The Vascular Anesthesia Team cares for more than 1500 patients annually undergoing Vascular Surgery at UMass. The spectrum of cases is diverse: About 180 aortic procedures total including state of the art endovascular approaches to aortic repair with fenestrated stent grafts, endovascular aortic aneurysm repair (EVAR), endovascular thoracic aortic aneurysm repair (TEVAR), and open aortic surgery. UMass also has among the highest volume of referrals for ruptured aortic aneurysm repair in the Northeast, and a substantial number of these cases are approached with endovascular techniques. In addition, we cover about 150 carotid endarterectomy cases, and over 200 cases for lower extremity bypass grafting, in addition to other common vascular procedures such as patients presenting for dialysis access, and lower extremity amputation procedures. We believe that the complexity of comorbidities associated with vascular disease, and the associated high perioperative morbidity requires specialized care with a dedicated team, and the majority of our team members who are listed below have subspecialty training in either Critical Care Medicine, Cardiac Anesthesia, or a special interest in Regional Anesthesia.
We provide standardized care in collaboration with our surgical colleagues, including the aggressive utilization of Regional Anesthesia for patients undergoing dialysis access and lower extremity amputation procedures, which we believe is instrumental in improving outcomes. One example of the benefits of protocolized care realized at UMass was the introduction of our multidisciplinary Code Rupture protocol for patients with ruptured aortic aneurysm, which achieved a mortality reduction of 50% in the first year after implementation. We also work closely with our colleagues in the Division of Vascular Surgery, Division of Cardiology, and the Pre-surgical Evaluation Center to optimize medical therapy prior to elective Vascular Surgery.
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