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Vascular Surgery

Vascular Surgery Overview

All of us face the risk of vascular disease. Nearly one out of two will suffer from it. When surgery is necessary, North Texas Surgical Specialists vascular surgeons are here to provide expert, vascular surgical care, including endovascular procedures.

Vascular Surgery is a surgical subspecialty that manages a variety of conditions like carotid stenosis, peripheral arterial disease, aneurysms, leg swelling, and varicose veins. It also provides temporary and permanent access for dialysis patients. It emphasizes the role of conservative measures with medical therapy and lifestyle modifications prior to proceeding with an intervention. A vascular surgeon can perform minimally invasive catheter-based interventions as well as open surgical procedures. Hence, he can choose the best option for each individual patient as opposed to some other practitioners who can only do catheter-based interventions.

Vascular Surgery Procedures

  • TransCarotid Artery Revascularization (TCAR)

    TCAR is a minimally invasive procedure to prevent strokes. Strokes can be caused by artery blockage. TCAR is an outpatient procedure that can be performed in the office or at a hospital/surgery center.For many people, Varicose Veins are simply a cosmetic concern. What...

  • Peripheral Artery Disease, PAD

    Arteries are the blood vessels that carry blood from the heart to the rest of the body. Blockages in arteries can reduce flow to the arm and legs and cause many problems.

  • Aortic Aneurysms

    Ballooning of a blood vessel, or an aneurysm, can pose a great risk to life. When this occurs in the largest artery in the body, the aorta, it can burst and that is often fatal.

  • Varicose Veins

    Unsightly or uncomfortable varicose veins can cause you distress and can be a symptom of a deeper problem. Our advanced procedures can provide relief from the causes and help with symptoms of varicose veins.

  • Dialysis access for End Stage Renal Disease (ESRD)

    ESRD is a major health problem that can result from a variety of reasons. The nephrologist is usually in charge of taking care of medical management. Surgeons provide access for dialysis.

  • Leg Pain

    Leg pain can make daily life difficult and sometimes impossible. At NTSS, we have an expert team to diagnose and manage leg pain when the cause is arterial or venous.

  • Carotid Artery Disease

    This occurs when plaque accumulates in the wall of the carotid arteries causing narrowing of the lumen and reducing blood flow to the brain.

Benefits of Robotic Vascular Surgery

Robotic-assisted surgery is a leading-edge procedure. It is minimally invasive — meaning large surgical incisions are not required — and the precision of the technology can be an ideal option for delicate and complex surgeries involving vascular issues.

Robotic-assisted surgery enables surgeons to perform a more precise operation less invasively than conventional vascular surgery, leading to benefits for patients such as:

  • Significantly less pain 
  • Less blood loss
  • Less risk of infection
  • Less scarring
  • Shorter hospital stay
  • Quicker recovery time and return to normal activities
  • Clinical outcomes comparable to conventional surgeries

Why Robotic-assisted Vascular Surgery?

During the operative procedure the surgeon sits at a controlling console near the patient. An assisting surgeon is at the bedside next to the patient. Through a video camera, the operating surgeon watches the operative field and controls several robotic arms from the console, which replicate the surgeon’s hand movements. Three computers at the console track those movements 1,000 times a second, digitizing the information and enabling unprecedented surgical precision. Computer-assisted robotic surgery allows procedures to be performed that previously were beyond the capabilities of human manual dexterity.

A benefit to the patient from robotic-assisted surgery is a decreased length of recovery time. Instead of months of recovery from the healing of the sternum, recuperation times can be reduced to a matter of weeks. The operation is performed thoracoscopically, meaning it is less invasive because it requires only small, keyhole incisions between the ribs rather than a chest-length opening for surgeons to operate around the heart. Patients can often return to normal activity in two to three weeks instead of six to eight weeks common to standard open surgery.

Robotic General Surgery

Robotic surgery is a method of surgery that utilizes a computerized system to perform surgical procedures. This system usually consists of mechanical arms that control surgical instruments, as well as a camera arm the surgeon can use to view the treatment area. The surgeon controls these arms using a computer. This method improves precision considerably.


In many cases, we will use robotic surgery in combination with minimally-invasive surgical techniques. By using these two techniques together, we can minimize the trauma to the patient and ensure the best outcome.

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