2024 Outcomes - Baylor Scott & White Heart and Vascular Hospital Fiscal year 2024 | Page 48

• Axillo-subclavian vein thrombosis
• Deep vein thrombosis ( DVT )
• Hypercoagulable states
• Intestinal ischemic syndrome
• Peripheral artery disease ( PAD )
• Popliteal entrapment syndrome
• Pulmonary embolism
• Renovascular occlusive disease
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Baylor Scott & White Heart and Vascular Hospital — Dallas | Vascular Surgery
Carotid endarterectomy
At Baylor Scott & White Heart and Vascular Hospital – Dallas , vascular surgeons on the hospital ’ s medical staff diagnose and treat patients who may need surgical intervention for atherosclerotic plaque buildup in the carotid arteries . The main treatment for plaque buildup is carotid endarterectomy ( CEA ). Patients unable to undergo CEA for various medical reasons may benefit from another procedure , carotid angioplasty and stenting , to restore blood flow and cover the obstructing plaque . Vascular surgeons on the medical staff at the hospital have been involved in years of research and clinical studies related to carotid stenting devices and techniques .
High volume center for TCAR
Overall results of TCAR appear to be better than traditional carotid endarterectomy and carotid surgery with the greatly reduced potential of strokes and myocardial infarctions . Nationally recognized TCAR vascular surgeon on the medical staff , Bradley Grimsley , MD , is known for his international and national proctoring of others for making the TCAR procedure a treatment option available to more patients . Dr . Grimsley reached a milestone in fiscal year 2024 by performing his 500th TCAR procedure in July 2023 .
Roadster 3
Bradley Grimsley , MD , is principal investigator for the study , Roadster 3 , to evaluate real world usage of the ENROUTE Transcarotid Stent System ( ENROUTE TSS ) when used in conjunction with the ENROUTE Transcarotid Neuroprotection System ( ENROUTE NPS ) in patients at standard risk for adverse events from carotid endarterectomy . The goal is to find the hierarchical composite of major adverse events defined as any death , stroke , or myocardial infarction within 30 days of the index procedure and ipsilateral stroke within 31 days to 365 days of the index procedure .
Courtesy of Silk Road Medical .
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 . The Dallas site is one of the top volume sites for TCAR in the US with more than 650 total TCAR procedures completed since 2017 , the year TCAR began . As such , it has become a TCAR training site for vascular surgeons from around the country . Patients who receive TCAR experienced positive outcomes as was noted in a study presented at the Society for Vascular Surgeons annual conference .
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 at 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 :

• Axillo-subclavian vein thrombosis

• Deep vein thrombosis ( DVT )

• Hypercoagulable states

• Intestinal ischemic syndrome

• Peripheral artery disease ( PAD )

• Popliteal entrapment syndrome

• Pulmonary embolism

• Renovascular occlusive disease