Outpatient & day-care

Our OPD staff and facilities are aimed at providing a detailed consultation and solutions for patients with all types of blood vessels disorders. Our OPD services include:

• The Vein centre: Deals with all cases of vein disorders (varicose vein, venous malformation)

• Centre for Vascular access (Haemodialysis): For patients with chronic kidney disease requiring dialysis, AV fistula, AV grafting, Permacath insertion, Salvage of AV ACC

• Diabetic foot and Advance wound care centre: For all diabetes patients requiring foot counselling, footcare, debridement and many advance dressings.

• Vascular Medicine: Vascular surgery does not only mean surgery. There are many diseases which require medical management and continuous care.

• Vascular Lab: We have a laboratory where we evaluate patients with vascular disease, screening and follow-up.

Vascular Surgery

Advance Endovascular Treatment

Advanced endovascular surgery is used to treat problems of blood vessels including and not limited to:

• Angioplasty: Angioplasty is a minimally invasive procedure to open up the blocked vessel. Different types of balloons are placed in the blocked area of the vessel and inflated. This opens up the blocked artery and increases blood circulation immediately. The patient is relieved from pain immediately.

• Stenting: Many places to keep the vessel open we need to place a stent. It is a tubular metallic tube.

• Hybrid Procedure: In a complex vascular disease where we have to perform the endovascular intervention and open surgery. We have the Hybrid OT to perform both the procedures together.

• Thrombolytic Therapy: Blocked arteries or veins with blood clot require clot lysis to increase flow in the vessel.

  • Catheter-directed thrombolysis

  • Systemic thrombolysis

Aneurysm

Some blood vessels especially arteries bulge and may even burst like a balloon. These localised arterial bulges are called aneurysms.

Types of aneurysm include:

• Thoracic Aortic Aneurysm

• Abdominal Aortic Aneurysm: Pulsatile bulge in the abdomen is the presenting complaint.

• Peripheral Aneurysms: Low abdominal and lower limb arterial bulge.

Venous Diseases

Commonest venous disorders are varicose vein, deep vein thrombosis, venous ulcer. Patient visit to our OPD with a dilated bunch of veins in the leg (varicose vein). Unexplained sudden leg swelling could be deep vein thrombosis. This needs urgent medical attention. The chronic venous disease requires long-term medical care.

• Venography: Venography involves X-ray analysis of the blood vessels posts administration of a contrast medium for easy detection.

• Venoplasty and Stenting: Some of the vein blockages need opening by venoplasty (opening of the blocked vein with Balloon) and stenting.

• Thrombolysis: A blood clot in deep veins require clot lysis (systemic/catheter-directed)

• IVC filter placement: Deep venous thrombosis has the tendency of migration of clot to the lung. To prevent this Filter is placed in IVC to prevent pulmonary embolism which is a serious complication.

• Endovenous Laser/ Radio Frequency Ablation: Minimal invasive intervention to treat the varicose vein. It does not require any cut/incision. It is a daycare procedure.

• Sclerotherapy: It is a Daycare/OPD procedure to block superficial visible veins in the leg.

• Vascular Access Salvage: Vascular Access (AV Fistula, AV grafting) is done for haemodialysis.

• Because of many regions, the flow during dialysis decreases. This could be because of the narrowing of the vessel. This can be treated by angioplasty and stenting.

Arteriovenous Malformation

A birth condition characterised by abnormal connection of arteries and veins, especially seen in the brain and the spine. This can lead to seizures, headaches and internal bleeding. Treatment includes

• Endovascular treatment

• Sclerotherapy