Case Experience

Our trainees gain experience in a wide variety of cases:

Carotid Artery Diseases

  • Carotid endarterectomy (CEA)
  • Carotid stenting

Thoracic Vascular Surgery

  • Thoracic aneurysm repair
  • Thoracic endovascular aneurysm repair (TAG)
  • Thoracoabdominal aneurysm repair
  • First rib resection for arterial or venous thoracic outlet syndrome
  • Treatment of thoracic outlet syndrome (TOS):arterial and venous, but not neurogenic

Abdominal Vascular Surgery

  • Abdominal aortic aneurysm repair (AAA)
  • Endovascular aortic aneurysm repair (Endo AAA)
  • Visceral artery bypass
  • Mesenteric artery bypass
  • Renal artery bypass
  • Aortoiliac bypass
  • Aortofemoral bypass

Lower Extremity Peripheral Vascular Disease

  • Lower extremity bypass
  • Femoral Popliteal bypass
  • Femoral-tibial bypass

Upper Extremity Peripheral Vascular Disease

  • Arm bypass: brachial and radial arteries

Endovascular Therapy

  • Minimally invasive vascular procedures
  • Balloon angioplasty and stenting of arteries
    • Subclavian
    • Renal
    • Mesenteric
    • Aorta
    • Iliac
    • Femoral
    • Popliteal
    • Tibial
  • Thrombolysis of arterial occlusions: all except coronary and intracranial
  • Balloon angioplasty and stenting of veins
    • Axillary
    • Subclavian
    • Brachiocephalic
    • Iliac
  • Thrombolysis of venous thrombosis
    • Axillary
    • Subclavian
    • Iliac
    • Femoral
    • Popliteal
  • Inferior vena cava (IVC) filter insertion/retrieval

Venous Procedures

  • Varicose vein stripping
  • Varicose vein radiofrequency ablation
  • Varicose veins laser surgery
  • Sclerotherapy of varicose veins
  • Repair of venous aneurysms

Hemodialysis Access Procedures

  • Hemodialysis fistulas, grafts, catheters
  • Thrombectomy of dialysis shunts: open and percutaneous
  • Complex revision of dialysis access
  • Hemodialysis Reliable Outflow (HeRO) access

Amputations

  • Toe amputations
  • Foot amputations
  • Leg amputations

Other Procedures

  • Repair of arteriovenous fistulas
  • Repair of arterial pseudoaneurysms
  • Repair of arterial aneurysms
  • Retroperitoneal exposure for spinal procedures
  • Infusion lines and ports
  • Port placement for chemotherapy
  • Treatment of vascular tumors
  • Temporal artery biopsy
  • Vascular ultrasound

Example of Current Resident Log

Over the last several years, vascular fellows have logged between 900–1100 cases on completion of the program.

Postgraduate Year Four (PGY-4) Integrated resident, after 38 months of residency:

Title Credits
Cerebrovascular 38
CEA 27
Carotid Stent 6
Other cerebrovascular 5
Aneurysm Repair 20
Open AAA/Ruptured 3 / 1
EVAR 12
Open TAAA 0
TEVAR 1
Abdominal Obstructive 6
Celiac/SMA Endarterectomy/bypass 2
Endarterectomy, Renal 1
PTA/Stent, Renal 3
Upper Extremity 6
Extra-Anatomic 9
Thrombolysis 5
Trauma 20
Venous 63
Varicose Veins 15
PTA, Venous 27
IVC Filter 11
Endovascular Diagnostic 182
Arteriography 130
Venography 49
Vascular Access 78
AV Fistula 36
AV Graft 14
Revision AV Access 23
Amputations 66
AKA 10
BKA 23
TMA 9
Ditigal 22
Peripheral Obstructive 111
Aortobifemoral bypass 4
Femoral Endarterectomy 27
Fem-Pop Bypass 11
Infrapopliteal bypass / redo 4 / 1
Aortoiliac PTA/Stent 20
Femoral PTA/Stent 10
Infrainguinal PTA/Stent 10
Skin/Soft Tissue 12
Head/Neck 2
Breast 5
Esophagus 7
Stomach 5
Abdomen 56
Biliary 37
Pancreas/spleen 0
Hernia 22
Endocrine 3
Hand 1
Thoracic 28
Pediatric 3
GU 2
Transplant 17
Trauma 25
Endoscopy 25
GRAND TOTALS 990
Major Cases 218
Minor Cases 413
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