Treatments

Arteriogram
Surgical Intervention
Interventional Repair (Endograft)
Balloon Angioplasty with or without Carotid Artery Stenting
Atherectomy
Computed Tomography (CT)
Magnetic Resonance Imaging (MRI)

Arteriogram

Pre Procedure
Procedure Details
Post Procedure

Prior to your procedure, you will receive specific instructions for how to properly prepare for your procedure. The following information is a general guideline for what you might expect, but always follow the instructions given to you by your physician.

  • Be sure to tell your doctor about all medications you are taking and any allergies you may have, especially if you have an allergy to contrast dye or latex.
  • You may be advised to stop taking blood thinners or nonsteroidal anti-inflammatory drugs (NSAIDs) for a specified period of time prior to your treatment.
  • You may be asked to fast (not eating or drinking anything) for several hours prior to your procedure.
  • Female patients should always inform their physician if they are or if there is a possibility that they are pregnant.
  • Blood tests may be ordered to determine how well your liver and kidneys are functioning and to see how your blood clots.
  • Shower or bathe the night before your procedure.
  • Remove jewelry, nail polish/artificial nails and hairpins, but please wear the following items to the procedure if you use them:
    • Eye Glasses
    • Dentures
    • Hearing Aid(s)
  • You should plan to have a relative or friend drive you home following your procedure.

During your arteriogram you may expect the following to occur, expect the procedure to last 1-2 hours:

  • You will be positioned on the examining table and be connected to monitors that track your heart rate, blood pressure and pulse during the procedure, and a nurse or technologist may insert an intravenous (IV) line into a vein in your hand to deliver sedation medication.
  • The physician will discuss the procedure with you and answer questions you may have. You will also read and sign a consent form.
  • The area where the catheter is to be inserted will be sterilized and draped with a surgical drape before the physician numbs the area with a local anesthetic.
  • A very small nick in the skin is made where the physician inserts a catheter into the femoral artery near the groin.
  • Contrast material, a clear fluid that is visible on x-ray imaging, is injected through the catheter to produce an image of the blood vessels. This fluid may cause a warm sensation for a moment.
  • X-rays are taken and you may be asked to hold very still so that the images come out clearly.
  • After the procedure, the catheter is removed and pressure is applied to stop any bleeding. The small opening is covered with a dressing (no stitches are needed).
  • Following the procedure, you will spend about six hours in a recovery room to allow the puncture site to heal before you are allowed to move. You will not be allowed out of bed and will need to use a bedpan or urinal.
  • In recovery, a nurse will regularly check your blood pressure, foot pulses, and the puncture site. You will be allowed to eat and drink unless you are going into surgery.
  • Your physician’s staff will schedule a follow-up clinic appointment for you. The physician will review the imaging and discuss the results of the procedure with you at this appointment.

Surgical Intervention

Procedure Details

This treatment is for large, un-ruptured aneurysms and it is performed by a vascular surgeon. This requires an invasive surgery where a vascular surgeon makes an incision and places a plastic graft for the blood to flow through. This keeps the blood flow from pulsing on the weakened blood vessel wall and expanding the aneurysm. If an Interventional Radiologist determines that surgical intervention is needed, you will be referred to the proper physician.

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Interventional Repair (Endograft)

Pre Procedure
Procedure Details
Post Procedure

Prior to your procedure, you will receive specific instructions for how to properly prepare for your procedure. The following information is a general guideline for what you might expect, but always follow the instructions given to you by your physician.

  • Be sure to tell your doctor about all medications you are taking and any allergies you may have, especially if you have an allergy to contrast dye or latex.
  • You may be advised to stop taking blood thinners or nonsteroidal anti-inflammatory drugs (NSAIDs) for a specified period of time prior to your treatment.
  • You may be asked to fast (not eating or drinking anything) for several hours prior to your procedure.
  • Female patients should always inform their physician if they are or if there is a possibility that they are pregnant.
  • Blood tests may be ordered to determine how well your liver and kidneys are functioning and to see how your blood clots.
  • Shower or bathe the night before your procedure.
  • Remove jewelry, nail polish/artificial nails and hairpins, but please wear the following items to the procedure if you use them:
    • Eye Glasses
    • Dentures
    • Hearing Aid(s)
  • You should plan to have a relative or friend drive you home following your procedure.
  • You will be positioned on the examining table and be connected to monitors that track your heart rate, blood pressure and pulse during the procedure, and a nurse or technologist may insert an intravenous (IV) line into a vein in your hand to deliver sedation medication.
  • The physician will discuss the procedure with you and answer questions you may have. You will also read and sign a consent form.
  • The area where the catheter is to be inserted will be sterilized and draped with a surgical drape before the physician numbs the area with a local anesthetic.
  • A very small nick in the skin is made where the physician inserts a catheter into the femoral artery near the groin.
  • A small, compressed plastic or wire mesh stent will be guided to the site of the aneurysm using medical imaging guidance and once it is properly placed, the physician will allow it to expand to fit the blood vessel.
  • After the procedure, the catheter is removed and pressure is applied to stop any bleeding. The small opening is covered with a dressing (no stitches are needed).
  • Following the procedure, you will spend about six hours in a recovery room to allow the puncture site to heal before you are allowed to move. You will not be allowed out of bed and will need to use a bedpan or urinal.
  • In recovery, a nurse will regularly check your blood pressure, foot pulses, and the puncture site. You will be allowed to eat and drink unless you are going into surgery.
  • This procedure may require a 1-3 night stay in the hospital.
  • Your physician’s staff will schedule a follow up CT, PET or MRI and a clinic appointment. The physician will review the imaging and discuss the results of the procedure with you at this appointment.
  • You will be required to have regular (annual) CT or MRI imaging to monitor the stent and the aneurysm.

Balloon Angioplasty with or without Carotid Artery Stenting

Pre Procedure
Procedure Details
Post Procedure

Prior to your procedure, you will receive specific instructions for how to properly prepare for your procedure. The following information is a general guideline for what you might expect, but always follow the instructions given to you by your physician.

  • Be sure to tell your doctor about all medications you are taking and any allergies you may have, especially if you have an allergy to contrast dye or latex.
  • You may be advised to stop taking blood thinners or nonsteroidal anti-inflammatory drugs (NSAIDs) for a specified period of time prior to your treatment.
  • You may be asked to fast (not eating or drinking anything) for several hours prior to your procedure.
  • Female patients should always inform their physician if they are or if there is a possibility that they are pregnant.
  • Blood tests may be ordered to determine how well your liver and kidneys are functioning and to see how your blood clots.
  • Shower or bathe the night before your procedure.
  • Remove jewelry, nail polish/artificial nails and hairpins, but please wear the following items to the procedure if you use them:
    • Eye Glasses
    • Dentures
    • Hearing Aid(s)
  • You should plan to have a relative or friend drive you home following your procedure.
  • You will be positioned on the examining table and be connected to monitors that track your heart rate, blood pressure and pulse during the procedure, and a nurse or technologist may insert an intravenous (IV) line into a vein in your hand to deliver sedation medication.
  • The physician will discuss the procedure with you and answer questions you may have. You will also read and sign a consent form.
  • The area where the catheter is to be inserted will be sterilized and draped with a surgical drape before the physician numbs the area with a local anesthetic.
  • A very small nick in the skin is made where the physician inserts a catheter into the femoral artery near the groin.
  • Contrast material, a clear fluid that is visible on x-ray imaging, is injected through the catheter to produce an image of the blood vessels. This fluid may cause a warm sensation for a moment.
  • X-rays are taken and you may be asked to hold very still so that the images come out clearly.
  • The physician will guide the balloon catheter to the site of the blockage and expand the balloon.
  • If a stent is being placed, the physician will insert a compressed stent and guide it to the site and expand it to fit properly in the artery.
  • After the procedure, the catheter is removed and pressure is applied to stop any bleeding. The small opening is covered with a dressing (no stitches are needed).
  • The procedure lasts about 1-2 hours
  • Following the procedure, you will spend about six hours in a recovery room to allow the puncture site to heal before you are allowed to move. You will not be allowed out of bed and will need to use a bedpan or urinal.
  • In recovery, a nurse will regularly check your blood pressure, foot pulses, and the puncture site. You will be allowed to eat and drink unless you are going into surgery.
  • This procedure may require a 1-3 night stay in the hospital.
  • Your physician’s staff will schedule a follow-up clinic appointment for you. The physician will review the imaging and discuss the results of the procedure with you at this appointment.

Atherectomy

Pre Procedure
Procedure Details
Post Procedure
 

Prior to your procedure, you will receive specific instructions for how to properly prepare for your procedure. The following information is a general guideline for what you might expect, but always follow the instructions given to you by your physician.

  • Be sure to tell your doctor about all medications you are taking and any allergies you may have, especially if you have an allergy to contrast dye or latex.
  • You may be advised to stop taking blood thinners or nonsteroidal anti-inflammatory drugs (NSAIDs) for a specified period of time prior to your treatment.
  • You may be asked to fast (not eating or drinking anything) for several hours prior to your procedure.
  • Female patients should always inform their physician if they are or if there is a possibility that they are pregnant.
  • Blood tests may be ordered to determine how well your liver and kidneys are functioning and to see how your blood clots.
  • Shower or bathe the night before your procedure.
  • Remove jewelry, nail polish/artificial nails and hairpins, but please wear the following items to the procedure if you use them:
    • Eye Glasses
    • Dentures
    • Hearing Aid(s)
  • You should plan to have a relative or friend drive you home following your procedure.
  • You will be positioned on the examining table and be connected to monitors that track your heart rate, blood pressure and pulse during the procedure, and a nurse or technologist may insert an intravenous (IV) line into a vein in your hand to deliver sedation medication.
  • The physician will discuss the procedure with you and answer questions you may have. You will also read and sign a consent form.
  • The area where the catheter is to be inserted will be sterilized and draped with a surgical drape before the physician numbs the area with a local anesthetic.
  • A very small nick in the skin is made where the physician inserts a catheter into the femoral artery near the groin.
  • The physician will guide the catheter to the site of the blockage using medical imaging and carefully sand away the buildup.
  • If Angioplasty and/or Stenting is required, the physician will perform that procedure.
  • After the procedure, the catheter is removed and pressure is applied to stop any bleeding. The small opening is covered with a dressing (no stitches are needed).
  • The procedure lasts about 1-3 hours.
  • Following the procedure, you will spend about six hours in a recovery room to allow the puncture site to heal before you are allowed to move. You will not be allowed out of bed and will need to use a bedpan or urinal.
  • This procedure may require a 1-3 night stay in the hospital.
  • In recovery, a nurse will regularly check your blood pressure, foot pulses, and the puncture site. You will be allowed to eat and drink unless you are going into surgery.
  • Your physician’s staff will schedule a follow-up clinic appointment for you. The physician will review the imaging and discuss the results of the procedure with you at this appointment.

Computed Tomography (CT)

Pre Procedure
Procedure Details
Post Procedure
Comfortable, loose clothing should be worn, although in some cases a patient will be asked to change into a hospital gown for the examination. It is also important to remove any metal prior to the exam: jewelry, dentures, eyeglasses, belt buckles, and metal zippers and buttons can interfere with the images.

The first test to diagnose stroke is a CT scan, which provides physicians with detailed pictures of the brain. From these images, a physician can see what kind of stroke is occurring and what part of the brain is affected.

After your CT you may return to normal daily activity. The radiologist will then interpret the results of the images and will contact you with the results.

Magnetic Resonance Imaging (MRI)

Pre Procedure
Procedure Details
Post Procedure
Before an MRI exam, eat normally and continue to take your usual medications, unless otherwise instructed. You will be asked to change into a gown and to remove:

  • Jewelry
  • Hairpins
  • Eyeglasses
  • Watches
  • Wigs
  • Dentures
  • Hearing aids
  • Underwire bras

MRI is a test that produces very accurate pictures of the brain and its arteries without x-rays or dyes. This test is useful for detecting a wide variety of brain and blood vessel abnormalities, and can usually determine the area of the brain that is damaged by an ischemic stroke. During this painless test, you lie on a table that moves into the opening of the MRI machine. The machine creates a magnetic field which briefly alters the water molecules in your brain cells. The response to this magnetic field is then detected and used to create an image of the brain.

After your MRI you may return to normal daily activity. The radiologist will then interpret the results of the images and will contact you with the results.

We Look Forward To Working With You.