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From prevention and diagnosis to minimally invasive treatments, you can expect the highest quality vascular care from Sanger Heart & Vascular Institute – a national leader, right here in the Carolinas.

As one of the region’s highest volume vascular centers, we perform more than 2,500 procedures each year. This means we’re experienced with every type and stage of disease affecting the arteries, lymphatic system and veins – and we can give you the best chance of an excellent outcome.

Innovative Treatment for Carotid Artery Disease

We’re one of the region’s first centers offering a breakthrough procedure, called transcarotid artery revascularization (TCAR), to treat blocked carotid arteries (stenosis). We’ve also been named a TCAR Center of Excellence – a testament to our top outcomes for this minimally invasive treatment.

During the TCAR procedure:

  • A small sheath is placed into the carotid artery.
  • The sheath is connected to a device that temporarily reverses blood flow – preventing loosened plaque from reaching the brain and possibly causing a stroke.
  • A stent is then placed in the artery to open the passage and relieve the carotid blockage.

Patients who undergo TCAR recover quickly and usually go home within 24 hours. They also experience less pain, smaller scars and a reduced risk of future strokes than those who have traditional procedures.

Aortic Aneurysm Treatment

With some of the nation’s top surgical outcomes, we repair and treat aortic aneurysms with breakthrough treatment options.

Minimally Invasive Stent Graft Repair

With this approach, our skilled surgeons replace damaged blood vessels using specially designed materials that are customized to give you the perfect fit.

  • Our team was the first in the world to repair thoracic aortic aneurysms by implanting a branched stent graft – a procedure that is currently available in only select locations around the country.
  • As a leader for thoracic endovascular aneurysm repair (TEVAR) and endovascular aneurysm repair (EVAR), we rank in the top 5 nationally for the number of these complex surgeries performed.

Code Rupture and Code Dissection

When an aneurysm ruptures or the aorta tears (dissects), every second matters. We’ve created innovative system-wide protocols called Code Rupture and Code Dissection that allow us to act fast and help save lives. We’re one of the only centers in the region to offer this level of care.

Complete Care for Peripheral Artery Disease

To help you maintain an active lifestyle and lower your risk of cardiovascular complications, our team develops a customized treatment plan designed to care for peripheral artery disease (PAD).

Our full team of experts offers you:

  • Medical therapy to reduce your symptoms
  • PAD Rehabilitation
  • Exercise therapy to help you stay active without pain
  • Help to quit smoking
  • Advanced, non-invasive diagnostic tests
  • Minimally invasive therapies, including angioplasty to widen narrow blood vessels, stenting to open blockages and atherectomy to remove plaque and restore blood flow
  • Surgical techniques including endarterectomy to remove plaque and widen blocked arteries and surgical bypass to reroute blood flow around blocked blood vessels

Pioneering Program to Save Limbs

The goal of our innovative limb salvage program is simple: to reduce unnecessary or preventable amputations and save patients’ limbs. Since we launched this program in 2012, we have saved 150% more limbs, often for patients who have been referred for amputation.

If vascular problems, ischemia or diabetic foot problems put you at high risk of amputation, our limb salvage team offers advanced therapies to improve blood flow to your limbs and treat deep vein thrombosis.

Comprehensive Vein Treatment

For all types of vein complications, we are leaders in prevention, diagnosis and treatment. Our dedicated vein specialists offer timely screenings and the full range of minimally invasive treatments in a convenient outpatient setting.

Our vein clinics have special expertise in treating varicose and spider veins. These painful conditions can cause discomfort in the legs, skin discoloration and visible, bulging veins. With the right treatment option, your symptoms can be greatly reduced.


  • Blood clotting
  • Chronic venous insufficiency
  • Deep vein thrombosis
  • Spider veins
  • Varicose veins


  • Compression stockings
  • Injection therapy
  • Laser therapy
  • Radiofrequency
  • Surgical vein removal