Back to Piedmont.org Find a Doctor About PHI Services & Programs Heart Care & Wellness Locations Patient Experience Learning Center For Healthcare Professionals Home / Heart / Services and Programs / Vascular Services General and Preventive Cardiology Valvular and Structural Heart Disease Heart Failure Hypertrophic Cardiomyopathy Program Women's Heart Cardiovascular Imaging Vascular and Endovascular Services Piedmont Vein Care Interventional Cardiology Electrophysiology AFib Clinic Cardiac Surgery Thoracic Surgery Piedmont Aortic Center Advanced Vascular Surgical Expertise Our expert vascular and endovascular surgeons, trained at some of the most advanced academic centers in the nation, use cutting-edge procedures as a standard of care. We are also involved in training the next generation surgeons with these innovative techniques. The vascular surgeons at Piedmont offer the most up-to-date and minimally invasive procedures including percutaneous endovascular aneurysm repair (PEVAR), fenestrated endovascular aneurysm repair (FEVAR) and trans-carotid stenting (TCAR). These procedures eliminate many of the risks of open surgery and lead to shorter hospital stays with a quicker recovery. The vascular surgery group also participates in myriad clinical trials and are helping to define the future standard of care. Vascular Conditions & Treatments Our team of vascular specialists provide care for routine and complex vascular and endovascular conditions and diseases: Carotid Artery Disease Plaque build-up or the narrowing of the carotid arteries is known as carotid artery disease. A serious issue that can lead to stroke, our vascular experts at Piedmont Heart Institute care for a range of issues and conditions with precise treatments: Atherosclerosis - plaque build up Blood clots Mini stroke, also called transient ischemic attack (TIA) Removal of plaque and clots from the carotid arteries Endovascular stent surgery to open arteries Surgical removal of blockage Peripheral Artery Disease Peripheral artery disease (PAD) is a serious but treatable circulatory problem that restricts the flow of blood, most commonly in the arteries of the legs. PAD is treated by our team of vascular specialists through both minimally invasive endovascular as well as traditional open procedures, dependent upon the disease pathology. Aneurysms An aneurysm is an enlargement of an artery due to a weakening of the wall of the artery. Generally without symptoms, they can be life-threating if weakened to the point of rupture. With expertise in the diagnosis and treatment of a range of aneurysm identification and repair, our vascular specialists are experts in the following conditions and treatments: Aortic aneurysm Abdominal aortic aneurysm Endovascular stent-graft surgery Emergency surgery, if ruptured Peripheral aneurysm Stenting to remove blockage Surgical repair Thoracic aortic aneurysm Venous Disease Chronic venous disease (CVD) results in veins that are diseased or abnormal and limit blood flow back to the heart. Our vascular specialists at Piedmont Heart Institute diagnose and repair the following with a range of treatments, including those available at our Piedmont Vein Clinic. Blood clots Deep vein thrombosis Endoscopic perforator surgery Endovascular surgical repair Sclerotherapy Spider veins Surgical repair Varicose veins Vein transplant Venous insufficiency Hemodialysis Our vascular specialists at Piedmont Heart Institute provide expertise with dialysis access, the placement of devices within arteries and veins for patients with kidney disease. Prior to regular hemodialysis sessions, it is necessary to have a vascular surgeon adequately prepare the site on your body where blood is removed, filtered and then returned during dialysis. Level 1 Vascular Program Utilizing the full resources and advanced technology at Piedmont Heart Institute, our Level I Vascular Program saves lives in emergency situations. We are a destination of choice for the acceptance of urgent or emergency referrals from across the region. Some of the common vascular emergencies we treat include: Symptomatic/ruptured abdominal and thoracic aortic aneurysms Pulmonary embolism Aortic dissection Lower extremity/limb-salvage vascular emergency Catastrophic abdominal vascular emergency Carotid artery disease Thoracic outlet syndrome Iliofemoral venous obstruction Innovations in Vascular Care Innovations in our clinical care include: Level 1 Vascular Program Ambulatory vein care Venous Thromboembolism Program for PE and DVT Carotid endarterectomy (CEA)/carotid artery stenting (CAS) Clinical Pathway Device trials Founding member of the National PERT Consortium to advance best practices in pulmonary embolism care What to Expect with Vascular Diagnostics and Procedures Quality, safety and improved outcomes are the foundation of our program. We use conscious sedation, when appropriate, as an efficient and safer process so patients can respond with instant feedback. This process also improves recovery. We help our patients and family members understand what to expect for vascular surgery. Recovery is generally within about a week for most routine procedures such as aneurysms and carotid repair. Our team works with patients and families to carefully educate about surgery and what to expect after surgery for optimal recovery. Vascular Wellness To improve vascular wellness and reduce your risk of vascular disease, our specialists recommend low impact exercises to improve vascular health. In addition to improving overall health, our specialists can help with blood pressure control, monitoring blood sugar, good sleep habits, strong nutritional choices and an exercise plan that you will enjoy. Through our Living Better articles, learn more about how to improve your vascular and heart health. 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