Case Experience

Our trainees gain experience in a wide variety of cases:

Carotid Artery Diseases

• Carotid endarterectomy (CEA)
• Carotid stenting

Thoracic Vascular Surgery

• Thoracic aneurysm repair
• Thoracic endovascular aneurysm repair (TAG)
• Thoracoabdominal aneurysm repair
• First rib resection for arterial or venous thoracic outlet syndrome
• Treatment of thoracic outlet syndrome (TOS):arterial and venous, but not neurogenic

Abdominal Vascular Surgery

• Abdominal aortic aneurysm repair (AAA)
• Endovascular aortic aneurysm repair (Endo AAA)
• Visceral artery bypass
• Mesenteric artery bypass
• Renal artery bypass
• Aortoiliac bypass
• Aortofemoral bypass

Lower Extremity Peripheral Vascular Disease

• Lower extremity bypass
• Femoral Popliteal bypass
• Femoral-tibial bypass

Upper Extremity Peripheral Vascular Disease

• Arm bypass: brachial and radial arteries

Endovascular Therapy

• Minimally invasive vascular procedures
• Balloon angioplasty and stenting of arteries
  • Subclavian
  • Renal
  • Mesenteric
  • Aorta
  • Iliac
  • Femoral
  • Popliteal
  • Tibial
• Thrombolysis of arterial occlusions: all except coronary and intracranial
• Balloon angioplasty and stenting of veins
  • Axillary
  • Subclavian
  • Brachiocephalic
  • Iliac
• Thrombolysis of venous thrombosis
  • Axillary
  • Subclavian
  • Iliac
  • Femoral
  • Popliteal
• Inferior vena cava (IVC) filter insertion/retrieval

Venous Procedures

• Varicose vein stripping
• Varicose vein radiofrequency ablation
• Varicose veins laser surgery
• Sclerotherapy of varicose veins
• Repair of venous aneurysms

Hemodialysis Access Procedures

• Hemodialysis fistulas, grafts, catheters
• Thrombectomy of dialysis shunts: open and percutaneous
• Complex revision of dialysis access
• Hemodialysis Reliable Outflow (HeRO) access

Amputations

• Toe amputations
• Foot amputations
• Leg amputations

Other Procedures

• Repair of arteriovenous fistulas
• Repair of arterial pseudoaneurysms
• Repair of arterial aneurysms
• Retroperitoneal exposure for spinal procedures
• Infusion lines and ports
• Port placement for chemotherapy
• Treatment of vascular tumors
• Temporal artery biopsy
• Vascular ultrasound

Example of Current Resident Log

Over the last several years, vascular fellows have logged between 900–1100 cases on completion of the program.

Postgraduate Year Four (PGY-4) Integrated resident, after 38 months of residency: