Good Shepherd Vascular Surgery

Good Shepherd Vascular Surgery provides comprehensive care for conditions affecting the arteries, veins and circulation. Our vascular surgery team offers evaluation, vascular ultrasound, minimally invasive endovascular procedures and traditional vascular surgery to help restore circulation, prevent complications and improve quality of life.

With vascular ultrasound available in-house and the ability to accommodate urgent same-day surgical and ultrasound needs when appropriate, patients can receive coordinated vascular care in one convenient location.

Our vascular surgery team evaluates and treats a wide range of arterial, venous and circulatory conditions, including:

• Peripheral arterial disease (PAD)
• Leg pain or cramping with walking, also known as claudication
• Poor circulation to the legs, feet, arms or hands
• Non-healing wounds, ulcers or gangrene
• Leg, foot or arm swelling and discoloration
• Abdominal and thoracic aortic aneurysms
• Aortic and arterial dissections
• Blood clots within the arteries
• Carotid and vertebral artery disease
• Cerebrovascular disease and stroke
• Renal artery stenosis and renovascular hypertension
• Mesenteric artery disease and intestinal ischemia
• Deep vein thrombosis (DVT)
• Pulmonary embolism (PE)
• Varicose veins
• Chronic venous insufficiency
• Lymphedema
• Dialysis access complications
• Thoracic outlet syndrome
• Raynaud’s disease
• Pelvic congestion and pelvic varicose veins
• Vasculitis

Symptoms such as persistent leg or foot pain, swelling, skin discoloration, non-healing wounds, pain after eating with unexplained weight loss, or circulation-related dizziness may also warrant evaluation by a vascular specialist.

Limb Salvage
For patients with severe peripheral arterial disease, non-healing wounds or critically reduced blood flow to the legs and feet, our vascular team offers advanced treatment designed to restore circulation and, whenever possible, prevent amputation.

Dialysis Access
We provide comprehensive vascular access care for patients receiving dialysis, including creation, evaluation, maintenance and treatment of dialysis access complications.

Services include:

• Arteriovenous fistula creation
• Fistulagrams
• Maintenance interventions
• Urgent thrombectomy for blocked dialysis access
• Hemodialysis catheter placement
• Peritoneal dialysis catheter placement

Aortic Aneurysm Care
Our vascular surgery team evaluates and treats abdominal and thoracic aortic aneurysms using both open and minimally invasive endovascular approaches when appropriate.

Treatment options may include:

• Endovascular aneurysm repair (EVAR)
• Thoracic endovascular aortic repair (TEVAR)
• Ongoing surveillance and vascular imaging

Cerebrovascular & Stroke Care
Narrowing or blockage of the arteries supplying blood to the brain can significantly increase the risk of stroke. Our vascular specialists evaluate carotid and vertebral artery disease and provide treatment options designed to improve blood flow and reduce stroke risk.

Procedures may include carotid endarterectomy and other vascular interventions based on each patient’s condition.

DVT & Pulmonary Embolism Care
Deep vein thrombosis and pulmonary embolism occur when blood clots form within the veins or travel to the lungs. Our vascular team provides evaluation and advanced treatment for venous thromboembolism (VTE), including minimally invasive thrombectomy when appropriate.

Varicose Vein Care
Varicose veins can cause more than cosmetic concerns. Patients may experience aching, heaviness, swelling, skin changes or other symptoms related to poor venous circulation.

Treatment options include:

• VenaSeal™
• Endovenous radiofrequency treatment
• Sclerotherapy
• Stab phlebectomy

Lymphedema Care
Lymphedema can cause persistent swelling, discomfort and skin changes, most commonly in the arms or legs. Our vascular specialists evaluate circulation and other potential causes of swelling to help determine the appropriate treatment plan.

Vascular Ultrasound
Vascular ultrasound is a noninvasive test that uses sound waves to evaluate blood flow through the arteries and veins.

Good Shepherd Vascular Surgery offers vascular ultrasound in-house, helping our specialists quickly evaluate conditions such as arterial narrowing, blood clots, aneurysms and venous disease.

Urgent ultrasound appointments may also be available for patients requiring timely vascular evaluation.

Minimally Invasive Endovascular Treatment
Many vascular conditions can now be treated from inside the blood vessel using small catheters rather than traditional open surgery. These minimally invasive procedures can often result in smaller incisions and shorter recovery times.

Our endovascular capabilities include:

• Arterial angiography and venography
• Balloon angioplasty
• Vascular stenting
• Drug-coated vascular technology
• Atherectomy
• Intravascular lithotripsy
• Arterial thrombectomy
• Venous thrombectomy
• Peripheral vascular stenting
• Renal and mesenteric artery interventions
• DVT and pulmonary embolism thrombectomy
• IVC filter placement and retrieval
• Dialysis access interventions
• EVAR and TEVAR for aortic aneurysms

Vascular Surgery
When open surgery is the most appropriate treatment, our vascular surgeon provides procedures including:

• Carotid endarterectomy
• Lower-extremity bypass surgery
• Femoral-femoral bypass
• Femoral-popliteal bypass
• Femoral-tibial bypass
• Dialysis arteriovenous fistula creation
• Peritoneal dialysis catheter placement
• Hemodialysis catheter placement
• Port placement for chemotherapy
• Temporal artery biopsy
• Below-the-knee and above-the-knee amputation
• Foot amputation

In-Office Procedures
For added convenience, several vascular services and procedures can be performed directly in the clinic, including:

• Vascular ultrasound
• Sclerotherapy
• VenaSeal™ treatment for varicose veins
• Catheter removal
• Port removal

Vascular disease can range from chronic circulation problems to conditions requiring urgent evaluation. Good Shepherd Vascular Surgery is designed to provide high-quality, comprehensive and responsive care, bringing consultation, vascular imaging and advanced treatment together close to home.

Same-day urgent surgical evaluations and vascular ultrasound may be available when medically appropriate.