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VASCULAR SURGERY
HIGH VOLUME CENTER FOR TCAR
Vascular surgeons on the hospital ’ s medical staff are in a small national group of surgeons trained in transcarotid artery revascularization ( TCAR ). TCAR combines the safety and reliability of open carotid endarterectomy with the less invasive features of carotid stenting . Baylor Scott & White Heart and Vascular Hospital – Dallas is one of the highest procedure volume TCAR sites in the nation . As such , it has become a TCAR training site for vascular surgeons from around the country .
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 New treatments and technology for PAD
Baylor Scott & White Heart and Vascular Hospital – Dallas is a leader in the comprehensive management and treatment of PAD with a vascular surgery program that spans decades on the Dallas campus . 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 .
87
TCAR procedures ( FY22 )
Patients who receive TCAR experienced positive outcomes as was 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 . The Dallas site is one of the top volume sites for TCAR in the US with more than 400 total TCAR procedures completed since 2017 , the year TCAR began , and performed by nationally recognized TCAR vascular surgeon on the hospital ’ s medical staff , Bradley Grimsley , MD .
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 to use a thrombolytic agent to dissolve a blood clot that may be blocking an artery .
One of the newest technologies pioneered at Baylor Scott & White Heart and Vascular Hospital – Dallas that 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 .