Department of Vascular Surgery
The Department of Vascular Surgery at Sheba Medical Center is dedicated to providing state-of-the-art clinical treatments, as well as performing revolutionary research studies on vascular disease. Our facilities are equipped with a range of progressive technologies to perform surgical and endovascular procedures, in addition to various medical therapies. Highly qualified, experienced specialists operate four weekly outpatient clinics, in which approximately 1700 patients are treated every year, as well as a specialized clinic for vascular access. With 18 beds in the inpatient ward, we provide treatment to about 600 patients with vascular disease each year.
Annually, we perform approximately:
- 150 aortic surgeries
- 50 carotid surgeries
- 30 bypass procedures
- 150 urgent vascular surgeries
- Dozens of dialysis surgeries
Our department also includes the modern Lubinsky Vascular Institute, which is involved in many pioneering projects in the field of non-invasive vascular testing in Israel. We use advanced equipment to obtain essential information on blood circulation without causing any discomfort or risk to the patient. The Gottesdiener Vascular Biology Laboratory, affiliated with Tel Aviv University, is also part of the Department of Vascular Surgery. At this lab, we study various vascular disease mechanisms.
The Division of Surgery at the Acute Care Hospital
The Department of Vascular Surgery is part of Sheba Medical Center’s Division of Surgery – a frontline unit that keeps pace with the latest medical techniques and serves all patients with professional excellence and a compassionate manner.
At Sheba’s Division of Surgery:
- Our team consists of more than 250 surgeons and 500 nurses
- We have a total of 33 advanced operating rooms
- We perform approximately 23,500 procedures per year
- We provide treatment for 23,000 inpatients per year
- We care for 350,000 outpatients per year
The following departments are all housed within the Division of Surgery:
- Department of Neurosurgery
- Department of Oral and Maxillofacial Surgery
- Department of Otolaryngology – Head and Neck Surgery
- Department of Plastic and Reconstructive Surgery
- Department of Surgical Oncology
- Department of Thoracic Surgery
- Department of Ambulatory Surgery
- Department of Anesthesiology and Intensive Care
- Department of General Surgery
- Department of Pediatric Surgery
- Department of Cardiac Surgery
- Hand Surgery Unit
- Department of Urology
- Gynecological Surgery Department
- Department of Obstetrics
- Department of Vascular Surgery
- Department of Orthopedics
- Department of Bariatric and Metabolic Surgery
- The Goldschleger Eye Institute
What diseases do we treat?
We perform surgical and endovascular procedures to treat vascular disease, often in collaboration with Sheba’s Interventional Radiology Section, including treatment for the following conditions:
- Arterial occlusion of the extremities (acute and chronic) – narrowing or obstruction of the arteries that carry blood to the lower or upper extremities
- Vascular trauma – injury to a blood vessel that carries blood to an organ or to a vein that brings blood to the heart
- Aortic aneurysms (including thoracoabdominal aneurysms) – an abnormal enlargement or bulge that occurs in the wall of the aorta; thoracoabdominal aneurysms occur in both segments of the aorta and are therefore particularly complex to treat
- Occlusive and aneurysmal disease – involving a blockage in the carotid artery or in other blood vessels that begin at the arch (bottom) of the aorta
- Visceral artery disease – a narrowing of the arteries (renal and mesenteric) that provide blood to the liver, intestines, and spleen
What treatments do we offer?
- Stent-graft (JOTEC) treatment for aortic aneurysm: Sheba is the only medical center in Israel to offer this breakthrough solution. A customized, wide-area stent (made according to the precise measurements of the patient’s arterial system) wrapped in an opaque fabric is used to seal blood vessel walls and prevent the leakage that is feeding the aneurysm.
- Peripheral Angiography: This diagnostic procedure uses X-rays and dye to capture images of the peripheral arteries. We use it to locate the blocked or narrowed areas in the arteries that supply blood to your legs and to determine whether surgery is required.
- Endovascular Aortic Aneurysm Repair (EVAR): Endovascular repair is a treatment method for an abdominal aortic aneurysm, which is a bulge in the wall of the aorta. This procedure, which uses a much smaller incision than open surgery (involving a large cut in the chest), is done to prevent the weak section of the aorta from tearing.
- Arteriovenous (A-V) shunt: This surgery creates a subcutaneous connection between an artery and a vein, and it is required for patients who need dialysis due to kidney failure. The A-V shunt serves to enable dialysis, which involves the rapid transfer of blood from the body to the dialysis device and back into the body. The connection created either as a fistula (direct artery-vein stitching) or as a graft (synthetic tube).
- Carotid endarterectomy: This procedure treats carotid artery disease. An incision is made along the front of your neck, enabling the surgeon to open your carotid artery and remove the plaques that are clogging it. The artery is then repaired with stitches or a patch graft.
- Peripheral arterial bypass surgery: By using a graft, the surgeon reroutes blood supply around a blocked artery in one of your legs. The graft can be a vein taken from your body (often from the other leg) or a synthetic tube.
- Vascular access for hemodialysis: A surgically created vein removes and returns blood during hemodialysis, filtering as much blood as possible per treatment.
- Venous reconstructive surgery: This technically complex procedure is not performed frequently, but may be done when a vascular surgeon must reestablish the patient’s venous circulation.
- Thoracoscopic upper dorsal sympathectomy: A minimally invasive technique to help restore healthy blood flow in peripheral vascular disease of the upper limbs.
- Fibrinolytic treatment: Also called thrombolytic therapy, this is used to treat acute arterial occlusions by activating plasminogen, which deconstructs plasmin and leads to thrombus breakdown.
- PGI2 (Ilomedin): A therapy for small vessel occlusive disease (Raynaud, cholesterol emboli).
Meet the Director
Moshe Halak, MD
Director, Department of Vascular Surgery
Dr. Halak is a highly qualified general and vascular surgeon. He completed his specialization in the USA and Israel. He heads Sheba’s cutting-edge department, where surgeries, endovascular procedures, and medical therapies are performed. Dr. Halak is one of the only physicians in Israel who is experienced in the cutting-edge stent-graft (JOTEC) treatment for aortic aneurysm. He received his medical degree with honors from the Faculty of Medicine, Technion Institute, Haifa, and he is an esteemed member of the Israeli Medical Association and Israeli Society of Vascular Surgery.
Moshe Halak, MD
Sheba’s Holistic Approach to Healing
Vascular disease can be caused by a wide variety of health conditions and treated with a range of surgical, endovascular, and medicinal techniques. That’s why a multidisciplinary medical approach is essential. At Sheba, experts from many hospital departments collaborate to determine the most effective, personalized treatment program for your condition. In addition, we also offer assistance with any lifestyle changes that are recommended. With a focus on your overall well-being – physical and emotional – we have a full team of supportive therapists to serve you conveniently on our vast, all-inclusive campus.