Vascular Surgery

Istituto Clinico Città di Pavia

key figures 

CLINICAL SERVICES:

  • Open / Endovascular treatment of arterial diseases
  • Open / Endovascular treatment of venous diseases
  • Open / Endovascular treatment of Arteriovenous Malformations 
  • Diabetic foot treatment 

PROCEDURES PERFORMED PER YEAR:

  • 560 vascular interventions

The activity of the vascular surgery Unit has reached excellent levels in:

  • Endovascular treatment of the great vessels pathologies
  • Treatment of the arterial pathology of the elderly and prevention of stroke
  • Diabetic foot treatment

The Unit provides patients with the most innovative techniques for the surgical treatment of aortic aneurysms, applying both traditional methods and minimally invasive approaches. Physicians perform vascular surgery interventions on all arterial districts: from chronic ischemia of the lower limbs and rescue of ischemic limb, to carotid pathologies.

The Unit also performs interventions on the venous compartment with the use of modern techniques that can be done in the day hospital regime (radiofrequency treatment).

 

treatments

Arterial Diseases

The main field of interest of the vascular surgery Unit is represented by arterial diseases.  The most important districts involved in the arterial pathology are: supra aortic vessels (occlusive and dissociative diseases), thoracic and abdominal aorta, and peripheral vessels. The Unit treats these diseases with a traditional open surgery or with an endovascular approach. The Unit’s team consists of vascular surgeons, interventional radiologists and biomedical engineers. All these professional figures are in a clinical board that evaluates every case and looks for the best diagnostic and therapeutic strategy. 

Top Procedures: 

  • Thoracic aortic aneurysm and dissection repair
  • Abdominal aortic aneurysms and dissection repair
  • Carotid direct endarterectomy or with patch and percutaneous transluminal angioplasty and stenting 
  • Lower limb artery bypass, endarterectomy, and percutaneous transluminal angioplasty and stenting 
  • Endovascular treatment of visceral arteries' occlusive and dilative diseases 
  • Lumbar ganglionectomy 

Venous Diseases

Venous diseases represent another important field of the Unit’s activity. The main district involved in the venous pathology is the lower limb venous system: primary and secondary varicose veins. 

The main techniques used for the treatment of such pathologies are surgical or endovascular. The radiofrequency technique for the treatment of varicose veins could be done with percutaneous access in the leg. This technique allows the reduction of the post-surgical hospital stay.

Top Procedures: 

  • Surgical: saphenectomy and phlebectomy 
  • Endovascular: radiofrequency and sclerotherapy

Arteriovenous Malformations (AVM), Diabetic Foot Treatment, Buerger’s Disease

Others fields of interest of the Unit include arteriovenous malformations, diabetic foot and Buerger’s disease, and end-stage renal disease (ESRD). The main techniques used for the treatment of these pathologies include surgical as well as endovascular. The Unit offers treatment for arteriovenous malformations to both, adult and paediatric patients. 

Top Procedures: 

  • Endovascular and surgical treatment of arteriovenous malformations 
  • Negative pressure therapy and ultrasonic debridement of venous and arterial ulcers 
  • Arteriovenous fistulas for end-stage renal disease

 

NOTABLE ADVANCED TECHNOLOGICAL EQUIPMENT

  • Focus Ultracision harmonic scalpel
  • Operating room equipped with radiological devices
  • Non-invasive vascular laboratory 
  • U.S. laboratory
SEE OTHER Vascular Surgery UNITS
- Vascular Surgery (Ospedale San Raffaele)
- Vascular Surgery (Policlinico San Donato)
EXPLORE OTHER MEDICAL SPECIALTIES OF Istituto Clinico Città di Pavia
- General Medicine
- Minimally Invasive Orthopaedic Surgery