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New York University
Medical Center has been in the forefront in the treatment of vascular disease
for over three decades. The list of contributions to the understanding of the
diagnosis and treatment of vascular disease are vast and individuals associated
with these contributions have been national leaders in the fields of neurology,
cardiac surgery; vascular surgery, radiology and nursing. This
multidisciplinary approach to vascular problems is reflected in wide
participation by radiologists, vascular surgeons, internists and nurse
specialists in Vascular Conference, Hemangioma and AVM Clinics.
The Division of Vascular Surgery at NYUMC, directed by Thomas S. Riles, M.D.,
is one of the most active vascular services on the East Coast. In addition to
the 1,000 admissions to Tisch Hospital each year, the services at Bellevue and
the Manhattan VA represent another 500 admissions. Interests of the division
include: (1) pathology of the atherosclerotic plaque; (2) validation of
preoperative tests used in cerebrovascular surgery, preoperative assessment of
cardiac disease in patients undergoing vascular surgery, operative technique
for carotid, vertebral and aortic surgery, postoperative complications and
long-term results after vascular surgery; (3) management of AIDS patients
undergoing vascular access surgery and thromboembolic disease of the venous
system; and (4) management of patients with congenital arteriovenous
malformations. Dr. Riles is one of 15 principal investigators in a national
randomized study of the use of endovascular grafts for the treatment of
abdominal aortic aneurysms.
Dr. Riles and Robert J. Rosen, M.D. are currently involved in six
investigations: (1) a prospective randomized study comparing the Endograft
System to conventional surgery for the treatment of abdominal aortic aneurysms;
(2) Thrombolytic therapy and thoracic outlet decompressions for the management
of spontaneous axillary vein thrombosis; (3) Patch angioplasty and application:
alternatives to intraoperative imaging for the prevention of postoperative
thrombosis and residual stenosis after carotid endarterectomy; (4) late results
of percutaneous balloon angioplasty for tibial and peroneal artery stenosis;
(5) comparison of early and delayed carotid endarterectomy after acute stroke;
(6) a follow-up study of patients under the age of 55 who have undergone
carotid surgery for symptomatic or asymptomatic stenosis.
Representative
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