Vascular Surgery Fellowship
Since the 1960s, the Henry Ford Division of Vascular Surgery has been an independent academic and clinical component of the Department of Surgery. The vascular surgery team strives to achieve a healthy balance of activity among its patient care, education, and research endeavors, recognizing the special and privileged role in the training of future vascular surgeons in the practice and art of vascular surgery.
Henry Ford Vascular Surgery offers trainees exposure and experience in the full range of arterial vascular reconstructions and repairs. For open operative management of vascular disease, our team's special clinical interests include carotid and brachia-cephalic reconstruction, complex aortic repair (including pararenal and thoracoabdominal reconstruction), and lower extremity distal arterial reconstruction. The Division is at the forefront in the use of endovascular techniques including balloon angioplasty, stenting, atherectomy, thrombolysis in the management of lower extremity occlusive disease, stent-grafts in the management of abdominal aortic aneurysm (AAA), and thoracic stent-grafts in the treatment of thoracic aneurysms. As one of the first hospitals in Michigan to perform endovascular AAA repair, we have continued to expand our knowledge and capabilities in the treatment of this condition. Additional endovascular procedures include renal artery angioplasty and stenting, mesenteric artery angioplasty and stenting, and carotid angioplasty and stenting via participation in the National Institutes of Health (NIH)-sponsored Carotid Revascularization Endarterectomy vs. Stenting Trial (CREST).
Clinical fellowship program
The Vascular Surgery Fellowship is an integrated accredited program solely within Henry Ford Hospital offering a rich history and perspective in the treatment of vascular surgical disease states, a comprehensive exposure to a broad variety of simple and complex vascular surgical conditions, and an experience in both the open and endovascular management of vascular disease.
The educational objectives of the Division of Vascular Surgery are designed to support the mission of the Henry Ford Medical Group. As such, the Vascular Surgery Service strives to achieve a balance between patient care, education, and research. The vascular surgeon/endovascular fellow is given the opportunity to learn and progressively apply his or her knowledge base to the accumulation and application of basic endovascular and operative skills to the betterment of patient care. This is accomplished through a supervised evaluation and management of vascular surgical patients in the setting of the outpatient clinic, vascular lab, angiographic suite, the operating room, and a busy in-patient hospital census. There is not a separate “staff service” as all patients are cared for on the same integrated hierarchical vascular surgical service. The vascular surgical team consists of senior staff, vascular surgery fellows, house officers, advanced care providers (NPs, PAs), nurse case managers, clinical vascular laboratory technical staff, clerical staff and outpatient dedicated vascular nursing staff. The extended team of physicians and surgeons offers patients the full arena of arterial and venous evaluation and management options. The underpinning for this educational effort is composed of didactic conferences, clinical case conferences, journal clubs, invited speakers, endovascular simulation lab and multi-disciplinary conferences. Outpatient care, inpatient care, the vascular lab, the operating room, the angiogram suite and the hybrid operating rooms are supervised by the 100% geographically present senior staff surgeons.
The Vascular Surgery Service at Henry Ford Hospital is reflective, of the broad changes globally which have occurred in the management of vascular surgical patients. The service includes a specialized dialysis access treatment center, and a specialized venous disease treatment center. We have state-of-the-art hybrid operating rooms. We work collaboratively with a multidisciplined vascular team that includes vascular medicine physicians.
Henry Ford Vascular Surgery offers an extensive line of research opportunities, each of which has an established track record for producing award-winning data. This has included basic science research with the study of: 1) renovascular hypertension, 2) intimal hyperplasia, 3) mitochondria function in ischemic musculature, 4) spinal cord ischemia, and 5) development of fibrinolysis associated with liver ischemia.
Clinical research production stems from the Division's rich experience in open aortic surgery, carotid and lower extremity revascularization, as well as the study and review of newer techniques used in vascular surgery and the diagnosis of vascular disease derived from the divisional vascular laboratory.
The Division is involved in a number of contemporary multi-institutional research projects, such as the NIH-sponsored CREST, and additional studies pertaining to the endovascular treatment of aneurysms, lower extremity occlusive disease, and dialysis access. Additional areas of interest include the study of the vascular biology of the endothelium as it relates to hypertension, outcomes of atherectomy used in the treatment of patients with lower extremity occlusive disease, the efficacy of lower extremity reconstruction in end stage renal disease patients, the comparison of results of differing approaches to the use of vascular access grafts and fistulas, and the use of laparoscopic aortic surgery for occlusive and aneurysmal disease. For many of these clinical research endeavors, a fully operational vascular registry facilitates access to data.
Personnel and contact information
The Henry Ford Vascular Surgery Division include six full-time senior staff surgeons, two fellows, and additional house officers, nurse case managers, clinical vascular laboratory technical and clerical staff, office clerical staff, and outpatient nursing staff.
For additional information, please contact:
Program Director: Loay S. Kabbani, M.D.
Program Coordinator: Deshira Davis