Specialties & Services

Vascular Surgery

When you choose our care team, you have access to specialists in all aspects of vascular care. We treat both common and complex vascular diseases with a personalized approach. We listen to your needs, discuss your goals, and provide care to help you live your life in good health.

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Why choose us for vascular care?

BJC HealthCare works with WashU Medicine physicians, BJC Medical Group, and providers across the region to deliver extraordinary care. Our vascular surgeons provide advanced treatment for all conditions affecting your blood vessels. We specialize in both open procedures and endovascular (minimally invasive) therapies. This depth and breadth of expertise means you have more treatment options for your needs.

When you choose our care team you’ll find:

  • Unmatched expertise: In many areas of vascular surgery, we have experience that other centers in the region can’t match. Our surgeons are national and international leaders in aortic repair, aneurysm treatment, and care for thoracic outlet syndrome.
  • Minimally invasive options: Our team performs many endovascular surgeries, which treat problems inside your blood vessels using a catheter (a tiny tube inserted in an artery or vein). We resolve blockages in arteries and veins with only a small puncture. You can recover faster with less pain and downtime.
  • Lifelong relationship: We take time to listen to you. By understanding your concerns and preferences, we can suggest the best treatment for you. Our goal is to give you a high quality of life, free of worrisome symptoms.
  • Collaborative care: Vascular surgeons work alongside experts in cardiology, interventional cardiology, cardiothoracic surgery, and other specialties to plan your treatment. You receive seamlessly coordinated care from one source.
  • State-of-the-art technology: Several of our hospitals have hybrid operating rooms. These advanced facilities combine the latest imaging and surgical technology. We can perform highly complex, minimally invasive procedures with improved safety and accuracy.

Vascular treatment options

Endovascular treatments

Our team chooses minimally invasive methods to restore blood flow and relieve vascular problems when possible. These endovascular procedures require no incision—just a needle puncture. Our expertise enables us to access blood vessels nearly anywhere in your body this way. We are not limited to access through the groin (the traditional approach). Our surgeons can also reach blood vessels through your foot, knee, or wrist.

Our endovascular procedures include:

Angioplasty

 Your surgeon threads a catheter (tiny tube) to a blocked blood vessel. A balloon at the tip of the catheter reopens the vessel to improve blood flow.

Aortic aneurysm repair

We have expertise in several procedures to repair aneurysms at all levels of the aorta, the largest artery from your heart.

Clot retrieval and embolectomy

 Use minimally invasive techniques to eliminate pulmonary embolisms without major surgery.

Lower extremity revascularization

 Restores blood flow to your arms and feet without invasive surgery, resulting in less pain and a faster recovery.

Peripheral atherectomy

 Procedure to destroy plaque in distant blood vessels to reopen arteries or veins supporting wound healing and limb preservation.

Stenting

 Our vascular surgeons can place a stent (a tiny mesh tube) to hold open a weakened blood vessel anywhere in your body.

Transcarotid artery revascularization (TCAR)

 Minimally invasive technique to remove clots and open a narrowed carotid artery, minimizing stroke risk.

Vein ablation and sclerotherapy

 Our vascular team offers minimally invasive treatments for varicose veins and spider veins to relieve pain and restore mobility.

Vascular surgery at BJC

In some cases, an open-heart surgery with a larger incision is the best option for ensuring a successful procedure and recovery. After an open procedure, you may have a longer hospital stay. We work to support you as you heal.

Our experts offer a range of vascular surgeries, including:

Bypass graft surgery

 Your surgeon reroutes blood flow around a blocked or damaged blood vessel by attaching healthy blood vessels.

Revascularization

 Surgery to repair or replace blood vessels to restore blood flow. It can help wounds heal and reduces the risk of amputation.

Deep venous arterialization (DVA)

 DVA reroutes blood from nearby arteries to restore blood flow to veins in your foot. It can prevent infection and help you avoid amputation.

Fistula and graft placement for dialysis access

 Our vascular surgeons provide renal replacement therapy access, including options for peritoneal dialysis.

Open carotid endarterectomy

 Our team may use an open procedure to access and clear your carotid artery if you're not a candidate for minimally invasive treatment.

Free flap tissue grafting

 Our vascular surgeons work with plastic surgeons to treat persistent foot ulcers using vascularized tissue flaps from other areas of your body.

Aortic aneurysm repair

 We have expertise in several procedures to repair aneurysms at all levels of the aorta, the largest artery from your heart.

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