Peninsula Regional Medical Center - Part of Peninusula Regional Health System


Vascular Surgery


At the Guerrieri Heart & Vascular Institute, we perform revolutionary vascular procedures such as carotid stenting and endarterectomy, limb salvage and revascularization (angioplasty, stenting and thrombectomy) and aortic interventions.

Some procedures that we perform include:

Carotid Artery Stenting – procedure in which a stent is inserted into the carotid artery to increase blood flow in areas that are narrowed.

Carotid Endarterectomy – operation during which the surgeon removes the inner lining in the carotid artery that has been thickened or damaged.  This restores blood flow in the artery.

Aortic Endografting – procedure during which a fabric-covered stent or endograft is inserted into an abdominal aortic aneurysm without making an incision in the abdomen.

Thoracic Endografting – procedure during which a fabric-covered stent or endograft is inserted into a thoracic aortic aneurysm through a puncture in the groin.

Terms associated with vascular procedures and surgeries:

Angiogram or Arteriogram – invasive imaging procedure that involves inserting a catheter into a blood vessel in the leg (sometimes the arm) and taking pictures using dye and a special x-ray machine.  This helps your doctor determine if a further procedure or intervention is necessary.

Angioplasty – procedure where a special catheter with a balloon tip is threaded into an artery to its point of narrowing.  The balloon is inflated to compress the atherosclerosis or fatty deposits into the artery wall, and to stretch the artery to increase blood flow.

Carotid Artery – artery on right and left side that provides principal blood supply to the head and neck.

Aorta – the main trunk of the arterial system in the body, it is divided into the ascending aorta, aortic arch, thoracic aorta, and abdominal aorta.

Deep Vein Thrombosis (DVT) – a blood clot in one of the deep veins that leads to the vena cava (body’s largest vein).  A DVT may occur in your pelvis, thigh or calf, and sometimes in the arm or chest.

Stent – a small mesh tube that acts as a support for a narrowed artery.  The stent is permanent and is placed during an arteriogram.

Aneurysm – weak spot in an artery that bulges like a balloon and can enlarge and rupture over time.
Endovascular Stent Graft – a tube that is made up of fabric supported by a stent, commonly used to reinforce a weak spot in the artery (aneurysm).  The graft is designed to seal tightly with your artery, above and below the aneurysm, to allow blood to pass through it without pushing on the bulge.

Thrombus – a blood clot that adheres to the wall of a blood vessel.  A thrombus may obstruct or block the vessel and prevent the flow of blood.