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 has remained one of the premier training programs in the United States. The two-year ACGME-accredited clinical fellowship encompasses the full range of vascular disease conditions emphasizing the natural history, clinical diagnosis, endovascular options and interventions, and the operative management utilized in the treatment of patients with peripheral vascular disease. All graduates are expected to become proficient in the total care of the vascular patient, warranting the title of vascular specialist.
The educational content of the Vascular Surgery Fellowship encompasses the six competencies as delineated by the ACGME:
- Patient care
- Medical knowledge
- Practice-based learning and improvement
- Interpersonal and communications skills
- System-based practice
Fellows are exposed to a wide range of open operations as well as endovascular interventions, all performed by members of the Division of Vascular Surgery. In addition, the vascular surgery team promotes an educational environment that fosters the training and education of not only vascular surgery fellows but also residents within the general surgery program, medical students, physician assistant students, and other students associated with the heath care delivery industry. To accomplish this mission, we interact with junior and senior residents in the Department of Surgery and, through prior arrangement, with house officers, medical students, and other students who rotate from other institutions.
By offering an extensive, vertically integrated experience in patient evaluation, operative management , endovascular treatment, and the outpatient follow-up care of our patients, the vascular surgeon-in-training is given a unique opportunity to understand the full range of vascular conditions by progressive, supervised evaluation and management of those patients. This allows the trainee to become knowledgeable and proficient in the total care of the vascular patient. Part of this educational process includes didactic educational sessions which consist of the following conferences or lectures:
- Basic science and clinical conditions conference (Tuesday AM)
- Patient case presentation and clinical decision-making conference (Thursday AM)
- Departmental surgical conferences and Grand Rounds (Wednesday AM)
- Combined multidisciplinary carotid board conference (Friday AM)
The Division's inpatient activity is centered at Henry Ford Hospital in Detroit. Virtually all of our operative procedures are performed within this facility, in the Roy D. McClure Operating Suite. A new hybrid endovascular operating suite, available in 2008, allows for the most advanced imaging capability, reducing operative time and radiation exposure while facilitating more precise treatment maneuvers.
Diagnostic and therapeutic endoluminal procedures are performed on the second floor of the main hospital in the cardiac catherization laboratory/peripheral vascular interventional laboratory. A high-volume dialysis access center exists in the basement of the main hospital with performance of dialysis catheter placement, interventions on dialysis graft complications with the performance of angiography, balloon angioplasty, intraluminal stenting and/or stent-grafting for stenoses or pseudoaneurysms, as well as mechanical and/or pharmacologic thrombolysis for thrombosed arteriovenous access sites. Patients who require intensive and/or special care are cared for in the new hospital wing, the Henry Ford II Pavilion. On the 8th floor of the clinic building, adjacent to the hospital, are the outpatient vascular surgery clinic facilities, an ICAVL-approved clinical vascular laboratory, and our staff offices. In addition, a new 2nd floor inpatient clinical vascular laboratory has recently opened, allowing the complete diagnosis of vascular surgical conditions for inpatients within the main hospital.
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