• Carotid / Renal / Subclavian angiography and angioplasty with stenting
• Peripheral angiography with angioplasty of arm or leg arteries
• Aorta and Visceral artery angioplasty
• Venous angiography with IVC filter placement and angioplasty of stenotic veins.
• Management of Deep Vein Thrombosis (including placement of IVC filters)
• Covered Stent Grafts for Trauma, Arterio-Venous Fistulae and Aneurysms

• Carotid endarterectomy - Surgery for Stroke Prevention
• Bypass Surgery for Leg Arteries
• Management for gangrene of limbs to prevent amputation
• Surgery for Aortic Aneurysm/ Aortic occlusion
• Emergency surgery for vascular injury in Accident and Trauma
• Vascular control for bleeding vessels/ Tumour Vascular control

KNOW VASCULAR DISEASES

Swollen legs due to deep vein thrombosis are a fairly common presentation. These are effectively treated by compression stockings and compression therapy. A rare but serious complication of DVT is dislodgment of the clots from the legs to the lungs

Angiography is a special dye test of the blood vessels. It is done under local anaesthesia, on a mobile X-ray machine in our vascular Cath Lab. Angiography of the legs, arm or neck vessels is done regularly.

The blood vessels can also be studied by a non invasive method - Doppler. It is similar to an ultrasonography (USG) examination. This investigation also helps to detect peripheral vascular (PVD) or arterial blockage, DVT, etc.

Varicose veins are prominent and tortuous veins in legs, which can cause pain, ulcer and swelling. They are managed by injection sclerotherapy or operation depending on the severity.

Stroke or Brain attack usually occurs due to blockage of arteries in the neck, which carry blood to the brain (carotid artery). This blockage can be cleared by an operation called Carotid Endarterectomy.

An aortic aneurysms is ballooning of the main artery of the body, usually in the abdomen. It is major risk to life if it leaks or ruptures. An open surgery with a tube graft is performed to prevent this complication.

Leg arteries are blocked due to atherosclerosis, hardening of the arteries. Eventually, as the process progresses, your blood vessels can no longer supply the oxygen demands of your organs or muscles and symptoms may develop. During a bypass, the vascular surgeon creates a new pathway for blood flow using a graft or bypass. A graft is a portion of one of your veins or a man-made synthetic tube that your surgeon connects above and below a blockage to allow blood to pass around it.

• Rajiv Parakh, Sumit R, Ishita Sen, Sandeep Agarwal, Tarun Grover and Ajay Yadav. Pulmonary embolism: A frequency Occurrence in Indian Patients with Symptomatic Lower Limb Venous Thrombosis. Asian Journal of Surgery Vol. 29, No. 2, April 2006
• Dr. Rajiv Parakh. Vascular Access and Specialized Technique of drug delivery. Practical Pediatric Hematology. Indian Academy of Pediatrics Presidential Action Plan 2006