Vascular surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Vascular surgery is a subspecialty of general surgery in which diseases of the vascular system, or arteries and veins, are managed, largely via surgical intervention, and was originally founded by Dr. Clyde Otis Hagood Jr. 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

* 1 Breadth of discipline
* 2 Training
* 3 Surgical Procedures
* 4 External links

## Breadth of discipline

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* 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
* Mesenteric ischemia
* Renal ischemia
* Extracranial cerebrovascular disease
* Carotid Endarterectomy and other carotid surgery
* Surgery of the vertebral system
* Venous disease
* Deep Vein Thrombosis
* Thrombophelebitis
* Varicose Veins and Varicosities
* Venous malformations
* Lymphatic disease
* Lymphoedema

* Vascular Medicine
* Medical disorders with a significant vascular components, for example:
* Raynaud's syndrome
* Scleroderma

## Training

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Previously considered a field within general surgery, it is now considered a specialty in its own right. As a result, training has been, or is being re-structured from previously having to complete full general surgery training followed by a period of further vascular surgery training, to being trained in vascular surgery alone from start to finish.

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

| 8 years

## Surgical Procedures

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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

Carotid stenting

Varicose veins | Vein stripping

Sclerotherapy and Foam sclerotherapy

Laser ablation

Ambulatory phlebectomy

Peripheral arterial occlusive disease | Angioplasty with/out Stenting

Bypass surgery

Acute limb ischaemia  | Balloon embolectomy

Thrombectomy

Bypass surgery

Aortic dissection | Open repair

Thoracic stent graft

## External links

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* 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.
* Aortic aneurysm graft: Operation Script on Wikisurgery.

* Aortic-aneurysm-graft: Information for patients on Wikisurgery.

* Femoral embolectomy: Operation Script on Wikisurgery.

* Femoral embolectomy: Information for patients on Wikisurgery.

* Bypass axillo-femoral: Information for patients on Wikisurgery.

* Bypass femoro-femoral: Information for patients on Wikisurgery.

* Bypass femoro-popliteal: Information for patients on Wikisurgery.

Template:Vascular surgery

bn:রক্তনালী-সম্বন্ধীয় শল্যচিকিৎসা de:Gefäßchirurgie el:Αγγειοχειρουργική it:Chirurgia vascolare nl:Vaatchirurgie ne:धमनी शल्यचिकित्सा

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