From aortic aneurysms and carotid disease to peripheral arterial bypass and complex endovascular interventions — vascular surgery decisions carry life-and-limb consequences. A WhiteGloveMD review ensures your surgical plan has been independently evaluated by fellowship-trained vascular specialists who do this work every day.
The most common aortic aneurysm. Surgery recommended at 5.5 cm for men, 5.0 cm for women, or with rapid growth. The decision between open repair and EVAR (endovascular) depends on anatomy, age, and comorbidities. EVAR has lower short-term mortality but higher reintervention rates.
Elective when size criteria metAneurysms spanning both the thoracic and abdominal aorta. Among the most complex operations in vascular surgery. Options include open repair, hybrid approaches, and branched/fenestrated endografts. Center volume is the single strongest predictor of survival.
Elective — requires specialized centerNarrowing of the carotid arteries supplying the brain. Surgery (CEA) or stenting (CAS) recommended for symptomatic stenosis >50% or asymptomatic stenosis >70% with appropriate risk profile. The decision between endarterectomy and stenting depends on anatomy, surgical risk, and institutional expertise.
Urgent if symptomaticBlockages in the arteries of the legs, causing claudication or critical limb ischemia. Treatment ranges from medical management and exercise therapy to angioplasty, stenting, and surgical bypass. The goal is limb preservation — amputation should be a last resort.
Urgent if critical limb ischemiaCompromised blood flow to the intestines through the celiac, SMA, or IMA arteries. Acute mesenteric ischemia is a surgical emergency. Chronic mesenteric ischemia causes postprandial pain and weight loss. Both endovascular and open revascularization options exist.
Emergency if acuteCreation and maintenance of arteriovenous fistulas and grafts for hemodialysis. Also includes management of deep vein thrombosis, May-Thurner syndrome, chronic venous insufficiency, and complex venous reconstructions. Access planning and timing significantly impact long-term dialysis success.
Elective — planning is criticalCT angiography (CTA), MR angiography (MRA), duplex ultrasound, and angiographic data are reviewed to assess disease extent, anatomy, and suitability for endovascular vs. open approaches.
Comorbidity profiling including cardiac risk (many vascular patients have concurrent coronary disease), renal function, pulmonary status, and frailty assessment — all critical for operative planning.
Open vs. endovascular vs. hybrid approach analysis. Graft selection, access planning, and staging considerations. For aortic cases, assessment of fenestrated/branched endograft candidacy.
Medical management optimization, exercise therapy for claudication, conservative surveillance protocols — ensuring surgery is truly indicated before proceeding.
Volume-outcome data for your specific procedure. High-volume vascular centers have significantly better outcomes, particularly for complex aortic and redo operations.
Every recommendation mapped to SVS (Society for Vascular Surgery), AHA/ACC, and ESVS clinical practice guidelines with class and level of evidence documentation.
For many vascular conditions, both open surgical and endovascular (catheter-based) approaches exist. The right choice depends on anatomy, disease extent, patient risk, and long-term durability. Our review evaluates both pathways independently.
Our review evaluates both approaches independently — analyzing your specific anatomy, comorbidities, and life expectancy to determine which strategy offers the best risk-adjusted outcome for your individual case.
When a loved one is facing an aortic aneurysm repair, a carotid surgery, or a limb-threatening peripheral bypass, the entire family carries that weight. WhiteGloveMD exists for all of you. Our reports are written so that both patients and their families can understand the diagnosis, the options, and the reasoning behind each recommendation.
An independent, expert-level analysis of your vascular surgical plan before you go to the operating room.
Clear, plain-language explanations of your loved one's condition, the proposed operation, and what to expect during recovery.
Direct access to our clinical team for questions, care coordination, and post-operative guidance through our concierge memberships.
Get an independent, dual-physician review of your vascular surgical plan — powered by AI analysis, delivered in 24 hours. Inaugural pricing from $495.