{"id":18686,"date":"2023-08-22T15:41:33","date_gmt":"2023-08-22T19:41:33","guid":{"rendered":"https:\/\/blogs.cooperhealth.org\/weeklyrounds\/?p=18686"},"modified":"2023-08-22T15:42:07","modified_gmt":"2023-08-22T19:42:07","slug":"cooper-surgeon-performs-novel-limb-salvage-procedure","status":"publish","type":"post","link":"https:\/\/blogs.cooperhealth.org\/weeklyrounds\/2023\/08\/cooper-surgeon-performs-novel-limb-salvage-procedure\/","title":{"rendered":"Cooper Surgeon Performs Novel Limb Salvage Procedure"},"content":{"rendered":"<p>Last month, vascular and endovascular surgeon <a href=\"https:\/\/www.cooperhealth.org\/doctors\/bruce-tjaden-jr-md\">Bruce L. Tjaden Jr., MD<\/a>, performed New Jersey\u2019s first percutaneous transmural arterial bypass (PTAB) using the DETOUR system \u2013 a newly approved, minimally invasive limb salvage procedure. Cooper is only the third hospital to perform this operation since it received FDA approval. The novel approach allows surgeons to avoid the areas of hardened arteries by \u201cdetouring\u201d around them, using the adjacent veins as a pathway to route stents past the blocked arteries to save the foot.<\/p>\n<p>\u201cAt Cooper, we often take care of patients with very severe [peripheral artery] disease who have no options other than amputation at other facilities. We offer unique solutions for these patients, such as PTAB, for their specific anatomy and lifestyle considerations,\u201d says Dr. Tjaden, Director of Cooper&#8217;s Specialty Treatment for Extremity Preservation (STEP) Program and Director of the soon-to-be-opened Wound Care and Hyperbaric Center. \u201cI am thrilled that we have access to groundbreaking technologies like these to save patients&#8217; limbs, even in the most difficult cases.\u201d<\/p>\n<p>Advanced peripheral arterial disease limits blood flow to the toes and feet and can lead to wounds and gangrene. If arterial blood flow cannot be restored, amputation is often necessary. While there are many established methods of restoring blood flow, for some patients, none of the \u201cstandard\u201d methods will work. This can be due to severe hardening of the arteries that makes angioplasty and stenting impossible, or other health issues that make an open surgical bypass too risky.<\/p>\n<p>\u201cCooper\u2019s vascular program distinguishes itself with world-class surgeons, like Dr. Tjaden, performing the most advanced procedures for limb salvage,\u201d says Dr. Joseph V. Lombardi, MD, MBA, Division Head of Vascular and Endovascular Surgery.<\/p>\n<p>Congratulations\u00a0to Dr. Tjaden and his team for this innovative new approach to improving the quality of life for these patients.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-18648 aligncenter\" src=\"https:\/\/blogs.cooperhealth.org\/weeklyrounds\/files\/2023\/08\/Surgeon-pic.jpg\" alt=\"\" width=\"480\" height=\"640\" srcset=\"https:\/\/blogs.cooperhealth.org\/weeklyrounds\/files\/2023\/08\/Surgeon-pic.jpg 480w, https:\/\/blogs.cooperhealth.org\/weeklyrounds\/files\/2023\/08\/Surgeon-pic-225x300.jpg 225w\" sizes=\"auto, (max-width: 480px) 100vw, 480px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Last month, vascular and endovascular surgeon Bruce L. Tjaden Jr., MD, performed New Jersey\u2019s first percutaneous transmural arterial bypass (PTAB) using the DETOUR system \u2013 a newly approved, minimally invasive limb salvage procedure. Cooper is only the third hospital to perform this operation since it received FDA approval. The novel approach allows surgeons to avoid &#8230; <span class=\"more\"><a class=\"more-link\" href=\"https:\/\/blogs.cooperhealth.org\/weeklyrounds\/2023\/08\/cooper-surgeon-performs-novel-limb-salvage-procedure\/\">[Read more&#8230;]<\/a><\/span><\/p>\n","protected":false},"author":64,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"tags":[],"class_list":{"0":"entry","1":"post","2":"publish","3":"author-areed","4":"post-18686","6":"format-standard","7":"category-uncategorized"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cooper Surgeon Performs Novel Limb Salvage Procedure - Weekly Rounds<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cooper Surgeon Performs Novel Limb Salvage Procedure - Weekly Rounds\" \/>\n<meta property=\"og:description\" content=\"Last month, vascular and endovascular surgeon Bruce L. 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