilities include:

 
Aortic Aneurysm repair:   
  • Most commonly performing PEVAR (Percutaneous Endovascular   Aortic Repair), Open aortic aneurysm repair
Carotid stenosis repair:      
  • Both Carotid stenting and Carotid Endarterectomy
Peripheral Arterial Disease (PAD):
  •  Drug- eluting Balloon angioplasty,  Drug-eluting stenting, Catheter directed atherectomy (Silver hawk, Diamondback), EKOS and Angiojet thrombolysis, Leg bypass arterial revascularization

Renal and Mesenteric revascularization: 

  • Stenting and bypass

Deep Venous Thrombosis (DVT):   

  • EKOS and Angiojet thrombolysis

Chronic venous disease:    

  • IVUS, venous stenting

Varicose veins:                        

  • EVLT, Closure, sclerotherapy

Hemodialysis access management:   

  • Fistula creation, Thrombectomy (declots)

Chronic wound management:

  • Venous stasis ulcers, diabetic wounds and gangrene

Our Expert Team:


Timothy Manoni MD FACS - Division head of Vascular Surgery
Ben Marsan MD FACS - Attending Vascular Surgery
Taras Kucher MD FACS - Attending Vascular surgery
Stephen Bauer MD FACS - Attending Vascular surgery
Jonathan Bowman MD FACS - Attending Vascular surgery
 

Definitions:

  1. Endovascular surgery-  minimally invasive catheter based treatment of vascular disease generally using balloons and stents
  2. Hybrid room-  A combination of a surgical operating room with the latest robotic  fluoroscopic imaging thereby  maximizing surgical outcomes in vascular procedures
  3. Gold Standard – When this term is used in discussing surgical procedures, it is historically the best operation for a given disease for which we compare new procedures too.
  4. Planetree Hospital- A hospital where the whole wellbeing of the patient is taken into consideration. Expert medical care delivered in a friendly thoughtful environment.
  5. Percutaneous- Delivering catheters, balloons and stents without a surgical incision during endovascular procedures. (using just a needle)
  6. Drug-eluting- Drugs placed on balloons and stents to maintain long term patency of  the treated blood vessel
  7. Thrombolysis-  process of delivering rapid clot busting drugs
  8. EKOS,DIAMONDBACK, SILVERHAWK, ANGIOJET-  Special devices to remove blood clots and cholesterol plaques
  9. Closure, EVLT-  Special devices to treat Varicose veins
     

 

 




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