Understanding Endovascular Procedures

Endovascular surgery is often the preferred treatment for vascular conditions that once required traditional “open” surgery and weeks to months of recovery.

Dr. Nirav Patel is a vascular surgeon and endovascular specialist who leads our team at Premier Vascular in Yonkers and Jackson Heights, New York. Dr. Patel may recommend endovascular surgery for issues that threaten your circulatory health.

What type of surgery does a vascular surgeon perform?

Unlike cardiovascular surgeons who treat conditions related to your heart, vascular surgeons focus their surgical skills on issues that affect the veins and arteries outside of your heart and brain. Most vascular surgeons are trained in both traditional vascular surgery and endovascular procedures.

How is endovascular surgery different from traditional? 

During traditional vascular surgery, Dr. Patel makes an incision that must travel through several layers of skin and muscle to reach the damaged or blocked blood vessel that requires treatment.

When performing an endovascular procedure, Dr. Patel obtains access to the damaged blood vessel via a small skin nick or needle puncture. He then threads a miniscule hollow tube (catheter) into the targeted artery.

Using advanced imaging technology to guide the catheter, Dr. Patel can successfully remove a blockage or make repairs to the artery wall using surgical instruments that are passed through the catheter, thus eliminating the need for a large skin incision. 

What are the benefits of an endovascular procedure?

Because of its minimally invasive nature, the advantages of an endovascular procedure include decreased trauma to surrounding tissue. This tissue damage is unavoidable during traditional surgery and greatly increases the recovery time.

Other benefits of endovascular procedures include:

Note that traditional vascular surgery remains the most effective and therefore preferable treatment option for some patients. For most, however, endovascular procedures offer an excellent alternative to open surgery.

What conditions do you treat with endovascular surgery?

Our team at Premier Vascular specializes in treating conditions that affect the peripheral arteries, those that carry blood away from the heart. 

Most commonly restricting blood flow to the legs and feet, peripheral artery disease (PAD) is caused by the same plaque buildup (atherosclerosis) that causes coronary artery disease.

Endovascular procedures we perform include:


An angiogram uses contrast (dye) and X-ray technology to produce images of your blood vessels, which Dr. Patel studies to accurately diagnose the location and severity of plaque buildup within your arteries.


During angioplasty, Dr. Patel uses a medical balloon transported through a catheter to widen your narrowed arteries.


Depending on the nature of your blockage and the condition of your artery, Dr. Patel may recommend placement of a small medical device called a stent during angioplasty to strengthen your arterial walls.


During atherectomy, Dr. Patel employs surgical blades or laser energy via the catheter to break up or dissolve plaques that are not likely to respond to balloon angioplasty.

For more information about endovascular procedures or any of the services we offer at Premier Vascular, call one of our offices to schedule an evaluation or request an appointment online today.

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