At Pinehurst Surgical, we offer minimally invasive procedures for a number of vascular diseases and other conditions related to the circulatory and vascular system, including:
- Peripheral vascular disease (PVD or PAD)
- Carotid artery disease (CAS)
- Venous disease (Varicose and Spider Veins)
- Abdominal aortic aneurysms (AAA)
- End Stage Renal Disease (ESRD)
- Vascular Wound Care Management
Peripheral Vascular Disease (PVD) Treatment
Similar to cardiovascular disease, PVD is caused by the buildup of fat and cholesterol (known as plaque), which disrupts normal blood flow to arteries in the vascular system.
Some of the signs and symptoms of peripheral vascular disease include leg pain and calf cramping (or claudication), in the leg. In addition, the following risk factors may increase your chance of developing PVD:
- High blood pressure
- High cholesterol
- Inactive lifestyle
If left untreated, this disease usually progresses impairing or limiting lifestyle and may lead to lower extremity wounds and other complications. If you believe you may be at risk for peripheral vascular or peripheral arterial disease, contact our office for a vascular consultation with one of our board certified surgeons.
Plaque Excision Procedure for PVD: SilverHawk™ System
Pinehurst Surgical is proud to offer a minimally invasive procedure to remove plaque in the arteries of the leg — the FDA-cleared SilverHawk™ Plaque Excision System. Unlike stenting and angioplasty (other common treatments for PVD), this device cleans out the artery by removing the plaque altogether — not simply pushing the plaque up against the artery walls. And unlike open bypass surgery, plaque excision is largely non-invasive.
Carotid Artery Disease in Patients
The carotid arteries are the major arteries in your neck that supply blood to the brain. Carotid artery disease occurs when these arteries become narrowed or blocked by plaque buildup on the inside of the artery walls. This buildup often results in atherosclerosis, or hardening of the arteries.
Carotid artery disease is a serious health problem and may lead to a mini stroke (TIA), or major stroke (CVA). However, with the proper treatment at our vascular specialty center, patients in Southern Pines, Fayetteville, Asheboro and surrounding areas in Central NC and beyond can experience relief from atherosclerosis and the problems it causes:
- Carotid stenting – This newly-developed minimally invasive procedure treats carotid artery disease and offers an alternative option for Patients who have medical conditions and are at increased risk of complications for carotid endarterectomy.
- Carotid endarterectomy – This surgical procedure is used to remove the plaque that is blocking the carotid artery. The majority of carotid endarterectomies are performed utilizing general anesthesia, and the procedure generally takes approximately two hours.
Abdominal Aortic Aneurysm (AAA) Screening
An abdominal aortic aneurysm (AAA) is a bulge or balloon that forms in the wall of the aorta — the largest blood vessel in the body. An aneurysm is most commonly the result of an accumulation of fatty deposits on the vessel wall, but may also relate to heredity, trauma or other diseases that weaken the vessel wall. Eventually, the force of normal blood flow through the weakened aortic wall can cause the aneurysm to tear or rupture, which may lead to serious internal bleeding or even death. Approximately 80% of ruptured AAAs result in death.
Abdominal aortic aneurysms are the 17th leading cause of death in the United States, accounting for the death of approximately 15,000 Americans each year. It is estimated that approximately 2 million people in the United States have AAA disease, with 200,000 new cases diagnosed annually.
The following individuals may be at higher risk for abdominal aortic aneurysms:
- Men over the age of 55
- Women over the age of 65
- Smokers or those with a history of smoking
- People with a family history of AAA disease
- People who have atherosclerosis (fatty deposits on the blood vessel wall), diabetes, high blood pressure, or high cholesterol
Because there are few noticeable signs and symptoms associated with abdominal aortic aneurysms, our Vascular and Vein Care Center recommends an AAA screening to assist in the early detection of this disease. Part of the welcome to Medicare package includes a AAA screening that can be ordered by your primary care provider. Appointments for this ultrasound can be scheduled in our Vascular accredited ultrasound laboratory.
Common AAA Treatments
Our vascular surgeons treat abdominal aortic aneurysms with both endovascular and traditional open repair.
Endovascular repair (stent grafting) procedures have smaller incisions and are much less invasive, recovery time is less when compared to open surgery Patients that are not candidates for Endovascular repairs may be treated by a traditional open repair.
*Information from this article used with permission by Medtronic.
Kidney Failure Treatments (End Stage Renal Disease)
The kidneys are vital organs that filter toxins in the body and cleanse the blood. When the kidneys shut down or can no longer function properly, dialysis takes over this function. A dialysis machine is connected to the patient’s bloodstream and acts as an artificial kidney.
We provide options for Hemodialysis:
- Hemodialysis – This is a more common type of dialysis. With hemodialysis, a patient usually goes to a dialysis center three times a week, where he or she is connected to an artificial kidney that cleanses the blood.
What is Dialysis Access Surgery?
Dialysis access surgery or vascular access surgery is performed before dialysis, enabling effective treatment of End Stage Renal Disease.
At Pinehurst Surgical, our Vascular Surgeons provide several types of access surgery options for both forms of dialysis. Arteriovenous (AV) fistula or arteriovenous grafts are typically used for hemodialysis, whereas peritoneal dialysis access (PD Catheter) typically involves inserting a long, silicone-based tube into the abdomen.
To learn more about our vascular procedures (both surgical and nonsurgical) for diseases like PVD, carotid artery disease and more, please contact Pinehurst Surgical’s Vascular & Vein Care Center today at 910-215-2536.
Current patients may also request an appointment online by logging into their My Patient Page.
Pinehurst Surgical is a multi-specialty clinic comprised of ten specialty centers located in a state-of-the-art surgical facility in Pinehurst, NC. Our board-certified vascular surgeons offer several minimally invasive procedures and vascular surgeries at our Pinehurst, Laurinburg, Hamlet and Sanford clinical offices, serving patients in Southern Pines, Fayetteville, Red Springs, Asheboro and all surrounding areas throughout North Carolina and South Carolina.