Medical Management
When possible, medical management of vascular disease is utilized to control symptoms and prevent more serious damage. This may include using medications, and encouraging you to lead a healthier lifestyle through smoking cessation, exercise and proper diet. Careful management of patients with high blood pressure and diabetes is also important.

If this type of medical management is not appropriate given your condition, your physician may recommend surgery or endovascular treatment.

For patients whose vascular disease cannot be treated through medical management or endovascular procedures, surgery may be recommended. These procedures include:

Surgical Bypass
During this procedure, a graft constructed using a synthetic tube or one of your veins is surgically attached to the blood vessel above and below the blocked area. Once the blockage has been "bypassed", blood may flow normally.

Most frequently used to resolve blockages in the carotid arteries, an endarterectomy is a procedure during which the plaque inside the affected artery is carefully stripped and removed. This procedure may also include the insertion of an arterial stent or graft to aid blood flow.

Endovascular Therapy
Endovascular therapy has become an important and widely used treatment for vascular disease. At St. Vincent Healthcare, our physicians are committed to enhancing patient safety, comfort and positive outcomes through these innovative and minimally invasive procedures.

The benefits of endovascular therapies are significant. Because only small incisions are made to access the blood vessel, there is less recovery time and fewer complications than with open surgeries. There is also less discomfort to the patient following these procedures, which are frequently performed on an outpatient basis.

St. Vincent Healthcare offers a wide range of endovascular therapies to meet the needs of patients from across Montana, Wyoming and the Dakotas. These include:

  • Aortic aneurysm repair/EVAR stenting
  • Balloon angioplasty - carotid artery
  • Angioplasty - peripheral arteries
  • Arterial stenting
  • Dialysis access