Vascular Surgery | Endovascular Surgery

Vascular and endovascular surgeries are treatments for conditions of the blood vessels and lymphatic system, also known as vascular diseases. MaineHealth doctors and surgeons provide advanced surgical treatments, including bypass surgery and endovascular therapy. Vascular bypass surgery reroutes the blood supply around a blocked artery. Endovascular surgeries are less invasive procedures for repairing blood vessel problems.

Services

Limb Salvage

We provide patients with limb-threatening Peripheral Arterial Disease (PAD) access to comprehensive revascularization treatments including:

  • Lower extremity bypass surgery 
  • Endarterectomy (surgical removal of atherosclerosis plaque) 
  • Angioplasty (including POBA, cutting balloon, drug eluting balloons, lithotripsy)
  • Atherectomy (minimally invasive removal of atherosclerosis plaque) 
  • Stenting (including drug coated stents)
  • Thrombolysis for arterial clot
  • Hybrid lower extremity re-vascularization (combined open and endovascular approaches)
  • Pedal and radial access procedures
  • CO2 angioplasty for patients with compromised renal function
  • Access to devices and treatments in clinical trials
  • Amputations

Aortic Disease Services

We provide patients with aortic diseases access to comprehensive, state-of-the-art treatments including:

  • Abdominal aortic aneurysm (AAA) – open surgery
  • Abdominal aortic aneurysm – endovascular repair (EVAR)
  • Aortic arch replacement
  • Aortic dissection repair
  • Thoraco-abdominal aortic aneurysm repair – open surgery
  • Complex endovascular aneurysm repair
  • Fenestrated endovascular aortic repair (FEVAR)
  • Chimney endovascular aortic repair (CHEVAR)
  • Branched endovascular iliac aneurysm repair (IBE)
  • Thoracic aneurysms/dissection endovascular repair (TEVAR)  
  • Congenital aortic disease including Marfans Syndrome, vascular Ehlers-Danlos, and Loey Dietz

Carotid Revascularization

We provide patients with carotid artery diseases access to comprehensive, state-of-the-art treatments including:

  • Carotid endarterectomy 
  • Carotid artery stenting (trans-femoral and TCAR)
  • Carotid artery aneurysm surgery 
  • Carotid body tumor surgery
  • Carotid artery fibromuscular dysplasia (FMD)

Thoracic Outlet Syndrome Services

We provide patients with neurogenic, venous or arterial neurogenic thoracic outlet syndrome access to comprehensive, state-of-the-art treatments including:

  • Venous lysis for axillo-subclavian DVT 
  • First rib resection
  • Scalene block for neurogenic thoracic outlet syndrome
  • Scalenectomy for neurogenic thoracic outlet syndrome
  • Subclavian artery aneurysm repair (open repair and endovascular repair)

Rare Vascular Condition Services

We provide treatment for patients with rare vascular conditions including:

  • Reconstructions for vasculitis
  • Reconstructions for vascular infection
  • SMA syndrome
  • Popliteal entrapment
  • Cystic adventitial disease
  • Congenital vascular lesions
  • Kommerell Diverticulum
  • MALS (Median Arcuate Ligament Syndrome) 

Vein Services

We provide treatment for all forms of major or minor vein conditions. These procedures include:

  • Varicose vein treatments and surgery
  • Endovenous ablation for varicose veins
  • Sclerotherapy
  • Phlebectomy/ambulatory phlebectomy
  • Vein stripping
  • Treatments for May Thurner syndrome (Ileo-femoral DVT)
  • Venous thrombolysis
  • IVC filters
  • Venous ulcer care
  • Bypass for venous occlusive disease
  • Venous aneurysm repair
  • Venous angioplasty and stenting
  • Creation of AV fistulas

Vascular Surgery Residency

Maine Medical Center’s integrated vascular surgery residency program is designed to provide graduated, incremental training in both vascular and core general surgery throughout the course of the program. Learn More

Provider Referrals

If you are a provider who would like to refer a patient for MaineHealth vascular services, please review our referral guidelines and call 207-662-8900. Referral Guidelines

MaineHealth Cardiovascular Programs: