Clinical Highlights and Programs
The Division of Vascular and Endovascular Surgery continues to push the envelope clinically. We have instituted an advanced endovascular graft program for the treatment of complex aneurysmal disease, including branched and fenestrated endografts. In addition, we deploy the array of available endografts for infrarenal and juxtarenal aneurysmal disease.
Surgical expertise is provided in all aspects of vascular surgery, including an endovascular program providing the full array of endovascular techniques for complex aortic disease, advanced endovascular techniques for limb salvage, including drug-eluting stents and SAFARI techniques, as well as carotid, renal, and mesenteric endovascular therapies. Carotid surgery at the Medical College of Wisconsin is a primary program of Vascular and Endovascular Surgery, and both open and endovascular therapy is provided. Open thoracic aortic aneurysms are repaired in concert with the Cardiothoracic Surgery team. Endovascular therapy for TAAA is done primarily on the vascular surgery service. Aorto-iliac occlusive, renovascular and mesenteric vascular reconstructive surgery are all key elements of the vascular surgery program.
We continue to do a large volume of open reconstructive surgery, as well as pushing the envelope in the endovascular arena.
Peripheral vascular surgery is another key aspect of the clinical program. Reconstructive and amputation surgery, as well as management of infected graphs, are areas of expertise. Vascular access surgery is performed by Transplant Surgery, but also in part, by Vascular and Endovascular Surgery. Management of peripheral vascular disease and chronic wounds is another key element of the clinical program. An aggressive wound clinic co-managed by Vascular and Plastic and Reconstructive Surgery, remains a key aspect of our program.
The venous disease program also continues to grow. We have a vein clinic that offers the array of vein therapies, both endovascular and open, which is co-managed by vascular surgery and interventional radiology.
Vein Disease Requires Specialized Care
A conversation with Kellie R. Brown, MD, Medical College of Wisconsin Vascular Surgeon. Spider veins and varicose veins are common among men and women. People seek treatment for these vein disorders to alleviate pain and discomfort and/or to improve their appearance.
Symptoms can range from very mild to severe. Some people have a feeling of heaviness, aching, itching, burning and swelling in their legs as well as fatigue, especially at the end of the day. In severe cases, varicose veins can rupture, leading to open sores (ulcers) near the ankle. Many people whose legs feel heavy and tired ignore their symptoms, believing this is just a part of aging.
Spider veins may be related to heredity, pregnancy, prolonged standing and sitting, injury and high vein pressure from varicose veins.
Sclerotherapy, used to treat spider and varicose veins, involves injecting a solution directly into the veins. The solution irritates the lining of the veins, causing them to contract and collapse. Blood in these veins is directed back into deeper, normal veins.
Microphlebectomy involves making tiny incisions in the skin through which the varicose veins are removed. Stitches are usually not needed.
And laser ablation uses laser energy to seal and close a faulty vein. This allows blood flow to be diverted to other, normal veins. Laser ablation is a major advancement over the traditional method of vein stripping.
Contact Vascular and Endovascular Surgery
(414) 805-6280 (fax)
FORME Aesthetic and Vein Center
(414) 955-0185 (fax)
(414) 955-0065 (fax)
Medical College of Wisconsin
Division of Vascular and Endovascular Surgery
8701 Watertown Plank Rd.
Milwaukee, WI 53226