Vascular Surgery

Vascular surgeons in Nashville & Middle Tennessee

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Dr. Julia Boll
Vascular Surgeon
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Dr. Roger Bonau
Vascular Surgeon
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Dr. Jeffrey B. Dattilo
Vascular Surgeon
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Dr. JimBob Faulk
Vascular/Endovascular Surgeon
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Dr. Bryan T. Fisher
Vascular Surgeon
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Dr. John Keyser
Vascular Surgeon
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Dr. Brian Kendrick
Vascular Surgeon
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Dr. Billy J. Kim
Vascular Surgeon
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Dr. Allen Lee
Vascular Surgeon
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Dr. Caroline Nally
Vascular Surgeon
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Dr. James Richardson
Vascular Surgeon
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Dr. Adam Richter
Vascular/Endovascular Surgeon
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Dr. Mark Shelton
Vascular Surgeon
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Dr. Todd H. Wilkens
Vascular Surgery
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Dr. Patrick Yu
Vascular Surgeon
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Vascular conditions we treat

Aortic aneurysm

Surgery for Abdominal Aortic Aneurysm

During surgery for abdominal aortic aneurysm (AAA), the weakened aortic wall is replaced with a hollow man made tube (graft).

Reaching the aneurysm

The aorta can be reached through open surgery . Or a less invasive endovascular procedure may be done. Your surgeon will choose the best approach for you.

Open surgery

An incision is made in your abdomen. Once inside, your surgeon gently moves aside your organs to reach the damaged section of the aorta.

Endovascular procedure

Near your groin, the surgeon makes 2 small cuts (incisions). Then he or she threads a thin, flexible tube (catheter) into the artery at the incision. The surgeon places a graft inside the catheter and guides it toward the damaged part of the aorta.

Placing the graft

The goal is to safely route blood past the aneurysm.

During open surgery

Here is what to expect:

  • The aneurysm is opened and cleaned of any blood clots.
  • The graft is sewn to the aorta.
  • The wall of the aorta is wrapped around the graft to protect it. The wall is then sewn up.
  • The incision site is closed with stitches or staples.
  • During open surgery, a graft replaces the weakened section of aortic wall. The wall is wrapped around the graft.
During an endovascular procedure

Here is what to expect:

  • Watching the catheter on a video monitor, the surgeon places a catheter in the best position. This position is confirmed by a dye study (angiogram).
  • The surgeon guides the graft through the catheter and expands it so blood can flow through it.
  • The blood is now re-routed through the graft and does not fill the aneurysm anymore.
  • The graft is attached inside the artery. It’s held in place with metal springs (stents), hooks, or pins.
  • The catheter is removed. The incision sites are closed with stitches or staples.
Risks and possible complications

Here are potential problems to be aware of:

  • Infection
  • Blood clots in legs
  • Bleeding
  • Kidney failure
  • Respiratory failure
  • Injury to the colon’s blood supply
  • Erectile dysfunction
  • Spinal cord injury
  • Heart attack, stroke, or death

Carotid artery disease

Having Carotid Endarterectomy

Endarterectomy is the removal of plaque from the carotid artery through a cut (incision) in the neck. This surgery has a low risk of stroke or complication (1% to 3%). It typically involves a quick recovery with little pain. You may be asleep under general anesthesia during surgery, or awake with local anesthesia to control pain. This will be discussed with you before surgery.

 

 
How the endarterectomy is done
  1. The surgery usually takes around 2 hours, but may be longer depending on the anesthetic and your situation.Make the skin incision. The surgeon makes an incision in the skin over the carotid artery.
  2. Open the artery. The surgeon places clamps on the artery above and below the blockage. This temporarily stops blood flow. The brain receives blood from the carotid artery on the other side of your neck. The surgeon then makes an incision in the artery itself.
  3. Place shunt. A shunt may be used to preserve blood flow to the brain during the procedure. After the shunt is in place, the clamps are removed from the internal carotid artery. In some cases a shunt is not needed because the brain is receiving enough blood through other arteries (from the carotid artery on the other side of your neck).
  4. Remove plaque. The surgeon loosens plaque from the artery wall. The plaque is then removed, often in a single piece. The surgeon inspects the artery to confirm that all of the plaque has been removed.
  5. Close the incision. The surgeon closes the incision using either sutures or a patch. The clamps are then removed. Next, the skin incision is sutured closed. A tube or drain may be put in place to keep fluids from collecting around the area.

Deep vein thrombosis (DVT)

Procedures for Deep Vein Thrombosis

A deep vein thrombosis (DVT) is a blood clot in a large vein deep inside a leg, arm, or other part of the body. The clot can separate from the vein and travel to the lungs. This forms a pulmonary embolism (PE). In the lungs, the clot can cut off the flow of blood. This is a medical emergency and may cause death.

Healthcare providers use the term venous thromboembolism (VTE) to describe the two conditions, DVT and PE. They use the term VTE because the two conditions are very closely related. And, because their prevention and treatment are closely related.

Most often, a blood clot is treated with medicines that help to dissolve the clot. They also help prevent pulmonary embolism and other complications. But this is not true for everyone. Depending on your health, and the size and location of the blood clot, your healthcare provider may recommend that you have one or more procedures. Procedures to treat blood clots include thrombolysis, angioplasty, and vena cava filter placement. Your healthcare provider can give you more information about treating your blood clot, including information about these and other treatments. He or she can also answer any questions you may have.

Three ways to treat venous thrombosis: catheter delivering medication, balloon angioplasty, embolus filter.

Thrombolysis

This procedure is used to dissolve a large clot. A catheter (thin tube) is inserted into the vein. X-rays are taken of the vein and the clot. Then, clot-dissolving medicine is delivered to the clot through the catheter. In some cases, a mechanical device is also used to break up the clot. This procedure is not recommended for everyone with a DVT. Your healthcare provider will review the risks and benefits with you. In some people, thrombolysis is a very effective treatment for blood clots. However, it does carry the risk for serious bleeding complications.

Angioplasty

This procedure may be used to widen the affected vein and improve blood flow. This is done after the blood clot has been dissolved. Narrowing (stenosis) of the vein can block blood flow and make it more likely for a blood clot to form. A catheter with a balloon on the end is inserted into the affected vein. X-rays are used to position the catheter. Once the catheter is in place, the balloon is inflated to widen your vein. In some cases, a wire mesh device, called a stent, may also be placed in your vein to help keep it open. You and your healthcare provider can discuss whether or not this procedure might help you.

Inferior vena cava filter

An inferior vena cava (IVC) filter is a small device used to trap an embolus in your lower body to prevent it from traveling to your lungs. A long, narrow tube (catheter) is put into one of your veins. It’s used to place the filter in your vena cava, your body’s largest vein. Your healthcare provider will discuss the risks and benefits of this procedure if it’s recommended for you.

Dialysis access management

What is dialysis access management?
Vascular access (or hemodialysis) is a way to reach the blood for hemodialysis.

Hemodialysis is a type of treatment for kidney failure (end-stage kidney disease or ESRD). It uses a machine that holds a filter called a dialyzer. As blood flows through the dialyzer, waste is removed and fluid and chemicals are balanced. Hemodialysis treatments are usually done at a special dialysis center. In some cases, treatments may be done at home. As the kidney failure is getting worse, your doctor may advise you to have an access placed by a surgeon into one of your arms ahead of time. This access may take several weeks to mature before it can be used for hemodialysis.

Diagram showing how blood moves through dialyzer to filter out waste.

How hemodialysis is done

Two needles are inserted into a blood vessel (called an arteriovenous fistula or AV fistula) or arteriovenous graft (or AV graft), usually in your arm. Each needle is attached to a tube. One tube carries your blood into the dialyzer, where it’s cleaned. Clean blood returns to your body through a second tube and needle. If this treatment has to be done as an emergency, a plastic tube (catheter) is inserted into a large vein, typically in the neck or groin. This catheter helps carry blood to and from the dialysis machine.

Your experience: Problems to watch for
  • Hemodialysis usually takes about 3 to 5 hours. It’s usually done 3 times a week.
  • You’ll have a regular schedule for your hemodialysis. Many centers have evening and weekend hours as well as weekday hours to help you continue working. Some centers also offer overnight treatments.
  • A trained nurse or technician connects you to the dialysis machine. He or she watches for problems and makes sure you are comfortable.
  • During treatment, only a small amount of blood (about 1 cup) is out of your body at any one time.
  • During your treatments, you may have a headache, muscle cramps, nausea and vomiting, chest and back pain, itching, and fever and chills. Make sure you tell your nurse or technician if you have any of these symptoms.
  • Some people are able to learn to use a dialysis at home. Home dialysis lets you schedule treatments when it’s most convenient. You may have more frequent treatments, but for shorter periods of time. You may also do overnight treatments.

Get immediate medical help or call your doctor, nurse or dialysis technician if you have any of these symptoms after treatment:

  • Chest or back pain
  • Tiredness (fatigue)
  • Bleeding from the needle site
  • Shortness of breath
  • Fever or chills
  • Headache or lightheadedness
  • Nausea or vomiting
  • Itching
  • Muscle cramps
  • Pain, warmth, or redness at your access site
  • Inability to feel your blood flow (called a thrill) in your AV fistula or graft

Mesenteric disease

What is mesenteric disease?

Mesenteric vascular disease is a condition that develops when the arteries in the abdomen that supply the intestines with blood become narrowed due to the build-up of plaque (a process called atherosclerosis). The result is a lack of blood supply to the intestines. (UMCVC)

Peripheral artery disease (PAD)

Understanding Peripheral Arterial Disease

Peripheral arteries deliver oxygen-rich blood to the tissues outside the heart. As you age, your arteries become stiffer and thicker. In addition, risk factors, such as smoking and high cholesterol, can damage the artery lining. This allows a buildup of fat and other materials (plaque) to form within the artery walls. The buildup of plaque narrows the space inside the artery and sometimes blocks blood flow. Peripheral arterial disease (PAD) happens when blood flow through the arteries is reduced because of plaque buildup. It often happens in the legs and feet, but can also happen elsewhere in the body. If this buildup happens in the large artery in the neck (carotid artery), it can lead to stroke.

A healthy artery

An artery is a muscular tube that carries oxygen rich blood and nutrients from the heart to the rest of the body. It has a smooth lining and flexible walls that allow blood to pass freely. When active, muscles need more oxygen. This increases blood flow. Healthy arteries can adapt to meet this need.

A damaged artery

PAD starts when the lining of an artery is damaged. This is often because of risk factors, such as smoking, older age, or diabetes. Plaque then starts to form within the artery wall. At this stage, blood flows normally, so you’re not likely to have symptoms.

A narrowed artery

If plaque continues to build up, the space inside the artery narrows. The artery walls become less able to expand. The artery still provides enough blood and oxygen to your muscles during rest. But when you’re active, the increased demand for blood can’t be met. As a result, your leg may cramp or ache when you walk.

A blocked artery

An artery can become blocked by plaque or by a blood clot lodged in a narrowed section. When this happens, oxygen can’t reach the muscle below the blockage. Then you may feel pain when lying down or when you are not active (rest pain). This type of pain is especially common at night when you’re lying flat. In time, the affected tissue can die. This can lead to the loss of a toe or foot.

Spider & Varicose Veins

Understanding Spider and Varicose Veins

What are the symptoms?

Spider veins or varicose veins may never be a problem. But sometimes they can cause legs to ache or swell. Your legs may also feel heavy and tired. Or they may feel like they’re burning. These symptoms may be more severe at the end of the day. Prolonged sitting or standing can also make your symptoms worse.

Who gets spider and varicose veins?

Anyone can get spider or varicose veins. But vein problems tend to be hereditary (run in families). Other factors that can affect veins include:

  • Pregnancy, hormones, and birth control pills
  • A job where you stand or sit a lot
  • Extra weight or lack of exercise
  • Age

Side view of leg showing spider veins.

Do you often hide your legs because of the way they look? You may have noticed tiny red or blue bursts (spider veins). Or maybe you have veins that bulge or look twisted (varicose veins). If so, there are treatments that can help.

What can be done?

Spider and varicose veins can affect the way you feel about yourself. Talk to your healthcare provider about your concerns. There are treatments that can ease symptoms and make your legs look better.

Your treatment choices

Treatment may include:

  • Self-care. Being physically active can help with blood flow in your legs. So, too, can losing weight, if needed, and wearing compression stockings.
  • Sclerotherapy. During this treatment, a chemical is injected into the veins. It can work for spider veins and some varicose veins.
  • Newer minimally invasive procedures or vascular surgery (in rare cases). These treatments may be needed for large varicose veins.
 
 

Thoracic Outlet Syndrome

Understanding Thoracic Outlet Syndrome

Thoracic outlet syndrome is a set of symptoms in the shoulder, arm, or hand. It occurs from a narrowing of the thoracic outlet. This is the space between your collarbone and your first rib. It can result from injury, disease, or a problem present from birth. Thoracic outlet syndrome is not common. It can occur in people of any age.

What is the thoracic outlet?

The thoracic outlet is a narrow space between your collarbone (clavicle) and your first rib. Nerves and blood vessels pass from your chest to your arm through this area. The nerves and blood vessels include:

  • A bundle of nerves (brachial plexus) that serve your shoulder, arm, and hand
  • A large and important vein (subclavian vein)
  • A very large important artery (subclavian artery)

What causes thoracic outlet syndrome?

Your shoulder muscles normally keep your clavicle raised and in place. But with thoracic outlet syndrome, the upper rib and clavicle are closer. This makes the thoracic outlet smaller. Nerves and blood vessels going through the area can be compressed. Conditions that can cause thoracic outlet syndrome include:

  • Having an extra rib at birth
  • An abnormality in the neck muscles at birth
  • Neck injury
  • Injury to the first rib or collarbone
  • Repetitive overhead arm movements that may cause inflammatory changes

Poor posture and obesity may raise your risk for thoracic outlet syndrome. People who do repetitive overhead arm movements, such as swimmers or pitchers, may also have a higher risk.

Symptoms of thoracic outlet syndrome

Your symptoms may come and go. This may be partly based on your activity level. Overhead activities may make your symptoms worse. You most likely have symptoms on only 1 side. In some cases thoracic outlet syndrome can cause symptoms on both sides of the body.

Symptoms can include:

  • Aching in your neck, shoulder, arm, or hand
  • Pain, numbness, or tingling of your forearm or fingers, most often the pinky.
  • Hand weakness
  • Limited range of motion of your arm
  • A depression in your shoulder
  • Pain in your neck muscles
  • Swelling and redness of your arm
  • Pale and cool arm and hand

Diagnosing thoracic outlet syndrome

Thoracic outlet syndrome is often more difficult to diagnose than other shoulder problems. Your healthcare provider will ask about your health history and your symptoms. You will also have a physical exam. Your healthcare provider may move your hand and arm in different positions.

A specific test may be done to help diagnose thoracic outlet syndrome. Your healthcare provider may have you raise your arms and then open and close your fist for a few minutes. This often brings on symptoms.

You may have other tests, such as:

  • Nerve conduction tests. This is done to see how your nerves are affected.
  • Needle electromyography (EMG), This is often done with nerve conduction tests. It assesses the nerve signals going to the muscles.
  • Doppler ultrasound. This looks at blood flow through your arm and hand.
  • Chest X-ray. This is done to check for abnormal bone such as an extra rib.
  • CT scan. This may be done if your healthcare provider needs to see more detail.
  • CT angiography. This is done to get more information about blood flow through your arm.

Treatment for thoracic outlet syndrome

Depending on the cause of thoracic outlet, different treatments may be needed:

  • Physical therapy to improve range of motion and strength
  • NSAIDs (nonsteroidal anti-inflammatory drugs) such as ibuprofen or naproxen
  • Lifestyle changes such as weight loss
  • Surgery to relieve pressure on the nerve
  • Vascular surgery to open up blood vessels

Vascular procedures & treatments

Abdominal Aortic Aneurysm Surgery (AAA)
Amputation Lower Extremity
Aneurysm Repair
Angioplasty and Stenting
Aortobifemoral Surgery
Arteriogram
Awake Carotid Endarterectomy
Dialysis Access Surgery
Dialysis Catheter Insertion/Removal
Dialysis Shunt Insertion/Removal
Endovascular Abdominal Aortic Aneurysm Repair (EVAR)
Endovascular Intervention
Endovascular Thoracic Aortic Aneurysm Repair (TEVAR)

Endovenous Laser Ablation
Hybrid Aortic Aneurysm Repair
IVC filter placement/removal
Limb Salvage
Lower Extremity Amputation
May-Thurner Syndrome
Mesenteric Aneurysms and Occlusive Disease
Pelvic Congestion
Peripheral Artery Bypass for PAD
Phlebectomy of Varicose Veins
Port-A-Cath Insertion/Removal
Radiofrequency Ablation
Reflux Vein Closure

Revascularization Surgery
Sclerotherapy
Spider Vein Treatment
Thoracic Debranching for Arch Aneurysmal Disease
Thoracic Outlet Syndrome
Thoracoabdominal Aneurysm Repair
Treatment of Deep Venous Thrombosis
Upper Extremity Endovascular
Varicose Vein Treatment
Vascular Surgery
Venous Disease
Venous Stent
Wound Care

Vascular Surgery and Treatments in Nashville

Your body is fed by a network of arteries and veins. With the exception of the pulmonary artery, all of your arteries are large tubes that let blood travel away from your heart. This blood is filled with oxygen and nutrients, the fuel source for your entire body. As blood travels around your body, it deposits fuel and picks up your body’s trash, like carbon dioxide, and it disperses into veins that are smaller than arteries and have the job of carrying blood back to your lungs to be refilled with oxygen, shipped to your heart and pumped back out again. A single droplet of blood will make this complete tour of your body every minute.

In order for the pump to work properly, the tubes have to be able to be elastic enough to withstand the pressure of the pump of blood, but they can’t become saggy or blood will accumulate in your extremities – not returning properly to your lungs. If veins or arteries have stretched or weak spots develop or they become clogged or lose their elasticity, surgery is needed to eliminate or circumvent the diseased area. In areas outside the intracranial and coronary arteries, specialized vein surgeons will surgically treat arterial, venous and lymphatic system conditions. Some vascular conditions will occur only in arteries, while others occur only in veins. There are some disease processes that will affect both arteries and veins.

When you come in for vascular treatment in our Nashville or Middle Tennessee vein centers, a trained vascular specialist will perform a vascular ultrasound to examine the condition of your veins. The ultrasound will also help your surgeon know the exact position of your veins and plan a more effective course of treatments. If serious intervention is necessary, we can talk you through vascular surgery options. 

What is AAA?

Abdominal Aortic Aneurysm

Vascular Surgery: Aortic Aneurysms

Aneurysms are asymptomatic conditions that can lead to severe and life-threatening problems. Thankfully, there is treatment available and our expert vascular surgeons know how to identify your risks and symptoms. To learn more about this condition and how it can be treated, watch the following video from Dr. Adam A. Richter, MD, RPVI.

Surgery for Abdominal Aortic Aneurysm

During surgery for abdominal aortic aneurysm (AAA), the weakened aortic wall is replaced with a hollow man made tube (graft).

Reaching the aneurysm

The aorta can be reached through open surgery . Or a less invasive endovascular procedure may be done. Your surgeon will choose the best approach for you.

Open surgery

An incision is made in your abdomen. Once inside, your surgeon gently moves aside your organs to reach the damaged section of the aorta.

Endovascular procedure

Near your groin, the surgeon makes 2 small cuts (incisions). Then he or she threads a thin, flexible tube (catheter) into the artery at the incision. The surgeon places a graft inside the catheter and guides it toward the damaged part of the aorta.

Placing the graft

The goal is to safely route blood past the aneurysm.

During open surgery

Here is what to expect:

  • The aneurysm is opened and cleaned of any blood clots.

  • The graft is sewn to the aorta.

  • The wall of the aorta is wrapped around the graft to protect it. The wall is then sewn up.

  • The incision site is closed with stitches or staples.

Open surgery to place graft for abdominal aortic aneurysm.
During open surgery, a graft replaces the weakened section of aortic wall. The wall is wrapped around the graft.

During an endovascular procedure

Here is what to expect:

  • Watching the catheter on a video monitor, the surgeon places a catheter in the best position. This position is confirmed by a dye study (angiogram). 

  • The surgeon guides the graft through the catheter and expands it so blood can flow through it.

  • The blood is now re-routed through the graft and does not fill the aneurysm anymore.

  • The graft is attached inside the artery. It’s held in place with metal springs (stents), hooks, or pins.

  • The catheter is removed. The incision sites are closed with stitches or staples.

Endovascular procedure to place graft for abdominal aortic aneurysm.
During an endovascular procedure, a graft is inserted inside the aortic wall. The graft is then secured to the aorta above and below the aneurysm.

Risks and possible complications

Here are potential problems to be aware of: 

  • Infection

  • Blood clots in legs

  • Bleeding

  • Kidney failure

  • Respiratory failure

  • Injury to the colon’s blood supply

  • Erectile dysfunction

  • Spinal cord injury

  • Heart attack, stroke, or death

After AAA Surgery
After Open Abdominal Aortic Aneurysm Surgery

You have had surgery to repair an abdominal aortic aneurysm (AAA). This happens when the main blood vessel in your abdominal area weakens and expands like a balloon. Your healthcare provider placed a graft to replace the part of your aorta that was weak. Here’s what you need to know following surgery.

Home care

Recommendations for taking care of yourself at home include the following:

  • Don’t do strenuous activity for 4 to 6 weeks after your surgery.
  • Ask your healthcare provider how long it will be before you can return to work.
  • Gradually increase your activity. It may take some time for you to return to your normal activity level.
  • Don’t drive for 2 weeks after surgery or while you are taking opioid pain medicine. Ask someone to take you to any appointments.
  • Check your incision every day for signs of infection. These include swelling, redness, drainage, and warmth.
  • Keep your incision clean. Wash it gently with soap and water when you shower.
  • Don’t lift anything heavier than 5 pounds for 2 weeks after surgery.
  • Don’t sit or stand for long periods without moving your legs and feet.
  • Keep your feet up when you sit in a chair.
  • Take your medicines exactly as directed.

When to call your healthcare provider

Call your healthcare provider right away if you have any of the following:

  • Redness, pain, swelling, or drainage from your incision
  • Fever of 100.4°F (38°C) or higher, or as directed by your healthcare provider
  • Sudden coldness, pain, or paleness in your leg
  • Loss of feeling in your legs
  • Severe or sudden pain in your stomach
  • Fail to pass gas
  • Bloody bowel movements
  • Prolonged constipation
  • Nausea or vomiting
  • Trouble breathing
  • Pain or heaviness in your chest or arms

Still have questions?

Reach out to us to set up an appointment. The Surgical Clinic has locations all throughout Tennessee, including areas such as Nashville, Lebanon, Columbia, and much more. We can address all of your vascular surgery needs, and answer any questions you might have regarding procedures.

 

RESOURCES

nashville vascular procedure center

Vascular Procedure Centers (VPC)

Our state-of-the-art vascular procedure centers are accredited by the Intersocietal Accreditation Commission and each of the RVT’s are registered through the American Registry of Diagnostic Medical Sonographers (ARDMS). These locations allow you to access advanced laboratory professionals all throughout Tennessee, without the congestion of a hospital setting. While appointments are required, it is often possible to make a ‘same-day’ appointment. Your test results will be sent to your vascular surgeon to help determine a recommended course of treatment.

VPC Columbia | Mt. Juliet | Nashville

Vascular Surgeons

Find a vascular surgeon in Nashville or Middle Tennessee

The Surgical Clinic has board certified vascular surgeons who focus on treating all vascular and endovascular issues including pulmonary embolism, spider veins and varicose veins. Our network of board certified vascular surgeons and vein specialists are able to help patients with everything from common vein problems to serious conditions such as carotid artery disease. To find a provider near you, simply visit our “locations” tab, and choose the closest clinic in your area. We have over 40 surgeons throughout middle Tennessee, offering a variety of vascular surgery options.

Vascular Testing & Diagnostics

PHYSIOLOGIC (NON-IMAGING) TESTING

Physiologic arterial testing is the evaluation of the amount of blood flow to the arms or legs. If narrowing in an artery reduces the amount of blood flow to the arms or legs, we can detect this with physiologic testing. First we listen to the arterial flow and record waveforms of the flow pattern. We take blood pressures at different levels on the arms or legs, and we may have you walk on a treadmill for approximately five minutes to see if blood flow to the legs is reduced further with walking. All of this data helps your physician determine the overall significance of any narrowing and how much blood flow is getting to the legs or arms.

ANKLE/BRACHIAL INDEX

This is a simple physiologic test that involves taking a blood pressure from your arms and your ankles. We obtain a ratio of the ankle pressure to the arm pressure that tells us if the blood flow to your ankles is normal or abnormal. This test is the first step in evaluating the blood flow to your legs and is used to determine which further testing is performed. Arterial Doppler with Segmental Pressures Upper and Lower Extremities: This test involves taking blood pressures from different levels of your legs or arms. We also record waveforms of the blood flow to determine the quality of the blood flow. The blood pressures and waveforms help determine where any arterial narrowing is located.

ARTERIAL DOPPLER WITH TREADMILL

This test may assess your blood pressures in your arms and ankles after you have walked for 5 minutes on a Treadmill. This measures how exercise affects the blood flow to your legs. It is usually conducted after the Ankle/Brachial Index and Segmental Pressure testing is completed.

VASCULAR HEALTH SCREENING

The key to excellent vascular care is proper diagnosis and treatment options. The Surgical Clinic’s ICAVL accredited vascular laboratory offers vascular screening services to assure that you receive proper diagnosis and treatment of your vascular condition. The state-of-the-art vascular ultrasound screening services are painless, fast and accurate. A vascular screening will help identify unnoticed vascular conditions; however, these screening do not take the place of a physical exam.

RAYNAUD’S TESTING

The key to excellent vascular care is proper diagnosis and treatment options. The Surgical Clinic’s ICAVL accredited vascular laboratory offers vascular screening services to assure that you receive proper diagnosis and treatment of your vascular condition. The state-of-the-art vascular ultrasound screening services are painless, fast and accurate. A vascular screening will help identify unnoticed vascular conditions; however, these screening do not take the place of a physical exam.

Vascular Ultrasounds

Vascular ultrasound and physiologic vascular procedures are booked for The Surgical Clinic patients in the Vascular Laboratory in Tennessee. This convenient and comfortable settings allow Registered Vascular Technologists (RVTs) to evaluate the blood supply to and from various parts of the body. This information is obtained without any invasive procedures. After an appointment, you will be able to return to your regular activities. It is important to point out that your care will be delivered by a professional with an RVT certification. The RVT certification, not required in many labs, is the standard at The Surgical Clinics’ labs and helps to assure you that your tests are being conducted by people specialized in these diagnostic procedures. We have a variety of locations across Tennessee, so whether you live in Nashville or Dickson TN, we’ve got a provider for you.

VASCULAR SURGERY ARTICLES

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