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TRANSCAROTID ARTERY REVASCULARIZATION ( TCAR )
Vascular surgeons on the hospital ’ s medical staff are in a small group of surgeons nationwide trained in transcarotid artery revascularization ( TCAR ). TCAR combines the safety and reliability of open carotid endarterectomy with the minimally invasive features of carotid stenting .
Baylor Scott & White Heart and Vascular Hospital – Dallas is one of the highest volume TCAR sites in the nation . As such , it has become a TCAR training site for vascular surgeons from around the country . Patient outcomes continue to be promising as noted in a study * presented at the Society for Vascular Surgeons annual conference . Overall results appear to be better than traditional carotid endarterectomy and carotid surgery with the greatly reduced potential of strokes and myocardial infarctions . Based on these results , TCAR may well prove to be the appropriate treatment of choice for carotid disease patients .
* ROADSTER Study J Vasc Surg 2015 ; 62:1227-35
New treatments and technology for PAD
Baylor Scott & White Heart and Vascular Hospital – Dallas has become a leader in the comprehensive management and treatment of PAD . Vascular surgeons on the hospital ’ s medical staff use a wide variety of catheter-based therapies to diagnose and treat PAD . A hybrid imaging suite provides physicians with the capability of placing drug-coated stents in blocked arteries using minimally invasive approaches .
Lower extremity PAD can be especially serious and challenging . Vascular surgeons on the hospital ’ s medical staff see patients from throughout North Texas and the nation for this condition and may perform an angioplasty , place a stent , or perform a bypass . In other cases , the vascular surgeon may opt for using a thrombolytic agent to dissolve a blood clot that may be blocking an artery . One of the newest technologies that was pioneered at Baylor Scott & White Heart and Vascular Hospital and is now being employed against PAD is extracorporeal shockwave therapy .
The procedure involves introducing a balloon-tipped catheter into the blocked artery . The balloon is expanded , and sonic pressure waves are created that break up the calcium plaque blockage in the artery wall . This minimally invasive technology provides instant pain relief and restores the use of the patient ’ s lower extremities .
Baylor Scott & White Heart and Vascular Hospital – Dallas Vascular Surgery
Courtesy of Silk Road Medical
PERIPHERAL ARTERY DISEASE AND PERIPHERAL VASCULAR DISEASE
Atherosclerosis of the peripheral arteries — peripheral artery disease ( PAD ) or peripheral vascular disease ( PVD )— is a growing health issue in America . Vascular surgeons on the medical staff of Baylor Scott & White Heart and Vascular Hospital – Dallas successfully diagnose and treat thousands of patients annually for PAD and PVD issues . The experience of vascular surgeons on the medical staff extends to conditions , such as :
• Peripheral artery disease ( PAD )
• Intestinal ischemic syndrome
• Renovascular occlusive disease
• Popliteal entrapment syndrome
• Hypercoagulable states
• Deep vein thrombosis ( DVT )
• Pulmonary embolism
• Axillo-subclavian vein thrombosis
Critical limb ischemia ( CLI )
When a patient has critical limb ischemia , the surgeons on the medical staff use the peripheral interventions as noted above , provide lower leg extremity bypass , and have used new technology to help prevent limb loss with the use of the Harvest ® Bone Marrow Aspirate Concentrate ( BMAC ) system . This system delivers a high concentration and yield of cells and growth factors with potential healing power when precise delivery to the particular site occurs . In times where amputation occurs , the team works together to provide support to the patient and caregivers as the wound heals and recovery occurs .
Lower leg bypass readmit rate ( FY20 ) National CMS rate *
BSWHVH - Dallas 24.0 % 13.8 % Better
* Most recently published rate by CMS dated 2016 for this patient population .
Supervised exercise therapy for PAD
Patients with PAD are eligible to receive supervised exercise therapy ( SET ) if diagnosed with PAD caused by arterial insufficiency and if classic intermittent claudication is present . Exercise training helps slow the decline in the ability to function and move through daily activities . Offered through cardiac