Vascular Surgery and Endovascular Therapy

The UAB Medicine Division of Vascular Surgery and Endovascular Therapy provides complete diagnostic capabilities and a comprehensive range of evidence-based therapies for the full spectrum of vascular disease.

A regional referral center for complex vascular disorders, UAB Medicine features surgeons trained in all forms of modern endovascular procedures and focused on achieving optimal outcomes and improved quality of life for our patients. We are actively involved in clinical trials of new therapies, so our patients may have access to innovative new treatments not available at other medical centers.

Our vascular surgeons treat vascular disease with endovascular repair (such as stents) or open vascular reconstruction, and they provide medical therapy when appropriate. Our range of services includes the treatment of thoracoabdominal aneurysms using personalized branched and fenestrated endografts, as well as minimally invasive techniques for limb salvage/amputation prevention. Following a thorough evaluation of circulatory problems, our physicians also may recommend lifestyle changes to improve long-term cardiovascular health.
 

Conditions Treated

  • Thoracic and thoracoabdominal aortic aneurysm and dissection
  • Abdominal aortic aneurysm
  • Aneurysms involving renal, splenic, mesenteric, carotid, or extremity arteries
  • Peripheral vascular disease
  • Atherosclerosis involving the aorta and its branches to the intestines and kidneys
  • Carotid artery disease causing stroke or transient neurological problems
  • Vertebral-basilar and subclavian artery occlusive disease and aneurysms
  • Subclavian steal syndrome
  • Renal artery occlusive disease causing renovascular hypertension or ischemic nephropathy
  • Mesenteric disease causing acute or chronic mesenteric ischemia
  • Thoracic outlet syndrome (arterial or venous)
  • Vascular medical and non-operative problems of peripheral arterial circulation
  • Venous disease, including varicose and spider veins, deep venous thrombosis, and arteriovenous malformations


Services Available

  • Comprehensive vascular medical evaluation, including risk-factor assessment and non-operative treatment
  • Arterial and venous ultrasound and non-invasive arterial testing
  • Diagnostic angiography and venography
  • Balloon angioplasty and stenting
  • Percutaneous laser and mechanical atherectomy
  • Catheter-directed thrombolysis and thrombectomy
  • Endovascular aortic repair (thoracic, thoracoabdominal, and abdominal)
  • Thoracic and abdominal aortic bypass grafting
  • Renal and mesenteric revascularization (open and endovascular)
  • Lower extremity bypass grafting
  • Carotid endarterectomy and bypass
  • Carotid stenting
  • Minimally invasive vein procedures, including endovenous ablation and injection or laser sclerotherapy


Vascular Clinics

The Division provides vascular care at a variety of clinic locations, including our Vascular Surgery Clinic and a wound clinic, both located at The Kirklin Clinic of UAB Hospital, and the UAB Vein Clinic, located at UAB Hospital-Highlands. The UAB Vein Clinic offers evaluation of lower extremity venous problems, including varicose and spider veins, and the latest technology to improve appearances. If evaluation uncovers more serious venous disease, a full range of resources is available to address those problems.


Diagnostic Techniques

Focused diagnostics techniques, including vascular ultrasound and physiologic Doppler testing, are used along with radiographic imaging information to direct patient specific treatment. A vascular lab is located adjacent to the Vascular Surgery Clinic at The Kirklin Clinic of UAB Hospital. Vascular lab testing is commonly incorporated with outside testing to support the management of the patient’s vascular condition. Results from these lab studies are immediately available for the vascular physician to review with patients and further direct their care.


Hybrid Vascular Operating Room

We have two state-of-the-art hybrid operating rooms, allowing surgeons to conduct operations that require both open and endovascular techniques, including three-dimensional imaging to facilitate aneurysm repair. The vascular OR team includes dedicated nurses and technicians with many years of experience caring for patients with complex vascular problems.


How to Refer

To refer a patient to the UAB Medicine Division of Vascular Surgery and Endovascular Therapy, please call UAB MIST (Medical Information Service via Telephone) at 1.800.UAB.MIST (800.822.6478).


Access Your Patients' UAB Records - UAB Ambassador

UAB Ambassador is a service that allows referring physicians to access their patients’ UAB records – including inpatient and outpatient documents, activities, and lab results – through a secure online portal.

To request access to Ambassador, click here to complete the form and return to UAB Physician Services via fax to 205.996.9107 or via email to physicianservices@uabmc.edu. For more information or questions regarding Ambassador, contact UAB Physician Services at 205.934.6890 or email physicianservices@uabmc.edu.


 
 

Educational Opportunities

Abdominal Aortic Aneurysms

Adam Beck — According to the NIH, an arterial aneurysm is defined as a focal dilation of a blood vessel with respect to the original artery. The risk of abdominal aortic aneurysms (AAAs) increases dramatically in the presence of the following factors: age older than 60 years, smoking, hypertension and Caucasian ethnicity. The likelihood that an aneurysm will rupture is influenced by the aneurysm size, expansion rate, continued smoking and persistent hypertension. Listen as Adam W Beck, MD explains that the majority of AAAs are asymptomatic and are detected as an incidental finding on ultrasonography, abdominal computed tomography or magnetic resonance imaging performed for other purposes.

 
Heart & Vascular -- Abdominal Aneurysm
Abdominal Aortic Aneurysm

Adam Beck, MD, illustrates how graft are successfully placed in complex abdominal aortic aneurysms with respect to type of grafts used and surrounding anatomy.