January 24, 2008


COLUMBIA, Tenn. – Maury Regional Hospital (MRH) recently opened a $1.4 million endovascular surgery suite as one component of its surgery suite renovation and expansion, according to Vice President of Clinical Services John Dawson.

“The surgeons on the medical staff are committed to providing minimally invasive options to patients. The upgrades that we have made in the surgical suite will provide them with the advanced tools that they need to deliver outstanding patient care,” said Dawson.

One of the most advanced features of the endovascular surgery suite is the new Philips state-of-the-art X-ray imaging system offering a higher level of imaging capability for vascular procedures in which vessels of the circulatory system can be opened, in the case of a blockage, or weakened vessels repaired.

Both arteriograms (imaging of the arteries) and venograms (imaging of the veins) are performed. During these procedures, contrast dye is injected into the vessel to capture precise images of the blocked or weakened area. Vessels commonly treated in this new suite include the:

  • Aorta (abdominal aortic aneurysm repair): the main channel of the circulatory system
  • Mesenteric vessels: arteries of the kidneys and digestive tract
  • Cerebral vessels: the carotid arteries leading to the brain
  • Extremity vessels: vessels in the legs and arms

Treatment methods include:

  • Balloon angioplasty: a non-surgical technique that is used to open or widen the passageway in narrowed vessels with a catheter. The catheter is a long, thin, flexible tube with a small balloon at the tip that is guided to the area that is blocked. The balloon is then inflated to compress the fatty deposits against the vessel wall or to stretch the vessel.
  • Stenting: a procedure in which a small metal structure, comparable in size to the shaft of an ink pen, is inserted into the vessel to prevent recurrence of a blockage.  The stent is a permanent implant that remains in the vessel.
  • Surgical intervention: a procedure to surgically remove plaque from a vessel or repair weakened sections of a vessel.

This suite enables surgeons to perform open surgical procedures in addition to catheter-based interventions, thus offering a hybrid environment to meet the challenging needs of the vascular patient.

“While we have offered these surgical procedures for some time, this new system provides us with better imaging of the vascular disease processes. We have improved ability to treat lesions utilizing minimally invasive techniques, lower exposures to intravenous contrast dyes and lower X-ray radiation exposures than previous imaging systems,” said Dr. Kenneth Piercy, a vascular surgeon on the medial staff.

The endovascular surgery suite completes the first phase of the expansion and renovation project in the Surgery Department on the second floor of the hospital. The second phase will consist of new pre- and post-operative areas while the third phase will be the expansion of three surgical suites to serve as special procedure rooms for orthopedic and other cases that require more space. The entire project cost for construction and equipment is $3.75 million and is expected to be completed in July 2008.


© 2008 Maury Regional Medical Center