Loma Linda University Medical Center has a very active vascular surgery service that encompasses all aspects of the specialty. Approximately 600 vascular procedures are performed annually, and this volume has been quite consistent through the years.
The caseload is varied and includes thoracoabdominal aortic aneurysm repair, visceral and renal artery reconstruction, complex abdominal aortic and aortoiliac reconstruction, as well as routine AAA repair. Carotid and aortic arch branch vessel procedures are routine. This breadth of complexity nicely compliments multiple redo and infrageniculate lower extremity revascularizations as well as our busy venous practice. The vascular residency includes experience with endovascular techniques and active participation in noninvasive vascular laboratory techniques.
The service is primarily based at Loma Linda University Medical Center, and the vascular resident is assisted by a PGY-3 and PGY-1 general surgery resident. In addition, one or occasionally two medical students rotate through the service on a monthly basis. Operating room days and clinic days are alternating so that the entire team is able to experience the important aspects of surgical technique and patient evaluation in clinic. Call for the vascular resident is from home and we are not overwhelmed with vascular trauma. The vascular resident routinely performs 300 major vascular procedures during the year and also participates actively in our academic endeavors. Finally, all our graduates who have taken the vascular boards have passed.
Currently, the vascular residency is a two-year program. This will involve incorporation of our Veterans Affairs hospital in the training of the vascular residents.