• Photo of the Vascular Surgery Team in the Operating Room.

Providing Complex Vascular Treatment

MidMichigan Health’s experienced vascular surgery team is dedicated to the diagnosis and treatment of disorders of the circulatory system, including the arteries and veins. In addition to treating common vascular diseases like carotid artery disease, atherosclerosis, abdominal aortic aneurysm and peripheral artery disease, our vascular team has expertise in complex vascular procedures including thoracic endovascular aneurysm repair, mesenteric and renal artery endovascular and open repair, and surgical treatment for subclavian steal syndrome.

What is Vascular Surgery?

While most people are familiar with heart disease, in which there are blockages in the vessels that carry blood to and from the heart, few realize that blockages caused by a buildup of plaque and cholesterol affect more than the coronary arteries. Arteries throughout the body carry oxygen rich blood away from the heart, so blockages can occur in all arteries with serious effects, such as vascular disease.

Most Common Vascular Diseases

Three common vascular diseases are carotid artery disease, atherosclerosis, abdominal aortic aneurysm and peripheral artery disease (PAD).

  • Carotid Artery Disease
    Carotid artery disease occurs when fatty deposits (plaque) begin to clog the blood vessels that deliver blood to the carotid arteries in your brain and head. As these blockages increase, so do your risk for stroke. A stroke occurs when the blood supply to the brain is seriously reduced or interrupted.
  • Atherosclerosis
    Atherosclerosis is a disease of the arteries in which fatty deposits (plaque) build up on the inner walls of the arteries. This plaque build-up is caused by high cholesterol, high blood pressure or smoking.
  • Abdominal Aortic Aneurysm
    An abdominal aortic aneurysm occurs when the lower part of the major vessel that supplies blood to the body (aorta) becomes enlarged. The aorta runs from the heart through the center of the chest and abdomen. It is the largest blood vessel in the body. If an abdominal aortic aneurysm ruptures it can cause life-threatening bleeding.
  • Peripheral Artery Disease (PAD)PAD is a life threatening condition caused by the narrowing of your arteries to your legs. Fatty buildup, called plaque, clings to your artery walls, restricting blood flow to your legs. Atherosclerosis, one cause of PAD, is a process where cholesterol and scar tissue build up to clog blood vessels. This is sometimes referred to as “hardening of the arteries.” Blood clots are another cause of PAD.

Who Should See a Vascular Surgeon?

A vascular surgeon treats patients with all forms of vascular disease, including those with aneurysms in the chest, abdomen or extremities; PAD; carotid artery disease or other blockages that may cause a stroke; kidney failure; and varicose veins, spider veins or leg ulcers caused by venous disease.

Vascular Disease Testing

There are many different examinations that assist in diagnosing vascular disease, including bruit, or a sound heard in the neck, a carotid ultrasound or CT scan to identify stroke-like symptoms or an aneurysm, or a Doppler study.

Types of Treatments

Most often, vascular surgeons will start with diet and exercise modifications, as well as medication, as the first step in treating vascular disease. Common medications used for patients with vascular disease are statins. Studies have shown that patients taking statins can reduce their risk of heart attack and stroke, in particular by reducing high cholesterol. In addition, patients with hardening of the arteries in the legs and brain benefited from taking statins.

Surgical procedures performed at MidMichigan Medical Center – Midland include:

  • Abdominal Aortic Aneurysm Repair
  • Carotid Artery Stenting
  • Carotid Endarterectomy and Bypass
  • Chronic Swollen Leg Management
  • Chronic Venous Occlusion Angioplasty and Stenting
  • Complex Endovascular Repair Utilizing Chimneys & Snorkels
  • Complex Lower Extremity Wound Management
  • Dialysis Access Surgery
  • Endovascular Aneurysm Coil Embolization
  • Endovascular Aortic Aneurysm Repair (EVAR)
  • Endovascular Dialysis Access Maintenance
  • Fenestrated Endovascular Aortic Aneurysm Repair (FEVAR)
  • Inferior Vena Cava (IVC) Filter Placement and Removal
  • Lower Extremity Amputation
  • Lower Extremity Peripheral Artery Bypass
  • Mesenteric and Renal Artery Endovascular and Open Repair
  • Open Direct Aneurysm Repair
  • PAD Interventions and Limb-Saving Techniques
  • Peripheral Angioplasty and Stenting
  • Peripheral Arteriogram
  • Peripheral Atherectomy
  • Peripheral Endovascular Revascularization
  • Peripheral Intravascular Ultrasound
  • Peripheral Venous Stenting and Angioplasty
  • Pseudoaneurysm Repair and Treatment
  • PV Embolectomy and Thrombolysis
  • Ruptured Aneurysm Repair
  • Subclavian Steal Syndrome
  • Supra-aortic Trunk Pathology
  • Thoracic Aortic Aneurysm Repair
  • Thoracic Endovascular Aneurysm Repair (TEVAR)
  • Treatment of Chronic DVT
  • Vertebral Artery Reconstruction

Who is a Good Candidate for Vascular Surgery?

If nonsurgical management of your condition hasn’t worked, surgery may be an option. Your health care provider can help you decide if you might be a good candidate for surgery based on your diagnosis and other health and lifestyle factors.

Office Locations

Main Office

Heart and Vascular Center
2660 W. Sugnet Road
Midland, Michigan 48670

Satellite Offices

MidMichigan Medical Offices - Clare
602 Beech Street, Suite 2200
Clare, Michigan 48617

MidMichigan Medical Offices - Gladwin
609 Quarter Street, Suite 7
Gladwin, Michigan 48624

MidMichigan Medical Center - West Branch
Medical Offices
2431 S. M-30, Suite 216
West Branch, Michigan 48661

MidMichigan Health Park - Houghton Lake
9249 W. Lake City Road
Houghton Lake, Michigan 48629

Wound Treatment Center
320 E. Warwick Drive
Alma, Michigan 48801

MidMichigan Medical Center - Mt. Pleasant
4851 E. Pickard Street, Suite 1600
Mt. Pleasant, Michigan 48858

To inquire about becoming a patient at any office location, call (989) 832-0900.

Have Questions?

Contact our Heart & Vascular Disease Program Coordinator

For additional questions or to schedule an appointment with a vascular surgeon, contact Heart & Vascular Disease Program Coordinator Nadia Cottelit, R.N., B.S.N., at (989) 839-3494.