Vascular Surgery Services

Tampa General Hospital offers comprehensive vascular surgery services for patients throughout Brooksville, Spring Hill, Crystal River and surrounding communities. From innovative minimally invasive procedures to complex open vascular surgery, our team provides personalized care for a full range of conditions affecting the body’s arteries and veins. Vascular procedures are performed at TGH Brooksville, with consultations, evaluations and ongoing follow-up available throughout the region.

Our Vascular Surgery Services Team Is Here for You

TGH’s vascular surgery services team provides expert care for arterial and venous disorders. Using advanced vascular imaging, specialized diagnostic testing and individualized treatment planning, our specialists thoroughly evaluate each patient's condition and determine the most appropriate approach, whether that involves minimally invasive endovascular techniques, traditional open surgery or ongoing medical management. We offer patients in the Brooksville, Spring Hill and Crystal River areas convenient access to coordinated vascular care, with surgical procedures performed at TGH Brooksville. TGH is recognized as #1 for Heart & Vascular Care by U.S. News & World Report for 2026-27.

Knowledge

Understanding a vascular condition is an important first step in making an informed treatment decision. TGH’s vascular surgery services team works closely with each patient, fully explaining the diagnosis, reviewing the available treatment options and answering any questions, helping the patient feel informed and supported throughout their care.

Experience

TGH’s vascular surgery services team has specialized expertise in treating both common and highly complex arterial and venous disorders. Using minimally invasive endovascular and traditional open surgical techniques, we provide care tailored to each patient’s unique anatomy, overall health and treatment goals.

Recognition

TGH is recognized for delivering advanced cardiovascular care supported by the latest technologies, evidence-based treatment approaches and a commitment to continually improving patient outcomes and quality of life. Our patients benefit from coordinated care across multiple specialties as needed.

Meet Our Team

Travis Hughes, MD

Vascular Surgery

TGH Brooksville Specialty Center

(352) 576-5830

Vascular Conditions We Treat

Vascular disease affects the body's large network of arteries and veins, which carry blood to and from vital organs and tissues. When blood flow becomes blocked, narrowed or weakened, serious complications can occur, such as stroke, aneurysm rupture, tissue damage or limb loss. TGH’s vascular surgery services team evaluates and treats a wide range of vascular conditions, including:

Acute limb ischemia – A sudden blockage of blood flow to an arm or leg that requires prompt treatment to help preserve the affected limb
Acute mesenteric ischemia – A blockage of blood flow to the intestines that can become life-threatening without immediate treatment
Aortic aneurysms and thoracic aortic/aortoiliac disease – Enlargement or disease of the body’s largest artery that may increase the risk of rupture or reduced blood flow
Carotid and cerebrovascular disease – Narrowing or blockage of arteries supplying the brain, increasing the risk of transient ischemic attack (TIA) and stroke
Deep vein thrombosis (DVT) – A blood clot that forms in a deep vein, usually in the leg, which can lead to serious complications if it travels to the lungs
Infected vascular grafts – Infection involving a previously implanted vascular graft that may require specialized surgical treatment
Peripheral artery disease (PAD) and chronic limb-threatening ischemia – Narrowed arteries that reduce blood flow to the legs or feet, potentially causing pain, slow-healing wounds or tissue loss
Renal artery disease – Narrowing of the arteries supplying the kidneys, which may contribute to high blood pressure or reduced kidney function
Venous insufficiency – Damage to leg veins that prevents oxygen-depleted blood from returning efficiently to the heart, often causing swelling, discomfort and skin changes
Other conditions include

Endovascular and Percutaneous Procedures

Many vascular conditions can be treated using minimally invasive endovascular or percutaneous techniques. Rather than relying on large surgical incisions, these procedures use thin catheters inserted through a blood vessel to deliver balloons, stents or specialized grafts to the treatment site. In an appropriately selected patient, endovascular surgery may reduce pain, shorten recovery time and decrease the hospital stay while providing an excellent clinical outcome.

Aortic and Iliac Endografting

Endovascular grafting strengthens weakened sections of the aorta or iliac arteries from within the blood vessel, helping to prevent rupture while maintaining normal blood flow. Depending on the location and complexity of the disease, treatment options may include:

Covered endovascular reconstruction of the aortic bifurcation (CERAB) – Reconstructs the division of the abdominal aorta into the iliac arteries using covered stents
Endovascular aneurysm repair (EVAR) – Places a fabric-covered stent graft inside an abdominal aortic aneurysm to reinforce the artery and reduce rupture risk
Iliac branch endoprosthesis (IBE) – Repairs aneurysms involving the iliac arteries while preserving blood flow to important pelvic vessels
Physician-modified endovascular graft (PMEG) – Uses a customized stent graft designed to accommodate complex vascular anatomy
Thoracoabdominal branch endoprosthesis (TAMBE) – Repairs complex aneurysms involving both the chest and abdominal portions of the aorta while preserving blood flow to major branches
Thoracic endovascular aortic repair (TEVAR)/thoracic branch endoprosthesis (TBE) – Treats aneurysms and other conditions affecting the thoracic aorta using specialized stent graft technology

Angioplasty and Stenting

Angioplasty uses a small balloon to widen a narrowed artery, while a stent helps keep the blood vessel open after treatment. These minimally invasive procedures can improve circulation and reduce symptoms caused by blocked arteries. Techniques include:

Celiac and superior mesenteric artery stent angioplasty – Restores blood flow to arteries supplying the digestive organs
Percutaneous iliac, superficial femoral, popliteal and tibial intervention – Treats narrowed or blocked leg arteries to improve circulation and reduce symptoms of peripheral artery disease
Renal artery stent angioplasty – Opens narrowed kidney arteries to improve blood flow and support kidney function
Transcarotid artery revascularization (TCAR) – A minimally invasive approach to treating carotid artery disease while reducing stroke risk during the procedure

Thrombectomy and Thrombolysis

Blood clots can rapidly reduce or block blood flow to important organs or limbs. Depending on the location and severity of the clot, treatment may involve medication to dissolve it or a minimally invasive procedure to remove it, such as:

Percutaneous mesenteric thrombectomy – Removes blood clots affecting arteries supplying the intestines
Percutaneous thrombectomy (general/dialysis) – Removes clots from arteries, veins or dialysis access sites using a catheter-based device
Percutaneous venous thrombectomy – Removes blood clots from major veins to restore circulation and reduce complications
Thrombolysis – Delivers clot-dissolving medication directly to a blocked blood vessel through a catheter

Venous Interventions

Minimally invasive venous procedures can help improve circulation, preserve dialysis access and reduce complications associated with chronic vein disease. Intervention options include:

Balloon-assisted maturation – Expands a newly created dialysis fistula to promote adequate blood flow for hemodialysis
Greater or small saphenous vein ablation (with or without ambulatory phlebectomy) – Closes diseased superficial veins to relieve symptoms of chronic venous insufficiency
Inferior vena cava filter placement – Places a small filter inside the body’s largest vein to help prevent blood clots from traveling to the lungs when anticoagulation is not appropriate

Open Vascular Surgery

Although many vascular conditions can be treated using minimally invasive techniques, some require traditional open surgery. These procedures allow the surgeon to directly repair, bypass or remove diseased blood vessels to restore healthy circulation and reduce the risk of serious complications.

Bypass Grafting

Bypass procedures create a new route for blood to flow around a blocked or damaged artery using either the patient’s own blood vessel or a synthetic graft. Treatment methods include:

Aortobifemoral/iliac bypass – Restores blood flow around blocked arteries supplying the pelvis and legs
Aortomesenteric or iliomesenteric bypass – Bypasses blocked arteries supplying the intestines
Axillary-femoral-femoral bypass – Creates an alternate route for blood flow from the upper body to the legs when abdominal surgery is not appropriate
Carotid-to-subclavian or axillary bypass – Restores blood flow to the arm or brain by bypassing a blocked artery near the shoulder
Cryopreserved aortobifemoral/iliac bypass – Uses donor blood vessels to reconstruct infected or complex arterial segments
Femoral-to-below-the-knee bypass – Improves circulation below the knee by bypassing blocked leg arteries
Femoral-to-tibial bypass – Restores blood flow to arteries in the lower leg and foot
Neoaortoiliac system (NAIS) – Uses the patient's own deep leg veins to replace infected aortic grafts

Endarterectomy (Plaque Removal)

ndarterectomy removes plaque buildup from inside an artery to improve blood flow and reduce the risk of complications. Procedural options include:E

Carotid endarterectomy – Removes plaque from the carotid artery to lower the risk of stroke
Femoral endarterectomy – Removes plaque from the femoral artery to improve blood flow to the leg

Open Aortic Repair

Open aortic surgery may be recommended when minimally invasive repair is not appropriate due to the size, location or complexity of an aneurysm. This procedure replaces the weakened portion of the aorta with a durable surgical graft.

Open Clot Removal

Open thrombectomy provides direct surgical access to remove blood clots when immediate restoration of blood flow is needed or minimally invasive approaches are not appropriate. This procedure surgically removes a blood clot from an artery or vein to restore circulation.

Hemodialysis Access Creation and Management

Patients receiving long-term hemodialysis require reliable vascular access. TGH’s vascular surgery services team performs procedures to create, maintain and restore dialysis access while helping to minimize complications. Surgical techniques include:

Arteriovenous fistula creation – Connects an artery and vein to create durable dialysis access
Arteriovenous graft creation – Uses a synthetic graft when a fistula is not possible
HeRO graft placement – Provides dialysis access for patients with severely blocked central veins
Revision using distal inflow or distal revascularization and interval ligation (DRIL) – Improves circulation and treats dialysis steal syndrome while preserving dialysis access

Amputation

If severe infection, irreversible tissue damage or late-stage vascular disease prevents limb salvage, amputation may be the safest treatment option. Whenever possible, TGH’s vascular surgery services team focuses on preserving healthy tissue while supporting rehabilitation and recovery. Operative techniques include:

Above-the-knee amputation – Removes the leg above the knee when necessary due to severe tissue damage or inadequate blood flow
Below-the-knee amputation – Removes the lower leg while preserving the knee joint whenever possible to improve mobility during rehabilitation
Guillotine amputation – An emergency procedure used to rapidly remove severely infected or nonviable tissue before reconstructive surgery
Transmetatarsal amputation – Removes the front portion of the foot while preserving as much function as possible

Consult With Our Vascular Surgery Services Team

Vascular disease can affect circulation throughout the body and, if left untreated, may increase the risk of stroke, organ damage, chronic wounds or limb loss. The vascular surgery services team at Tampa General Hospital provides thorough evaluations, personalized treatment plans and coordinated follow-up care tailored to each patient’s needs. Patients from Brooksville, Spring Hill, Crystal River and surrounding communities can access expert vascular care close to home, with vascular procedures performed at TGH Brooksville and ongoing care available throughout the region. Contact Tampa General Hospital to learn more or schedule a consultation.