Patients who have established vascular disease, including carotid artery disease, aortic aneurysm, and peripheral artery disease (PAD) require intensive medical management to prevent other complications of vascular disease, including heart attack and stroke.
Vascular Surveillance and Medical Management
Medical management may include blood thinning medications, diet and exercise modification, smoking cessation or medications to lower blood pressure, cholesterol, or blood sugar. Additionally, it is important to keep track of whether or not vascular disease is progressing, often using imaging studies like CT scans and vascular ultrasound.
Our physicians work across multiple disciplines to develop and implement personalized long-term vascular surveillance and medical management strategies for patients with established vascular disease.
Thoracic Aorta Program
We worked with our Cardiothoracic (CT) surgeons to develop a strategy to identify and track patients who have potentially life-threatening diseases of the aorta in the chest. Since many of these patients will need further interventions in the future, treating these patients does not stop once they have had surgery.
We create long-term surveillance and medical management strategies for patients with disease of the thoracic aorta, including those with aortic aneurysm or aortic dissection who have undergone repair.
Endovascular Aortic Stent Surveillance
Increasingly, diseases of the aorta are repaired without surgery by placing a stent-graft using a catheter introduced into the femoral artery in the groin. A stent-graft is a tube made up of fabric, which is supported by a metal mesh, that can be placed across diseased sections of the aorta. It helps create a new track for the blood to flow inside the aorta, diverting it from the aneurysm or dissection. The stent-graft is permanent.
While stent-grafts have revolutionized aortic disease treatment, they do require frequent imaging (CT scan, MRI scans or vascular ultrasound) to make sure they continue to function correctly over time.
Every patient who has a stent graft placed at Renown is also in a long-term imaging surveillance program. The clinical staff at Renown Vascular Care help ensure that surveillance is scheduled appropriately and that the results are shared with all members of the treatment team.