Division of Vascular and Endovascular Surgery

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The Saint Louis University Division of Vascular Surgery provides comprehensive care to patients with the entire spectrum of vascular disease.

While we still perform open aneurysm repairs in some cases, the majority of patients with abdominal or thoracic aneurysms can be treated with newer endovascular techniques. We utilize all commercially available stent grafts, including fenestrated and branched grafts.

Carotid endarterectomy remains the gold standard treatment for extra-cranial carotid stenosis. This operation has been performed safely for decades using a variety of surgical and anesthetic techniques.

Our urban location with a high prevalence of peripheral vascular disease offers great opportunities for limb salvage. We are involved in numerous clinical trials for newer endovascular solutions for peripheral artery disease (PAD).

Saint Louis University is a tertiary referral center for patients in both Missouri and Illinois with advanced PAD. We utilize all available open bypass and endovascular options to treat these complex patients. 

Vascular Surgery Fellowship Program

SLU’s Vascular Surgery Fellowship Program is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME). The program is comprised of two years of clinical specialization following satisfactory completion of a general surgery residency. The number of vascular operations performed and interventional procedures annually provides extensive clinical experience.

All diagnostic angiography and interventional procedures are performed by the vascular surgery service. Full access to schedule cases in angiography is complemented by full angio capability in the operating room.

Residents also gain ample experience in preoperative and postoperative management of patients. In the Noninvasive Vascular Laboratory, residents learn to interpret results and correlate them with clinical findings and angiograms for accuracy. Additional instruction is gained during weekly vascular surgery conferences.

The program at Saint Louis University is supervised by full-time faculty. Vascular surgery residents also spend six months total at Mercy Hospital St. Louis with a busy, private group of four vascular surgeons doing high-volume vascular cases and advanced endovascular aneurysm cases.

Vascular Surgery Integrated Residency

Saint Louis University also offers a 0+5 vascular surgery integrated residency program leading to board certification in vascular surgery.

The vascular surgery integrated program allows medical students to pursue a career in vascular surgery after completion of medical school via five clinical years of training. The majority of the first three years are dedicated to mastering core surgical principles (eight months of core surgery rotations, four months of vascular rotations), while the last two years are dedicated to mastering vascular surgery. Thirty-six months over the five years are dedicated specifically to vascular surgery training.

Rotations take place at a university-based hospital, a community hospital and a veteran’s hospital with a diverse mix of faculty members with various training backgrounds and prior experiences, all of whom are dedicated to the training of future vascular surgeons. Residents matched in the integrated program will join those training in a traditional, independent program that has been in existence for more 30 years.

Educational Activities

Vascular trainees attend general surgery grand rounds and morbidity and mortality (M&M) conferences weekly.  Additionally, protected vascular educational conferences occur every Wednesday with an hour of case conference followed by didactic material including book chapter reviews, evidence-based medicine sections, "How I Do It (HIDI)" sessions in which procedures are described in detail.  There is also a dedicated vascular surgery morbidity and mortality conference.  

Trainees are given access to and expected to complete the weekly modules in the Scientific American Vascular and Endovascular Surgery (SAVESS) modules.  

We hold a journal club monthly over dinner, as well as monthly board review sessions  in which multiple choice vascular board-style questions are discussed.  Mock oral examinations occur twice per year.  

Research

Submission of research or case reports to regional or national meetings are expected on a yearly basis. If the research is accepted, travel to these meetings is funded by the division.