Vascular Surgery

Vascular surgeons in Nashville & Middle Tennessee

dr julie boll best vascular surgeon near me in nashville tn at the surgical clinic

Dr. Julia Boll
Vascular Surgeon
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vascular surgery in nashville dr roger bonau TSC vascular surgeon in nashville belle meade franklin

Dr. Roger Bonau
Vascular Surgeon
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best vascular surgeon at st thomas west hospital in nashville with the surgical clinic dr jeffrey dattilo

Dr. Jeffery B. Dattilo
Vascular Surgeon
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dr jimbob faulk vascular surgeon endovascular specialist the surgical clinic st thomas west

Dr. JimBob Faulk
Vascular/Endovascular
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dr bryan fisher vascular surgery nashville and ashland city tn the surgical clinic

Dr. Bryan T. Fisher
Vascular Surgeon
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Dr. Brian Kendrick, vascular surgeon in Columbia, TN at The Surgical Clinic

Dr. Brian Kendrick
Vascular Surgeon
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dr billy kim best best vascular surgeon in hermitage tn at the summit clinic

Dr. Billy J. Kim
Vascular Surgeon
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dr. allen lee best vascular surgeon nashville vein doctor

Dr. Allen Lee
Vascular Surgeon
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dr caroline nally best vascular surgeon at the surgical clinic in nashville st thomas west hospital clinic

Dr. Caroline Nally
Vascular Surgeon
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Dr. James RIchardson, general surgeon in Columbia, TN at The Surgical Clinic

Dr. James Richardson
Vascular Surgeon
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best vascular surgeon near me dr adam Richter

Dr. Adam Richter
Vascular/Endovascular
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dr mark shelton best vasular surgeon in nashville at southern hills hospital

Dr. Mark Shelton
Vascular Surgeon
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best vascular surgeon the surgical clinic rutherford hospital dr todd wilkens

Dr. Todd H. Wilkens
Vascular/Endovascular
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Dr. Patrick Yu, general surgeon in Columbia, TN at The Surgical Clinic

Dr. Patrick Yu
Vascular Surgeon
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Vascular conditions we treat

Aortic aneurysm

Abdominal aortic aneurysms (AAA) is a bulge in the blood vessel that runs from the heart to through the abdomen. If not spotted early and repaired, an aneurysm can rupture and cause life-threatening internal bleeding. At The Surgical Clinic, our surgeons offer several surgical options for treating AAA.

Carotid artery disease

A condition involving the narrowing of the arteries leading from the heart to the brain. Causes include the build-up of cholesterol and fat (atherosclerosis) and blood clots. If left untreated, this condition could cause strokes or brain damage. At The Surgical Clinic, we offer testing, diagnosis, and surgery for the treatment of carotid artery disease.

TCAR Procedure for Carotid Artery Disease

Deep vein thrombosis (DVT)

A deep vein thrombosis (DVT) is a blood clot in a large vein deep inside a leg, arm, or another part of the body. DVT often causes circulation problems, venous ulcers, varicose veins, spider veins, and edema. Additionally, DVT can separate from the vein and travel to the lungs–causing a pulmonary embolism (PE). The clot in the lungs can cut off the flow of blood. If this occurs, it is a medical emergency and may cause death.

Dialysis access management

Dialysis access is used to treat kidney disease and end-stage renal disease (ESRD). Dialysis treatments are often needed multiple times per week, so having a healthy dialysis access port created and maintained is essential for dialysis patients.

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). Symptoms of this disease include unexplained weight loss and pain that occurs after eating.

Peripheral artery disease (PAD)

Peripheral arterial disease is a condition that develops with age and can be made worse due to smoking, high cholesterol, and plaque build-up in the arteries. All of these factors make it more difficult for your blood vessels to healthily carry your blood through your body. PAD is also often connected to other vascular diseases like carotid artery disease, DVT, strokes, and varicose veins.

Spider & Varicose Veins

Spider veins and varicose veins are two sides of the same coin. Alone, neither are a serious medical problem. However, varicose veins especially can lead to swelling, pain, and heaviness in your limbs. Our vascular surgeons at The Surgical Clinic offer many treatments to help you manage and resolve your varicose and spider vein problems.

 
 

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, but it can occur in people of any age. It usually causes pain and numbness in your shoulder, arms, hands, and fingers.

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
Thoracoabdominal Aneurysm Repair
Transcarotid Artery Revascularization (TCAR)
Treatment of Deep Venous Thrombosis
Upper Extremity Endovascular
Varicose Vein Treatment
Vascular Surgery
Venous Disease
Venous Stent
Wound Care

Vascular Surgery 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.

    Vascular & Vein Treatments

    Vascular and Vein treatments in Nashville (Middle Tennessee)

    When you come in for vascular treatment in our 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 vascular surgery?

      Vascular surgery is a specialty surgery practice used to manage diseases in the vascular system, veins, arteries, and lymphatic circulation. Minimally invasive surgeries like catheter procedures and surgical reconstruction are utilized in vascular surgery medical therapies.

      Common vascular surgery techniques include:
      → Atherectomy
      → Angioplasty and stenting
      → Arteriovenous (AV) fistula
      → Arteriovenous (AV) graft
      → Thrombectomy
      → Open abdominal surgery
      → Vascular bypass surgery
      → Open carotid and femoral endarterectomy

      What is a VPC?

      Vascular Procecdure Center (VPC) → Learn about our Vascular Procedure Center where we perform venous and vascular procedures for our patients across Tennessee. Using the latest minimally invasive surgical techniques, we offer patients hospital-level care in a convenient outpatient facility.

      As an independent procedure center in the Nashville area, we have access to the most cutting-edge vascular procedure techniques and technologies, not found anywhere else.

      TCAR Procedure

      Transcarotid Artery Disease Treatment

      The Surgical Clinic’s board certified vascular surgeons offer an advanced surgery for carotid artery disease called TCAR.

      What is TCAR?

      TCAR stands for transcarotid artery revascularization. This procedure is a minimally invasive option for carotid artery disease compared to traditional options like CEA (carotid endarterectomy). By taking a less invasive approach, we’re able to help mitigate risks associated with traditional surgery. 

      what is the TCAR procedure?
      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, FACS, 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

      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.

      PAD Screening

      Learn more about how and why you should get screened for peripheral arterial disease.

      Should You Be Screened for PAD?

      Vascular Surgery Blogs

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