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Vascular surgery is a specialty of surgery in which diseases of the vascular system, or arteries and veins, are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction. The specialty evolved from general and cardiac surgery. Edwin Wylie of San Francisco was one of the early pioneers in the specialty who developed and fostered advanced training in vascular surgery and pushed for its recognition as a specialty in the United States in the 1960's and 1970's. The vascular surgeon is trained in the diagnosis and management of diseases affecting all parts of the vascular system except that of the heart and brain. Cardiothoracic surgeons manage surgical disease of the heart and its vessels. Neurosurgeons manage surgical disease of the vessels in the brain (eg intracranial aneurysms).
Contents |
Breadth of discipline
- Arterial diseases ( especially in Diabetics )
- Aneurysms
- Ischemia
- Limb ischemia
- Acute limb ischemia
- Thrombectomies
- Embolectomies
- Anti-coagulation and Thrombolysis
- Chronic limb ischemia
- see intermittent claudication and peripheral artery occlusive disease
- Diabetic foot ulcers
- Acute limb ischemia
- Mesenteric ischemia
- Renal ischemia
- Limb ischemia
- Extracranial cerebrovascular disease
- Carotid Endarterectomy and other carotid surgery
- Surgery of the vertebral system
- Venous disease
- Lymphatic disease
- Vascular Medicine
- Medical disorders with a significant vascular components, for example:
Training
Previously considered a field within general surgery, it is now considered a specialty in its own right. As a result, there are two pathways for training in the United States. Traditionally, a five year general surgery residency is followed by a 1-2 year (typically 2 years) vascular surgery fellowship. An alternative path is to perform a five or six year vascular surgery residency.
Programs of training are slightly different depending on the region of the world one is in.
| Country | Standards body | Professional representation | Minimum Length of training (post intern) |
|---|---|---|---|
| Australia and New Zealand | Royal Australasian College of Surgeons | Australian & New Zealand Society of Vascular Surgery (ANZSVS) | 6 years |
| United Kingdom | Royal College of Surgeons of England, Royal College of Surgeons of Edinburgh | Vascular Society of Great Britain and Ireland | 8 years |
| USA | Accreditation Council for Graduate Medical Education (ACGME), American Board of Surgery | American College of Surgeons
Multiple vascular societies |
5 years ( 4 via 5-year integrated Vascular Surgery Residency)[1] |
Surgical procedures
By no means exhaustive, but below are a number of common procedures and indications for vascular surgeons.
| Indication/disease | Procedure |
|---|---|
| Abdominal aortic aneurysm | Open AAA repair
Endoluminal AAA repair (EVAR) |
| Carotid stenosis | Carotid endarterectomy |
| Varicose veins | Vein stripping
Sclerotherapy and Foam sclerotherapy or Laser and radiofrequency vein ablation |
| Peripheral arterial occlusive disease | Angioplasty with/out Stenting |
| Acute limb ischaemia | Balloon embolectomy |
| Aortic dissection | Open repair |
References
External links
- Vascular surgery Material on arterial and venous surgery.
- Society for Vascular Surgery (U.S.)
- European Journal of Vascular and Endovascular Surgery: the official journal of the European Society for Vascular Surgery.
- list of keywords and links to prominent sites pertaining to vascular surgery
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Wikipedia content modification information:
- This page was last modified on 16 September 2008, at 18:49.
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