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Vascular Medicine & Surgery

If you have a vascular condition (disease or damage in your veins or arteries), our innovative treatments can help. We’ll work with you to reduce your symptoms, improve your quality of life and avoid amputation.

Our approach to care

Our vascular surgeons diagnose and treat the full range of chronic and life-threatening blood vessel problems, including:

  • Aortic dissection
  • Abdominal aortic aneurysm (AAA)
  • Carotid artery disease
  • Critical limb ischemia
  • May-Thurner syndrome
  • median arcuate ligament syndrome
  • Varicose veins
  • Venous ulcers
  • Mesenteric ischemia
  • Peripheral artery disease (PAD)
  • Peripheral vascular disease (PVD)
  • Pulmonary embolism
  • Renal vascular disease
  • Subclavian steal syndrome
  • Thoracic aortic aneurysm
  • Thoracic outlet syndrome

Vascular Disease Symptoms

Catching vascular problems early can improve pain and other problems — and help prevent serious conditions like heart attack, stroke and aneurysm. Common symptoms of vascular disease include:

  • Chronic wounds on the lower legs or feet
  • High blood pressure
  • Leg pain or weakness during physical activity
  • Pain, numbness or cramping in the calf muscle
  • Severe abdominal pain after eating
  • Swollen, achy legs
  • Swollen, discolored veins in the legs

Comprehensive options for vascular disease

Our vascular surgeons offer many types of treatment for blood vessel problems. These include medical treatments (nonsurgical care), surgical procedures and innovative “endovascular” procedures.

Vascular Surgery

Our specialists often treat or repair blood vessels using traditional “open” surgery. Procedures include:

  • Aortic aneurysm repair. Your surgeon replaces the weak part of your aorta with a graft (tube) made of special fabric.
  • Carotid endarterectomy. Your surgeon opens a carotid artery and removes the plaque that’s clogging it.
  • Dialysis access surgery. Creates an access point for people with kidney failure, so they can connect to a dialysis machine. This access point is called an arteriovenous (AV) fistula or graft.
  • First rib resection. Removes part of the first rib to reduce compression on the blood vessels and nerves in the thoracic outlet (the space behind and beneath the collarbone).
  • Vascular bypass surgery. Creates a “bypass” (detour) that allows blood to flow around the blocked part of an artery.

Endovascular Surgery

Many of our vascular surgeons have advanced training in endovascular surgery. This means we can treat vascular conditions without cutting into the body. Instead, we guide catheters (hollow, flexible tubes) through the blood vessels. Once the catheter reaches the target area, we use it to perform or deliver treatments. These include:

  • Angioplasty and stenting. We inflate a special balloon inside a narrowed artery, then insert a tiny tube (stent) to permanently prop it open.
  • Endovascular/peripheral aneurysm repair (EVAR/PVAR). A type of stent procedure for people with abdominal aortic aneurysm or aortic dissection.
  • Fistulagram with intervention. We use X-ray imaging to look for problems with blood flow through your dialysis access. If we find a blockage or narrowing, we’ll use catheters to fix it.
  • Thoracic endovascular aneurysm repair (TEVAR). A type of stent procedure for people with thoracic aortic aneurysm.
  • Thrombectomy. A special device captures and removes a blood clot.
  • Thrombolysis. Injects medication to dissolve a blood clot.
  • Transcarotid artery revascularization (TCAR). Removes plaque from the carotid arteries without surgery.

Medical Treatments

In collaboration with other doctors, including wound care specialists, we offer nonsurgical care for people who have (or are at risk for) vascular disease. This includes patients who:

  • Have open sores on the lower legs or feet
  • Have swollen, painful leg veins
  • Have had a limb amputation
  • Do not yet require surgery, but need a vascular disease specialist to monitor their condition in case it worsens

Vascular Tests & Treatments

  • Angioplasty
  • Ankle-brachial index (ABI) test
  • Aortoiliac duplex scan
  • Arteriogram
  • Carotid artery duplex scan
  • Carotid endarterectomy
  • Dialysis access surgery
  • Endovascular aneurysm repair
  • First rib removal
  • Inferior vena cava (IVC) filter placement
  • Intravascular lithoplasty
  • Intravascular ultrasound
  • Lower and upper extremity physiologic studies
  • Mechanical thrombectomy
  • Peripheral angiogram
  • Rotational atherectomy
  • Stent placement
  • Surgical vein stripping
  • Surgical venous ligation
  • Thrombolysis
  • Transcarotid artery revascularization (TCAR)
  • Venogram
  • Venous angiogram

A team approach

Blood vessel problems may be a complication of other medical conditions, obesity, poor diet, lack of exercise or smoking.

Our vascular surgeons help you get your symptoms and conditions under control — and prevent life-threatening complications — by partnering with leading specialists throughout the Centra system.

Related Services

Wound Care

Wound care experts at the Centra Heart & Vascular Institute (HVI) manage and monitor all types of skin wounds, ulcers, sores and burns.


We offer comprehensive cardiovascular evaluations to confirm or rule out heart problems. Depending on your diagnosis, we can continue to monitor your symptoms, prescribe medication or lifestyle changes, refer you to a specialist for more advanced treatments.

Weight Loss & Bariatric Surgery

The weight management experts at the Centra Heart & Vascular Institute have helped many patients transform their habits and health.


Neurology is the branch of medicine that focuses on the nervous system.


Treatment of complex conditions that affect the nervous system through minimally invasive brain & spine surgery.

Orthopedic Care

From delicate hand surgery to total joint replacement, Centra offers comprehensive orthopedic services.


The Centra Heart & Vascular Institute (HVI) endocrinology team diagnoses and treats many problems that affect the endocrine system, which includes the body’s glands.

Where you can find us

We have a number of conveniently located facilities in your neighborhood. See all Locations

Meet our team

Centra's team of Caregivers is dedicated to providing the most advanced, personalized care.

Why choose Centra for vascular surgery?

When blood vessel problems impact your health or threaten your life, you need care from experts with a track record of safety and success. People throughout central Virginia trust our team for vascular or endovascular surgery because:

  • We’re leading the way in carotid artery stenosis treatment. Our vascular surgeons offer an innovative new treatment for partially or fully blocked carotid arteries. It’s called transcarotid artery revascularization (TCAR), and it lets us remove plaque from the carotid arteries without surgery. Our TCAR specialists are among the most experienced in Virginia.
  • We can repair most aneurysms without surgery. Our team specializes in endovascular aneurysm repair (EVAR) for abdominal and thoracic aortic aneurysms. Not only can endovascular procedures help you recover more quickly and with less pain, but they’re often just as effective as open surgery. And when it comes to abdominal aortic aneurysm repair, our mortality rates are the lowest in the region.
  • We take safety seriously. Although any surgical procedure comes with risks, our safety and quality processes have earned us low complication rates. Recent data shows only 1% of our patients undergoing vascular surgery experienced major complications, including excessive bleeding. This is lower than the national average of 2%.
  • We proactively screen patients for other cardiovascular conditions. Instead of just treating our patients’ symptoms, we look for underlying heart and vascular problems that may be causing their vascular disease – or may increase their risk of life-threatening complications. For example, if you have frequent leg pain, we’ll order tests to see if you also have coronary artery disease or early signs of an abdominal aortic aneurysm.