Minimally Invasive Endovascular Surgery

The Central Maine Heart and Vascular Institute offers endovascular surgery, a type of minimally invasive surgery in which the surgeon accesses the area being treated through a major blood vessel. Endovascular surgery is used to treat blood vessel problems.

Endovascular surgery requires only a needle puncture. The surgeon accesses the major blood vessels that serve the lower body through this needle puncture. Instruments are introduced into the blood vessels and directed to vascular anatomy needing repair. Medical imaging technology is used to view the anatomy during treatment, much as is done during a cardiac catheterization procedure.

Vascular-endovascular surgeons are trained to perform both minimally invasive and traditional open procedures, and are skilled in the medical management of vascular disease. They may use catheters, intravascular balloons, stents, coils and medication to treat disease. CMHVIs surgeons work individually with patients to help them choose the best treatment for their condition. All other factors being equal, vascular surgeons generally choose endovascular techniques instead of conventional open surgery.

Endovascular surgeries for adults are performed at CMHVI in hybrid surgical suites featuring sophisticated diagnostics, leading-edge technologies, and state-of-the-art imaging capabilities. This environment essentially offers the capabilities of an operating room and cardiac catheterization lab.

The Central Maine Heart and Vascular Institutes vascular-endovascular surgeons use minimally invasive procedures to treat the following conditions:

Aneurysms: An aneurysm is a bulge in the major artery such as the aorta. There are two types of aneurysms involving the aorta: an bulge on the upper aorta is called a thoracic aneurysm; ballooning of the lower aorta is an abdominal aneurysm. These are dangerous conditions that require close surgical-medical management. Aneurysms also develop in the arteries that supply blood to the arms and legs. A bulging of the iliac artery in the pelvis is called an iliac aneurysm.

Carotid artery disease: Blockages of the carotid arteries can cause stroke and serious damage to the brain.

Peripheral arterial disease: Blockages of the arteries serving the extremities, primarily the legs may cause pain with walking or, if severe, limb loss.

Venous disorders: Bulging and painful veins.

Dialysis access for kidney failure

The benefits of minimally invasive surgery include:

  • The operations are done through a needle puncture rather than long incisions.
  • Faster recovery. Patients can usually return to work or other activities within two to three days.
  • Shorter hospital stay. Hospitalization time can be reduced by more than 50 percent.
  • Reduced chance for post-surgical complications and infection.
  • Less pain. Decreased trauma to tissue and muscle results in less pain than open procedures.
  • Less scarring. Only a few tiny scars and remains.

For more information on vascular and endovascular surgery visit the CMHVI website.