Outcomes 2019 - Baylor Scott & White Heart and Vascular Hospital BSWHHVH_646_2019 Outcomes JOOMAG MOD | Page 39

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• Intestinal ischemic syndrome
• Renovascular occlusive disease
• Popliteal entrapment syndrome
• Hypercoagulable states
• Deep vein thrombosis (DVT)
• Pulmonary embolism
• Axillo-subclavian vein thrombosis
Peripheral artery disease (PAD)
New treatments and technology for
peripheral artery disease
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.
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 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.
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:
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.
Related clinical trials
QUEST Post-Amputation Pain Study –
Electrical Nerve Block for Amputation Pain
Baylor Scott & White Heart and Vascular
Hospital – Dallas is an enrolling site for this
national study. The purpose of the study is to
learn whether electrical nerve block via the
Altius ® System is a safe and effective treatment
for patients with post-amputation pain. The
Altius System is an implanted device designed
to electrically block nerve signals and alleviate
pain. Use of this device may be associated
with providing an effective, mechanism-
based yet non-destructive, treatment for
managing intractable limb pain in amputees.
John F. Eidt, MD, vice chairman of Vascular
Surgery at Baylor Scott & White Heart and
Vascular Hospital, is the principal investigator.
More information about this study is available at
BaylorHeartHospital.com/ClinicalTrials.
Peripheral artery disease and
peripheral vascular disease
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