Harbin Clinic Vascular Surgery & Endovascular Intervention Rome

Endovascular Suite

Harbin Clinic Endovascular Suite is on the cutting edge of technology. The suite's unique design enables our expert vascular team to perform minimally invasive, outpatient surgeries. Located in the Harbin Clinic Vascular Surgery and Endovascular Interventions department, patients do not require a trip to the hospital for the procedures. 

Procedures Performed in the Endovascular Suite:

Angioplasty / Stenting

In some cases, balloon angioplasty is performed in combination with stenting. A stent is a small, metal mesh tube that acts as a scaffold to provide support inside the  artery. A balloon catheter, placed over a guide wire, is used to insert the stent into the narrowed artery. Once in place, the balloon is inflated and the stent expands to the size of the artery and holds it open. The balloon is deflated and removed, and the stent stays in place permanently. During a period of several weeks, the artery heals around the stent. In this way, restenosis is somewhat diminished.

Atherectomy

An atherectomy is a procedure that utilizes a catheter with a sharp blade on the end to remove plaque from a blood vessel. The catheter is inserted into your artery through a small puncture in the artery, and it is performed under local anesthesia. You will be awake during the procedure and receive local anesthesia.

IVC Filter Insertion

An IVC (Inferior Vena Cava) Filter is a small metal device designed to prevent blood clots from traveling to the lungs. The filter is placed in the inferior vena cava (the large vein that takes blood back to the heart) typically just below the kidneys using a catheter type deployment device. A catheter is inserted through a small incision in your groin or neck into a large vein. The physician uses the catheter to guide the filter into place in the inferior vena cava under x-ray guidance. The vena cava is imaged and sized prior to filter deployment. The catheter is removed and a small bandage is placed over the insertion site. 

There are two general types of IVC filters ─ permanent and optionally retrievable. Your doctor may choose to use an optionally retrievable filter depending on your particular risk factors, length of time you are at risk for blood clots, and ability to take blood thinners. Placement of an IVC filter does not prevent new blood clots from forming. You may also be prescribed blood-thinning medications to prevent future clots.

You will be awake during the procedure, but medication may be administered to help you relax. A local anesthetic is used to numb the insertion site. You will be monitored throughout the procedure.

IVC Filter Retrieval

Harbin Clinic’s vascular team is dedicated to the care of patients who have potentially retrievable IVC (Interior Vena Cava) Filters. A vascular specialist will carefully evaluate your condition and help to decide whether an implanted filter should be removed. The IVC filter is removed via a similar process to the way in which it was placed. X-ray dye (contrast) will be injected around the filter to assure that the area beneath the filter is free of blood clots and that it is safe to proceed with removal. A catheter-based snare will be used to engage the hook at the end of the filter and the filter will then be enveloped by a removal sheath and removed from your body.

CV Catheter Insertion (Central Venous Catheter)

A Central Venous Catheter can be inserted into a vein in the neck, upper chest or groin. The insertion of the CV Catheter is performed by a vascular specialist. You will be placed under mild sedation and local anesthesia during the procedure. This type of catheter is for short-term use (less than two weeks), and is most commonly used for temporary dialysis treatment.

Fistulagram / Shuntagram

A Fistulagram is an X-ray procedure to look at the blood flow and check for blood clots or other blockages in your fistula or shunt (a passage from your kidney that allows kidney dialysis). Blood clots or blockages may interfere with your dialysis. This procedure helps the doctor find any blockages. The vascular specialist will place tiny tubes, called catheters, in your fistula, much like what occurs during dialysis. The doctor then injects special dye (contrast) so it can be seen on X-rays. You will be awake during the test, and local anesthetic is used before any needle stick.

Abdominal Aorta / Lower Extremety Arteriogram

A lower extremity arteriogram is a test used to see the arteries in the abdomen, pelvis or legs. For a lower extremity angiogram, a special dye (contrast) is used along with x-rays to see inside the arteries. You will not receive any type of anesthesia for this test.