Interventional Procedures - Alexian Brothers Health System


Interventional Procedures - Alexian Brothers Health System
Presented by
Dr.’s Sarah Johnson, Nephtali Kogan, Paul Grunenwald, Jack Chamberlin, and
They specialize in the evaluation, diagnosis, and treatment
of peripheral vascular disease.
701 Biesterfield Rd
Elk Grove Village, IL 60007
Sumeet Sachdev are interventional cardiologists at Cardiovascular Associates.
Before Stent
CVA’s Peripheral Vascular Interventional Procedures
Carotid Artery Stenosis: Cutting Edge Treatment
Patients who are diagnosed with carotid artery stenosis now have non surgical therapy available. Stenting of carotid
arteries has proven to be an alternative to surgery that has demonstrated equivalent outcomes and shorter recovery time.
After Stent
Interventional cardiologists, Dr. Johnson, Dr. Chamberlin, and Dr. Grunenwald of CVA are experienced in performing
these procedures. Stenosis of the carotid arteries is often first diagnosed via an ultrasound study or on physical exam.
CT angiography or traditional angiography is then performed to analyze suitability for stent placement. Patients have a
thorough neurological exam prior to stent placement. In the cath lab, a filter wire is placed to capture any debris that may
be displaced during deployment of the stent. After an overnight stay, patients return to normal activity within a few days.
Periodic carotid ultrasound exams are performed to evaluate patency of the stent.
Abdominal Aortic Aneurism: Percutaneous Intervention
Abdominal aortic aneurysms (AAA) are asymptomatic in approximately 75% of patients. Diagnosis, monitoring, and
timely intervention are crucial in reducing morbidity and mortality of AAA. When the aneurysm reaches approximately
5.0cm, CT angiography is performed to evaluate placement of an endovascular stent graft. Endovascular stent grafting is
a catheter based delivery system. A graft is placed via bilateral femoral artery cutdown. The procedure takes place in the
cath lab and takes 1-2 hours to complete. Patients require only conscious sedation. After 1-2 days in the hospital, patients
can return to normal activities within 6 weeks. Periodic post procedure assessment is indicated to evaluate the graft.
Lower Extremity (LE)
LE peripheral arterial disease is a common problem that limits mobility. Patients with lifestyle limiting symptoms,
pain at rest, or ischemic ulcers require angiography and revascularization to avoid or minimize amputation. Non
surgical revascularization is quick and effective in restoring circulation to the affected areas and is performed through
percutaneous access in the common femoral artery in most patients. Frequently, several stenosed areas are found and
multiple lesions may be treated in the same procedure. Atherectomy devices shave plaque from the arterial wall, leaving
a smooth surface. Stents can be placed to hold the artery open. Patients are hospitalized overnight in most instances and
resume normal activity in a few days.
Testing: Cardiovascular Associates offers a complete array of vascular testing in our state-of-the-art ICAVL accredited
vascular lab, including: Peripheral Arterial Duplex, Carotid Artery Duplex, Lower Extremity Peripheral Arterial Test, and
Renal Artery Duplex.
CVA offers state of the art 64 slice CTA which enhances imaging of the carotids, renals, AAA, and LE giving the
interventional cardiologist an exquisite road map when intervention is needed.
For More Information: Please Call Cardiovascular Associates at 847-981-3680