Vascular Surgery Rotation

The Vascular and Endovascular Surgery Division is responsible for the treatment of patients with the entire spectrum of vascular pathology. General surgery residents rotate on the vascular surgery service at Stony Brook during the PGY-1 and PGY-3 residency program years.

More than 200 major open reconstructive procedures are performed at SBUH each year, including aortic, renal mesenteric, extracranial cerebral vascular, and peripheral arterial reconstructions. In addition, over 300 endovascular interventions, including endovascular aneurysm repair, thoracic endovascular aneurysm repair, percutaneous angioplasty and stenting, thrombolysis, and other interventional diagnostic procedures are performed.

The division runs a very busy vein center which provides comprehensive care for the entire spectrum of venous pathology. A dedicated deep-venous-thrombosis team has developed and oversees the care plans for prophylaxis and treatment of venous thromboembolism throughout the institution. In addition, the Vascular and Endovascular Surgery Division performs over 500 procedures annually for the treatment of chronic venous insufficiency.

This division plays a central role in the care of patients with end-stage renal disease, offering all types of access procedures as well as a surveillance and maintenance program for angio-access that serves patients in two large dialysis centers. Numerous other procedures such as amputations, muscle flaps, and skin grafting procedures necessary for the total care and rehabilitation of patients suffering from vascular-related diseases are also performed by the surgeons in the division.

The Vascular and Endovascular Surgery Division runs the Non-Invasive Vascular Laboratory at SBUH. The vascular lab houses the most up-to-date non-invasive diagnostic equipment, including state-of-the-art duplex scanners, pulse-volume recording technology, and transcranial Doppler units, used not only as aids in the diagnosis of circulatory disorders, but also in the follow-up of a large number of outpatients.

Our vascular surgeons have full access to the angiography suites in the Department of Radiology which house the latest imaging and computerized image analysis equipment.

The Vascular and Endovascular Surgery Division continues to grow and expand its scope of diagnosis and treatment of circulatory disorders. The general surgery resident is expected to obtain a good understanding of the anatomy, physiology, and pathophysiology of the vascular system, and to become familiar with the techniques of non-invasive diagnosis, and open and endovascular surgery.

While the Vascular and Endovascular Surgery Division offers both an ACGME-accredited residency and a fellowship program in vascular surgery, the general surgery senior resident does not rotate on the same service with the vascular surgery fellow or vascular surgery senior resident.

In this way, the vascular fellow/senior resident in no way diminishes the surgical responsibility of the general surgery resident on the vascular services. The goals of educating residents, at all levels, about the care of patients with vascular disease are met through teaching in the form of lectures, conferences, journal clubs, and simulation training, as well as at the bedside and in the operating room.