This document provides an overview of minimally invasive vascular procedures and surgeries. It discusses how MIVS works using small catheters and imaging guidance to access blood vessels. Common MIVS procedures are described, including angiography, angioplasty, stent placement, endovascular aneurysm repair, endovenous laser treatment, thrombectomy, embolization, and atherectomy. The document also covers contraindications and potential complications of MIVS.

1. University
of Zakho
Minimal invasive vascular
procedure/surgery
Surgical speciality block
Presented by:
Aywat A. Hussein
Raad E.

2. • minimally invasive vascular surgery uses tiny incisions to access
damaged veins or arteries and treat them from the inside
(endovascular) or for diagnostic purpose. The incisions are often as
small as 2-5 millimeters and the procedures are considered
percutaneous.
• Minimally invasive vascular surgery offers many benefits over
traditional open surgery.
• decrease bleeding rate
• Reduced Recovery Time
• Minimal Scarring
• Lower Infection Rates
• Shorter Hospital Stays
• Less pain
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3. • How MIVS Works ?
• Catheter-based Procedures: Small catheters threaded
through blood vessels to the treatment site.
• Imaging Guidance: X-rays, ultrasound, or CT scans used
for precise navigation.
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4. Classification of Minimal invasive vascular procedure:
1- endovascular diagnostic technique
2-endovascular therapeutic technique
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5. Common MIVS procedures
• angiography
• Angioplasty and Stent Placement:
• Endovascular Aneurysm Repair (EVAR):
• Endovenous Laser Treatment (EVLT):
• Thrombolysis and Thrombectomy:
• Embolization
• atheroectomy
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6. angiography
diagnostic angiography can be performed in any vascular
territory by infuse sufficient contrast to adequately
visualize any abnormality on x-ray if needed, treatment with
angioplasty or stent can be performed concurrently.
• Coronary angiography
• Abdominal Aortography
• Extremity Angiography
• renovascular angiography
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7. Angioplasty and Stent Placement:
Angioplasty is a procedure used to widen narrowed or
obstructed arteries or veins. During the procedure, a small
balloon is inflated inside the blood vessel to improve blood
flow. Sometimes, a stent is placed during angioplasty.
Indications:
• Stable Angina and Unstable Angina
• Peripheral Arterial Disease (PAD)
• Acute Coronary Syndrome
• Carotid Artery Stenosis.
• Renal artery stenosis.
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8. Endovascular Aneurysm Repair
(EVAR):
Indication for repair
-Abdominal aneurysm
• Size >5.5cm
• Symptomayic
• Aneurysmal expanding >0.5cm for 6 month interval
-thoracic
• Size>6cm
• Symptomatic
Aneurysmal expanding >0.5 for 6 month interval
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10. Endovenous Laser Treatment
(EVLT) is indicated for the
treatment of
• varicose veins
• Chronic venous insufficiency
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11. • Thrombectomy and thrombolysis A small catheter is used to
access across the clot, and a clot-dissolving medication is
slowly instilled (pharmacologic thrombolysis). In some cases,
the clot can be more directly removed using a variety of
specialized devices through the same access (mechanical
thrombolysis)
• Acute DVT in select cases, removal of the offending clot can
help improve symptoms and prevent development of post-
thrombotic syndrome, which includes pain, swelling, skin
changes, and venous ulcers
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12. Embolization
• Embolization procedures allow blockage of blood vessels
without invasive surgery. Embolization can be used to stop
arterial bleeding, and can also be used to block blood vessels
for other reasons, such as to treat
• tumors
• aneurysm
• abnormal blood vessels
• vascular malformations
such ad A-V fistula.
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13. Atherectomy
An atherectomy is a procedure to remove plaque from an artery
the plaque is shaved or vaporized away with tiny rotating blades
blades or a laser on the end of a catheter (a thin, flexible tube
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14. Contraindications for MIVS
• Severe medical conditions
• Allergy to dye
• Pregnancy
• Bleeding disorder
• unaccessable vessels
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15. Complication of MIVS
• Bleeding
• infection
• damage to the artery wall (rupture or dissection).
• Severe allergic reaction to contrast
• distal embolization
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16. Any Q…..?
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