Vascular Surgery Faculty / Medical Staff >

The American Medical Association defines the vascular surgery as a specialized field of surgery that diagnoses, treats, and performs research on diseases, trauma, congenital malformations, and tumors of the arteries, veins, and lymphatic ducts in the body, excluding intracranial vessels and vessels close to the heart. In practice of the vascular surgery, the aorta and splanchnic vessels running to the intra-abdominal organs, and arteries and veins of neck, upper and lower extremities are major targets for treatment.

Major areas of treatment / Clinics

The major areas of treatment of the Vascular Surgery can be divided into arterial diseases, venous diseases, and lymphatic diseases. Arterial diseases include diseases of the aorta, extremity arteries, and splanchnic arteries running into various intra-abdominal organs. Common venous diseases include deep vein thrombosis of the upper and lower extremities and varicose veins. Lymphatic diseases include lymphedema. In addition to regular outpatient clinic, we run unique clinic for patients with CVM or diabetic foot. In the special clinic, we try to do multidisciplinary approach for a patient with very specific and challenging vascular disease.

Strong points

For the diagnosis and treatment of vascular diseases, we make sure to collaborate with other specialties and experts to maximize treatment efficiency and minimize complication rates.

1. Aortic disease

Broadly, there are two types of the aortic diseases. One is an aortic occlusive disease and the other is abdominal aorta aneurysm (AAA). Currently, the former is usually treated with endovascular means, while the latter is subject to endovascular aneurysm repair (EVAR) and surgical treatment. We have enough experiences to treat challenging cases of aortic disease with complex anatomy or coexisting morbidities. Surgical mortality rate after elective abdominal aortic aneurysm by our hands is at around 0.3%, which is one of the best results in the world.

2. Peripheral arterial diseases (PAD)

We have performed a variety of lower extremity bypass surgery and artery reconstruction as well as endovascular intervention. We have many patients with lower extremity arterial obstructive disease referred from other hospitals in Korea. Our treatment strategy for patients with atherosclerotic PAD is a customized therapy considering various coexisting morbidities or risk factors, various arterial anatomy and expected life style of an individual patient. Thanks to our surgical, endovascular and therapeutic angiogenesis with stem-cell, many patients with critical limb ischemia are successfully salvaged their limb avoiding major limb amputation.

3. Carotid artery disease

Carotid artery disease is defined as atherosclerosis of the carotid artery which is a major arterCarotid artery is neck artery that provides blood flow to the brain and carotid artery stenosis has known as a major cause of ischemic stroke. Recently in Korea, stroke is becoming more frequent, raising the awareness of the carotid artery disease. Treatment methods for carotid artery stenosis include carotid endarterectomy (CEA) and carotid artery stenting (CAS). In Vascular Surgery, we perform at least 100 or more cases of carotid endarterectomy or carotid artery stenting annually, and show excellent cumulative results with incidence of postoperative stroke rate as low as 1%.

4. Venous diseases

Lower extremity varicose veins and deep vein thrombosis (DVT) are the most common venous diseases, and in the practice of Vascular Surgery. We put much effort into the early diagnosis and treatment of acute DVT, which is common in inpatients particularly in surgery patients. We perform DVT treatment using catheter directed thrombolysis, venous stent insertion, and anticoagulation therapy with heparin, warfarin or new oral anticoagulants (NOAC). During the conventional anticoagulation therapy with warfarin, our hospital runs anticoagulation service (ACS) at the outpatient clinic to administer the precise amount of anticoagulants to maximize its effect and minimize adverse effects of the anticoagulating agent. Most varicose veins are treated by laser or radiofrequency thermal ablation.

5. Congenital Vascular Malformation(CVM) Clinic

The CVM clinic in the Samsung Medical Center has accumulated more than 20 years of experience since it opened in 1994, and has established an excellent organic collaborative system between the Vascular Surgery, Interventional Radiology, Plastic surgery, Orthopedic surgery, Anesthesiology, and Rehabilitation Medicine as an extraordinary specialized center in the world. It has approximately 3,000 or more registered patients with CVM, now. We have presented our experience and results in treating vascular malformations in well-known international medical journals in order to achieve a high academic performance. Currently, many foreign patients visit at our CVM clinic to get treated.

6. Stem Cell Clinic

Stem cells are the origins of all cells in the body and can infinitely self-regenerate and differentiate into any necessary cell. We inject adult stem cells into the ischemic limb in patients with Buerger’s disease (a kind of vasculitis usually affecting young smokers) to improve ischemic symptoms. This field is ever developing and is one of our future hope in treatment of ischemic limb.

7. Other rare vascular diseases

Other than the above-described vascular disease, we have sufficient experience in treatment of uncommon vascular diseases such as thoracic outlet syndrome, carotid body tumor, nutcracker syndrome, mesenteric artery ischemia, renal artery disease, Raynaud disease, Takayasu’s arteritis, and have achieved good treatment results.

Latest treatment methods

  • Endovascular aortic aneurysm repair (EVAR) or other hybrid surgery (concomitant open surgical and endovascular procedures)
  • Aortic reconstruction with cryopreserved human allograft to treat aortic infection.
  • Lower extremity arterial reconstruction using arm vein graft
  • Stem cell therapy for Buerger’s disease
  • Catheter atherectomy of peripheral artery disease
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Patients' Rights and Responsibilities

Patients' Rights

1. Right to receive medical care

Patients have the right to receive proper medical and nursing services for their Health Protection and Promotion and they will not be discriminated for gender, age, religion, status, nationality, language, race, or physical/mental/financial circumstances nor be violated of their health. Medical team may not deny medical care without justifiable reason.

2. Right to be informed & autonomous decision

Patients have the right to receive be well-informed and to inquire in detail about the treating physician’s specialty, status of their disease, purpose of the treatment, treatment plan, method, expected results and side effects of the treatment, discharge plan, medical cost, whether or not they are a subject to medical research, organ transplant/donation and etc, and to decide whether to give consent. Patients may stop or deny specific treatment or planned medical care within the ethical guideline and may decide on an alternative treatment.

3. Right to have confidentiality

Patients will not be violated of their rights to confidentiality regarding their physical/health status and privacy. Medical team and facility may not reveal or announce patient’s confidential information, including personal information, unless patient has gives consent or specified in the law, such as criminal investigation.

4. Right to request for consultation and mediation

Patients may request for consultation and mediation from an internal or external agency (Korea Consumer Agency, Korea Medical Dispute Mediation and Arbitration Agency) in the event of any medical dispute.

5. Right to be respected of values or beliefs

Patients will not be discriminated for their culture, religious values or beliefs, and their rights will not be violated.

6. Right to be physically protected and to have stability of mind and bod

Patients have the right to be protected from possible danger in the hospital and to have the stability of mind and body.

Patients’Responsibilities

1. Responsible to trust and respect the medical team

Patients must accurately inform the medical team of their health condition, trust and respect the medical team’s treatment plan. Patients may be responsible for consequences which results from not following the instruction.

2. Responsible to not use dishonest method for medical treatment

Patients must reveal their identity before receiving any medical care and must not use false or dishonest method, such as receiving medical case under disguised ownership.

3. Responsible to abide by all hospital regulations

Patients must abide by all hospital regulations, respect hospital staff and other patients, and earnestly fulfill the financial obligation to the hospital.