Vascular Surgery in New Jersey
Advanced Vascular Care at Hackensack Meridian Health
Untreated vascular disease can lead to serious, even life-threatening complications. At Hackensack Meridian Health, our board-certified vascular surgeons deliver cutting-edge care for diseases affecting blood vessels throughout the body—excluding the heart and brain.
Our vascular specialists are highly trained in diagnosing and treating complex conditions involving the arteries, veins, and lymphatic system. From minimally invasive procedures to traditional open surgeries, we provide personalized care using the latest surgical techniques and technology.
Vascular Conditions We Treat
Arterial Diseases
Our surgeons treat diseases that affect the arteries—vessels that carry oxygen-rich blood from your heart to your body—like thoracic and abdominal aortic aneurysms, carotid artery disease, peripheral artery disease (PAD), aortic dissection, critical limb ischemia, renal artery stenosis, thoracic outlet syndrome, Raynaud’s disease and visceral artery disease.
Venous Disorders
Veins return deoxygenated blood to the heart. Our vascular specialists treat common venous conditions like chronic venous insufficiency, deep vein thrombosis (DVT), pulmonary embolism, and varicose and spider veins.
Lymphatic & Vascular Conditions
When lymphatic flow is disrupted, swelling and tissue damage may occur. We treat lymphatic conditions like lymphedema, chronic swelling and complex wound care.
Vascular Procedures Performed
Arterial & Venous Surgery
Our expert vascular surgeons perform the following surgical procedures.
Abdominal aortic aneurysms occur when the main blood vessel in your stomach (the aorta) becomes swollen. If it gets too big, it can burst.
Endovascular stent grafting is a less invasive way to fix an aortic aneurysm. Instead of open surgery, doctors use tiny cuts to guide a tube (called a stent graft) into your blood vessel. It reinforces the weak spot and helps blood flow safely.
Traditional open surgical repair is when a surgeon makes an incision in your abdomen to reach the aneurysm and replace the weak part of the blood vessel with a tube.
Thoracic aortic aneurysms are a bulge in the aorta—but in your chest instead of your stomach.
- Procedures for opening narrowed or blocked arteries:
- Balloon Angioplasty: A small balloon is inflated inside the artery to open it up.
- Stent Placement: A tiny mesh tube is inserted to keep the artery open.
- Atherectomy: A special tool is used to gently shave or remove built-up plaque from the artery walls.
- Intravascular Lithotripsy: Uses sound waves to break up hard, calcium-like plaque—kind of like breaking up kidney stones, but in your arteries.
- Arterial bypass surgery for limb salvage is a surgery that creates a new route for blood to flow around a blocked artery in your leg. It helps restore circulation and can prevent amputation if blood flow to your leg or foot is severely reduced.
- LimFlow procedures are for people with severe artery blockages in the leg, this minimally invasive procedure helps reroute blood flow using a nearby vein, allowing more oxygen to reach the foot.
- Carotid endarterectomy (open and mini-incision) is a surgery to remove plaque buildup from the carotid artery in your neck. This helps reduce your risk of stroke. The mini-incision version uses a smaller cut, which may mean quicker healing and less pain.
- Carotid angioplasty and stenting is a less invasive option for opening a narrowed artery in your neck. A balloon opens the artery, and a stent (small metal mesh) keeps it open, improving blood flow to your brain and lowering your stroke risk.
- TCAR (transcarotid artery revascularization): A minimally invasive way to treat carotid artery disease. It’s especially helpful for people at higher risk for complications. It also temporarily reroutes blood away from the brain during the procedure to help prevent stroke.
Radiofrequency ablation is used to treat varicose veins. A thin tube is inserted into the vein, and heat is used to gently seal it shut, then your body naturally sends blood through healthier veins instead.
Treatment of DVT (Deep Vein Thrombosis) and pulmonary embolisms is needed when a blood clot forms deep in your leg. When that clot travels to your lungs, it’s considered a pulmonary embolism.
- Dialysis access surgery: If you need dialysis for kidney disease, this surgery creates a safe and easy-to-use access point (like a fistula or graft) in your arm for regular treatments. Learn more about our dialysis services.
- Open vascular reconstruction is a more traditional, complex surgery to rebuild or repair damaged blood vessels when other treatment options aren’t possible.
- Robotic thoracic outlet decompression is a minimally invasive surgery that uses robotic tools to relieve pressure on blood vessels or nerves in your upper chest or shoulder. It can help reduce pain, numbness, or swelling caused by thoracic outlet syndrome.
- Renal and visceral artery bypass and stenting is used when arteries going to your kidneys or abdominal organs are blocked. A bypass creates a new path for blood, and stenting opens up the existing artery to help blood reach your organs more easily.
- Thrombectomy is a procedure to remove a blood clot from an artery or vein. It can help restore blood flow and prevent serious problems like stroke, DVT, or blocked leg arteries.
Advanced Vascular Imaging & Diagnostics
Our team uses state-of-the-art imaging to detect vascular disease early and guide treatment. Imaging techniques include:
- CT angiography is a special type of scan that uses X-rays and a contrast dye (given through an IV) to take detailed pictures of your blood vessels. It helps doctors see if there are any blockages, aneurysms, or other problems in your arteries.
- MR angiography (MRA) is similar to a CT angiogram but uses magnetic fields and radio waves (instead of X-rays) to take pictures of your blood vessels.
- Duplex ultrasounds use sound waves to create live images of your blood vessels. It also shows how blood is flowing through your veins and arteries. It’s completely painless and doesn’t require needles or dye.
- Intravascular Ultrasound (IVUS) is an ultrasound done from inside your blood vessels. A tiny camera on a thin tube (catheter) is inserted into an artery to capture detailed images of the artery walls and any blockages. It helps surgeons make a treatment plan before certain procedures.
- Arteriography is an imaging test where a doctor inserts a small tube into an artery and injects a dye. X-ray pictures are then taken to see how blood is flowing. It’s used to find narrow or blocked arteries.
We also offer non-invasive tests like:
- Ankle-Brachial Index (ABI), which is a quick, painless test that compares the blood pressure in your ankle with the blood pressure in your arm. If the blood pressure in your ankle is lower, it may mean you have narrowed arteries in your legs, which is a sign of peripheral artery disease (PAD).
- Arterial duplex ultrasound allows doctors to see how well blood is flowing through your arteries.
- Transcutaneous Oxygen Measurement (TcPO2) is a test that measures how much oxygen is reaching your skin in a specific area, like your legs or feet. Small sensors are placed on your skin to see if blood is delivering enough oxygen, which is important for wound healing and limb health.
- Venous duplex ultrasound allows doctors to see if there are any clots or issues with the veins returning blood to your heart.
Endovascular Surgery: Minimally Invasive Vascular Care
Endovascular surgery offers a less invasive alternative to traditional open procedures by using catheters and small incisions. Benefits include reduced pain, shorter hospital stays, and quicker recovery. We offer the following endovascular procedures:
- Stent graft repair of abdominal and thoracic aortic aneurysms
- Carotid artery stenting and TCAR
- Lower extremity angioplasty and stenting for PAD
- Atherectomy and intravascular lithotripsy
- Venous ablation for superficial venous insufficiency
- Deep vein thrombosis (DVT) and venous blockage treatments
Your vascular surgeon will assess whether an endovascular approach is appropriate for your condition.
Take the First Step Toward Better Vascular Health
Find a vascular surgeon or surgery center today.
Why Choose Hackensack Meridian Health For Your Vascular Surgery
Specialized Training: Our expert team of vascular surgeons have the highest level of training possible and use the latest technology to treat a wide range of vascular diseases that impact the blood vessels and arteries outside of the heart and brain.
Award Winning Care: U.S. News and World Report ranked Hackensack University Medical Center the #1 hospital in New Jersey for 2024-2025. Vascular surgery is also ranked best in New Jersey.
Academic Excellence: Hackensack Meridian Health vascular surgeons perform procedures at Hackensack University Medical Center, a premiere academic medical center.
Clinical Trials: Hackensack Meridian Health is at the center of vascular surgery research. To ensure our patients have access to the most advanced care, we offer access to groundbreaking clinical trials.
Endovascular Surgery Experts: Our vascular surgeons perform procedures in advanced hybrid operating rooms, which allow them the flexibility to do both traditional and minimally invasive procedures. They are also skilled in utilizing the latest technology and procedures, including:
- LimFlow: A minimally invasive procedure used to prevent those with peripheral artery disease (PAD) from losing a limb. During the procedure, vascular surgeons use a vein in your leg to bypass a blocked artery. The surgery reverses blood flow in the leg vein and allows oxygen-rich blood to reach your foot.
- Thoracic endovascular aortic repair (TEVAR): A minimally invasive treatment option for aortic aneurysms that is performed through a small incision in your groin.
- Transcarotid artery revascularization (TCAR): A minimally invasive surgical procedure that treats carotid artery disease.
Comprehensive care: Our vascular surgeons believe in a multidisciplinary approach to care. They work closely with Hackensack Meridian Health heart and vascular specialists, podiatrists, wound specialists, primary care specialists to ensure you receive the highest level of care.
