The vascular surgery service has two clinical components. The OHSU vascular service is at the university, and performs approximately 400 major arterial reconstructions each year as well as 200 to 250 other operations such as amputations. This service is staffed by the OHSU vascular surgery residents, and by a general surgery PGY-2 or PGY-3, and by a general surgery PGY-1. The operations performed include the entire spectrum of vascular surgery of the neck, upper extremities, thorax, abdomen and lower extremities. The vascular surgery clinic on Wednesdays is attended by all faculty and all house staff on the service. Approximately 75 patients per week are seen as outpatients.
The PVAMC vascular surgery service performs 300-350 major arterial reconstructions each year, as well as a similar number of other operations such as amputations. This service is staffed by general surgery PYG-6, PGY-3 and PGY-1 residents. The PVAMC service also has a large weekly clinic on Fridays.
The two clinical units function as s single academic unit. The vascular surgery basic science lectures and clinical/angiographic patient conferences on Saturday morning are widely attended by students, house staff and community physicians. The OHSU non-invasive vascular laboratory operates units at OHSU Hospital, PVAMC hospital, and at four large private hospitals in Portland, in total performing over 1,000 diagnostic procedures each year.
The OHSU vascular service has multiple areas of ongoing research activity including upper extremity ischemia, Raynauds syndrome and vasospasm; a long term study of atherosclerosis progression and the influence of elevated plasma homocysteine and its treatment; use of duplex scanning in noninvasive vascular diagnosis; nonoperative treatment and natural history of chronic lower extremity ischemia; basic physiology and treatment of chronic venous insufficiency.