Vascular Surgery

The Heart & Vascular Institute's Vascular Surgery Department leads the state in advancing the medical and surgical/endovascular treatment of cerebrovascular disease, which affects blood vessels and, in particular, the arteries that supply blood to the brain.


Other Highlights

  • A medical therapy-first approach that has allowed us, in collaboration with the cardiology and neurology departments, to help countless patients avoid surgery. When the heart suffers from inadequate blood supply, or ischemia, it can require revascularization procedures such as vascular bypass and angioplasty.
  • The Vascular Surgical department continues to be a leader in CREST-2, a national clinical trial with close to 2,500 participants at 120 sites in the United States and Canada. The trial hopes to determine the most effective way to prevent strokes in patients with a narrowed carotid artery but no stroke symptoms caused by the blockage. It’s actually two trials in one, first comparing results of carotid endarterectomy procedures and then carotid artery stenting --  each supplemented with aggressive medical therapy – to medical therapy alone.
  • “Traditional surgical endarterectomy/patch angioplasty and transfemoral carotid stenting remain important modes of revascularization,” says Dr. Thomas Divinagracia, chief of Endovascular Services at Hartford Hospital. (The Heart & Vascular Institute’s Division of Vascular Surgery more than 100 carotid endarterectomy procedures and 24 carotid artery stenting procedures in 2017.)
  • Heart & Vascular Institute vascular surgeons have established Hartford Hospital as a dedicated regional center for a new procedure called TransCarotid Artery Revascularization, or TCAR. We’re the only vascular surgical team using this technique, with direct access to the carotid artery, in Connecticut. Removing plaque from the artery requires neither the customary incision in the neck artery nor a stent inserted through the groin to the neck, each a threat to cause a heart attack or stroke if plaque gets loose. The procedure, developed by Silk Road Medical Inc. of Sunnyvale, Calif., uses a unique flow-reversal circuit placed inside the body to temporarily reverse blood flow to the brain. 

Our board-certified surgeons also have expertise in:

  • Abdominal aortic aneurysm repair by open abdominal surgery or endovascular stent surgery
  • Angioplasty/stent replacement/catheter directed thrombolysis embolization
  • Cerebrovascular disease
  • Dialysis access
  • Upper extremity arterial and venous disease including thoracic outlet syndrome
  • Visceral and renal artery disease
  • Lower extremity arterial insufficiency and peripheral artery disease (PAD)
  • Venous access
  • Diagnostic arteriography/venography
  • Carotid angioplasty

Vascular Surgery At The Heart & Vascular Institute 

Aortic Disease

The aorta, when diseased, can dilate (aneurysm) or split (dissection). A rupture, often fatal, arrives in virtually every case without symptoms.

Carotid Artery Disease

The early stages of carotid artery disease are often unnoticeable. When the carotid arteries -- situated on either side of the neck -- are blocked 80 percent or fully blocked, you’re susceptible to a mini-stroke, or transient ischemic attack (TIA).

Thoracic Outlet Syndrome

Compressed vessels or nerves in the area known as the thoracic outlet, between the lower neck and upper chest, are often treatable without surgery. But Thoracic Outlet Syndrome becomes much more complex, often difficult to diagnose.


 

Meet our Vascular Surgeons:

Name Specialties Location
Divinagracia, Thomas V., MD
860.522.4158
  • Vascular Surgery
  • Endovascular Surgery
  • General Surgery
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  • Hartford
  • Glastonbury
  • Plainville
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Gallagher III, James, MD
860.522.4158
  • Vascular Surgery
  • Meriden
  • Hartford
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Gallagher Jr., James, MD
860.522.4158
  • Vascular Surgery
  • Glastonbury
  • Farmington
  • Hartford
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Jain, Akhilesh Kumar, MD, FACS
860.522.4158
  • Vascular Surgery
  • Endovascular Surgery
  • General Surgery
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  • Hartford
  • Norwich
  • Waterford
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Shah, Parth S., MD, FACS
860.223.0800
  • Vascular Surgery
  • Endovascular Surgery
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  • Plainville
  • Southington
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Webster-Lake, Carissa A., MD
860.522.4158
  • Vascular Surgery
  • General Surgery
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  • Hartford
  • Norwich
  • Southington
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Windels, Mary Hyde, MD
860.522.4158
  • Vascular Surgery
  • Endovascular Surgery
  • General Surgery
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  • Hartford
  • Norwich
  • Southington
  • Waterford
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Meet our Advanced Practitioners and Physicians Assistants in Vascular Surgery:

Name Specialties Location
Adajian, Allison Y., PA-C
860.223.0800
  • Vascular Surgery
  • Plainville
  • Meriden
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Bozeman, Patricia K., APRN, CVN
860.522.4158
  • Vascular Surgery
  • Hartford
  • Plainville
  • Southington
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Guerin, Elizabeth T., PA-C
860.522.4158
  • Vascular Surgery
  • Hartford
  • Glastonbury
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Our Vascular Surgery Locations: