Vascular Surgery at Shanghai Sixth People's Hospital | CMCS

Expert Vascular Care at One of Shanghai's Premier Academic Medical Centers

The Department of Vascular Surgery at Shanghai Sixth People's Hospital — affiliated with Shanghai Jiao Tong University School of Medicine — is one of Shanghai's most distinguished vascular surgery centers, with a national reputation for excellence in aortic surgery, peripheral arterial disease, venous disease, diabetic foot vascular management, and the management of complex vascular conditions. Uniquely positioned within a hospital world-renowned for its microsurgery, replantation, and diabetic foot programs, the vascular surgery department offers particular expertise in limb salvage for critical limb-threatening ischemia (CLTI), diabetic foot revascularization, and the vascular management of complex trauma patients. China Medical Concierge Shanghai (CMCS) provides seamless end-to-end coordination for international patients throughout their vascular care journey at Shanghai Sixth People's Hospital.

About the Department

The vascular surgery department is a national key clinical specialty operating dedicated vascular surgery wards, hybrid operating theaters with intraoperative angiography capability, a vascular ultrasound laboratory, an endovascular suite, a diabetic foot vascular clinic, a venous disease clinic, and works in close collaboration with endocrinology, replantation and microsurgery, orthopedics, interventional radiology, cardiology, and nephrology through a fully integrated multidisciplinary team.

Aortic Surgery

Aortic Aneurysm

• Endovascular Aortic Repair (EVAR) — For infrarenal abdominal aortic aneurysm (AAA); standard and fenestrated EVAR (FEVAR) for juxtarenal AAA; branched EVAR (BEVAR) for complex anatomy; one of Shanghai's most experienced EVAR programs
• Thoracic Endovascular Aortic Repair (TEVAR) — For descending thoracic aortic aneurysm (DTAA); thoracoabdominal aortic aneurysm (TAAA); hybrid procedures with visceral debranching
• Open Aortic Surgery — Open AAA repair for anatomy unsuitable for EVAR; thoracoabdominal aortic aneurysm repair; aortic root and ascending aorta coordination with cardiac surgery
• Surveillance — CT angiography surveillance for small aneurysms; growth rate monitoring; intervention threshold guidance

Aortic Dissection

• Type A Dissection — Emergency surgical repair coordination with cardiac surgery; ascending aorta and arch replacement
• Type B Dissection — Medical management for uncomplicated Type B; TEVAR for complicated Type B (malperfusion, rupture, rapid expansion); fenestration for branch vessel malperfusion
• Chronic Type B Dissection — TEVAR for aneurysmal degeneration; false lumen thrombosis promotion

Peripheral Arterial Disease (PAD)

Critical Limb-Threatening Ischemia (CLTI)

Shanghai Sixth People's Hospital's CLTI program is one of China's most comprehensive, with a particular focus on diabetic foot limb salvage through integration with endocrinology and microsurgery:

• Endovascular Revascularization — Percutaneous transluminal angioplasty (PTA); drug-coated balloon (DCB) angioplasty; drug-eluting stent (DES) implantation; atherectomy (orbital, rotational, directional, laser); chronic total occlusion (CTO) crossing techniques; below-the-knee (BTK) and below-the-ankle (BTA) interventions for diabetic foot
• Bypass Surgery — Aortobifemoral bypass; femoro-popliteal bypass (above and below knee); femoro-tibial bypass; sequential bypass; autologous vein (great saphenous, arm vein) and prosthetic (PTFE, Dacron) grafts
• Hybrid Procedures — Combined endovascular and open surgery in hybrid theater; inflow correction + outflow bypass
• Angiosome-Directed Revascularization — Targeted revascularization to the angiosome of the wound for optimal healing; direct vs. indirect revascularization
• Microsurgical Revascularization — Coordination with replantation and microsurgery for free flap coverage after revascularization; unique capability for complex diabetic foot limb salvage

Intermittent Claudication

• Medical Management — Supervised exercise therapy; cilostazol; antiplatelet therapy (aspirin, clopidogrel); statin therapy; smoking cessation; risk factor modification
• Endovascular Treatment — Aortoiliac PTA and stenting (TASC II A-B lesions); femoro-popliteal DCB and DES; selective intervention for lifestyle-limiting claudication

Carotid Artery Disease

• Carotid Endarterectomy (CEA) — For symptomatic and high-grade asymptomatic carotid stenosis; eversion and conventional CEA; patch angioplasty; intraoperative monitoring
• Carotid Artery Stenting (CAS) — For high surgical risk patients; embolic protection devices; TCAR (transcarotid artery revascularization)

Renal & Mesenteric Artery Disease

• Renal Artery Stenosis — Endovascular stenting for atherosclerotic renal artery stenosis; fibromuscular dysplasia (FMD) balloon angioplasty; coordination with nephrology
• Mesenteric Ischemia — Acute mesenteric ischemia: emergency embolectomy or bypass; chronic mesenteric ischemia: endovascular stenting or bypass

Venous Disease

• Varicose Veins — Endovenous laser ablation (EVLA); radiofrequency ablation (RFA); mechanochemical ablation (MOCA — ClariVein); cyanoacrylate glue (VenaSeal); foam sclerotherapy; phlebectomy; compression therapy
• Deep Vein Thrombosis (DVT) — Anticoagulation (LMWH, rivaroxaban, apixaban, edoxaban); catheter-directed thrombolysis (CDT) for iliofemoral DVT; pharmacomechanical thrombectomy (Angiojet, Penumbra); IVC filter for anticoagulation contraindication
• Pulmonary Embolism (PE) — Anticoagulation; systemic thrombolysis for massive PE; catheter-directed thrombolysis for submassive PE; surgical embolectomy; coordination with cardiology
• Post-Thrombotic Syndrome (PTS) — Compression therapy; iliac vein stenting for May-Thurner syndrome; venous reconstruction
• Chronic Venous Insufficiency (CVI) — Compression therapy; endovenous ablation; perforator vein ablation; subfascial endoscopic perforator surgery (SEPS)
• Pelvic Congestion Syndrome — Ovarian vein embolization; coordination with interventional radiology

Diabetic Foot Vascular Program

Shanghai Sixth People's Hospital's diabetic foot vascular program is one of China's most comprehensive, uniquely integrating vascular surgery with endocrinology, replantation and microsurgery, and orthopedics:

• Vascular Assessment — ABI and TBI; transcutaneous oxygen pressure (TcPO2); duplex ultrasound; CT angiography; digital subtraction angiography (DSA)
• Below-the-Knee & Below-the-Ankle Intervention — Tibial and peroneal artery PTA; pedal arch reconstruction; drug-coated balloon for BTK disease; one of Shanghai's most experienced BTK intervention programs
• Pedal Bypass — Femoro-pedal bypass with autologous vein for no-option CLTI; dorsalis pedis and posterior tibial artery bypass
• Free Flap After Revascularization — Unique integration with replantation and microsurgery for free flap coverage of large diabetic foot defects after successful revascularization

Vascular Access

• Arteriovenous Fistula (AVF) — Radiocephalic and brachiocephalic AVF for hemodialysis access; coordination with nephrology
• AV Graft — PTFE loop graft for patients with inadequate veins
• Central Venous Access — Tunneled dialysis catheters; port-a-cath implantation; PICC
• AVF Salvage — Thrombectomy; balloon angioplasty for stenosis; surgical revision

Why International Patients Choose Shanghai Sixth People's Hospital Vascular Surgery

• Diabetic Foot Limb Salvage — Unique integration of vascular surgery + endocrinology + microsurgery for China's highest diabetic foot limb salvage rates
• Below-the-Ankle Intervention — One of Shanghai's most experienced BTK/BTA endovascular programs for diabetic foot revascularization
• Complex EVAR/TEVAR — Fenestrated and branched EVAR for complex aortic anatomy; hybrid theater capability
• Venous Disease Expertise — Full range of minimally invasive venous treatments; VenaSeal; MOCA; iliac vein stenting for May-Thurner
• Trauma Vascular Surgery — Integration with replantation and microsurgery for complex vascular trauma and limb salvage
• Cost-Effectiveness — World-class vascular care at significantly lower cost than equivalent treatment in Western countries

The CMCS Patient Journey

1. Initial Inquiry — Share your vascular diagnosis, imaging (CT angiography, duplex ultrasound, DSA), ABI results, and prior treatment history with CMCS.
2. Medical Record Preparation — We translate and organize your records for specialist pre-consultation review.
3. Specialist Matching — We identify the most appropriate vascular surgeon based on your condition — aortic disease, PAD, CLTI, diabetic foot, venous disease, or vascular access.
4. MDT Submission — For diabetic foot and CLTI patients, we facilitate pre-arrival case review by the multidisciplinary limb salvage team.
5. Priority Scheduling — We secure a consultation with minimal waiting time.
6. Travel & Logistics — Assistance with visa invitation letters, accessible accommodation near Shanghai Sixth People's Hospital, and Shanghai airport transfers.
7. Procedural Coordination — Full coordination of endovascular or open surgical procedures and post-operative care.
8. Post-Procedure Follow-Up — Procedure report translation, anticoagulation guidance, wound care instructions, and remote follow-up coordination after you return home.

Book a Consultation

If you have an aortic aneurysm, peripheral arterial disease, critical limb-threatening ischemia, a diabetic foot vascular complication, venous disease, or a complex vascular condition — CMCS can arrange a specialist consultation with Shanghai Sixth People's Hospital's vascular surgery team.

📧 contract@medicalsh.com
💬 WhatsApp: https://wa.me/message/3AM6KAGCW2BAD1
🌐 www.medicalsh.com