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Peripheral Vascular Care

Hamot Medical Center and Jet-TV teamed up again this year for Heart Month to raise community awareness about Heart Disease. As part of the month long series, Jet-TV's David Belmondo underwent a screening for Peripheral Vascular Disease.
Click here to see the video.
Click here to view our PAD handout

Diseases and Conditions [top]

There are several diseases that would need peripheral vascular care and surgery.  These include:

  • Peripheral Vascular Disease
    • Arterial
    • Venous
  • Carotid Arterial Disease
  • Abdominal Aortic Disease
  • Renal artery Stenosis
  • Varicose Veins
  • Pseudoaneurysm

Treatment [top]

There are several services offered by the peripheral vascular care and surgery team at Hamot. These include:

Noninvasive Diagnostics - A noninvasive diagnostic test is one that is done from the outside of the body, such as an ultrasound. 

  • Ankle-Brachial Index (ABI) - This test is done by measuring blood pressure at the ankle and in the arm while a person is at rest.
  • Ultrasound
    • Peripheral (Arterial, Venous) - This test is an ultrasound wave test that produces images of the circulatory system.
    • Carotid - A test that uses ultrasound waves to examine the arteries in the neck.
    • Abdominal - Uses reflected sound waves to produce a picture of the organs and other structures in the upper abdomen.

Invasive Diagnostics - An invasive diagnostic test is done by looking inside the body with special equipment.

  • Angiogram (Arteriogram, Venogram) - A X-ray image of the blood vessels. It is performed to evaluate various vascular conditions, such as an aneurysm, stenosis or blockages.
    • Peripheral Arterial - Done to test the arteries, which supply the blood to the head and neck or the abdomen and legs.
    • Renal, Abdominal -An angiogram of the blood vessels of the kidneys. A renal angiogram may be used to assess the blood flow to the kidneys.
    • Carotid, Cerebral - An invasive imaging procedure that involves inserting a catheter into a blood vessel in the arm or leg and guiding it to the carotid arteries with the aid of a special X-ray machine. Contrast dye is injected through the catheter so that X-ray movies of your carotid arteries (the arteries that supply your brain with oxygen-rich blood) are taken.
  • Special Procedures Lab

Therapeutic Interventions - A therapeutic intervention is a treatment for a disease or problem that is usually done inside the body with special equipment, such as a stent.

  • Embolectomy - Surgery to remove embolism (embolus) from the femoral artery in the leg.
  • Stenting
    • Peripheral – Procedure to open up a peripheral artery that is narrowed or blocked by plaque build-up, and to structurally support that opening by permanently placing a metal stent within the artery.
    • Renal
    • Carotid - A procedure in which your vascular surgeon inserts a slender, metal-mesh tube, called a stent, which expands inside your carotid artery to increase blood flow in areas blocked by plaque.
    • Aortic Stent Grafting - Repairs abdominal aortic aneurysms by implanting a device into the damaged aorta, the largest vessel transporting blood from the heart, allowing blood to travel smoothly to the rest of the body.
  • Endoluminal Closure of Varicose Veins - The thin-closure catheter is inserted into the saphenous vein through a small opening, often using only a single needle stick. The catheter delivers radiofrequency energy to the vein wall in a temperature-controlled manner, causing the vessel to heat, collapse and seal shut as the doctor slowly pulls the catheter from the vein.
  • Pseudoaneurysm Closure
  • Surgical
    • Carotid Endarterectomy - A fatty buildup of plaque is removed from the carotid artery.
    • Peripheral Arterial Bypass - A method of rechanneling blood flow around the obstructed artery.
    • Abdominal Aortic Aneurysms (AAA) Repair