About Vascular and Endovascular Surgery

The Vascular and Endovascular Surgery Department at Dr.Kamakshi Memorial Hospitals is esteemed as a premier provider of vascular healthcare in Chennai. Renowned for its specialized diagnostics and treatments, the department caters to patients with conditions such as peripheral artery disease, varicose veins, atherosclerosis, arteriovenous malformations, and other vascular disorders.Comprising seasoned, skilled surgeons trained at top international medical institutions, the surgical team merges their extensive expertise and the latest advancements in medical research to craft tailored and impactful treatment strategies for their patients. This accomplished team is supported by an efficient group consisting of nurses, laboratory technicians, and assistive staff members, ensuring comprehensive patient care.

Vascular surgeons are highly trained professionals who diagnose and manage various vascular conditions affecting different parts of the body. Some of the common conditions to treat includes,

Varicose Veins - Enlarged, twisted veins, usually in the legs, caused by damaged valves.
Peripheral Arterial Disease (PAD) - A condition where narrowed arteries reduce blood flow to the limbs, leading to pain, numbness, or other complications.
Carotid Artery Disease - Buildup of plaque in the carotid arteries, which can cause strokes.
Deep Vein Thrombosis (DVT) - Blood clots in the veins, often in the legs, which can lead to serious complications if they travel to the lungs
Aneurysms - Ballooning or weakening of blood vessel walls, commonly seen in the aorta.
AV access for dialysis

Vascular surgeons utilize various diagnostic techniques such as ultrasound, CT scans, MRIs, and angiography to assess and diagnose vascular conditions. Treatment options range from medication and lifestyle changes to surgical interventions.

In traditional open surgery, procedures involve making incisions to directly access and repair or replace diseased blood vessels. Endovascular procedures, on the other hand, involve minimally invasive techniques where surgeons use catheters and tiny instruments threaded through blood vessels to perform repairs, often using stents, balloons, or other devices to restore proper blood flow

The choice of procedure depends on factors such as the patient's condition, the location and severity of the vascular problem, and their overall health. Vascular and endovascular surgery has evolved ignificantly, with an increasing emphasis on minimally invasive techniques that often result in reduced recovery times and fewer complications compared to traditional open surgeries.

OPEN VASCULAR PROCEDURE

Open surgical vascular procedures involve traditional surgical techniques where incisions are made in the body to directly access and treat problems affecting the blood vessels. These procedures are performed by vascular surgeons and are used to manage various vascular conditions.

Some common open surgical vascular procedures include:

Aneurysm Repair

Aneurysms are weakened areas in blood vessel walls that can balloon and pose a risk of rupture. Open surgery may involve removing the weakened section of the blood vessel and replacing it with a synthetic graft or repairing it with sutures to prevent rupture

Arterial Bypass Surgery

This procedure is performed to restore proper blood flow in cases of severe arterial blockages. It involves using a graft (either a vein from the patient's body or a synthetic tube) to create a detour around the blocked artery, allowing blood to bypass the blockage and reach the affected area.

Endarterectomy

In cases of significant plaque buildup within an artery, particularly the carotid arteries in the neck, an endarterectomy may be performed. The surgeon removes the plaque buildup from the inner lining of the artery, reducing the risk of stroke.

Peripheral Vascular Procedures

Various open surgeries are performed to treat conditions affecting the peripheral arteries and veins. These procedures might involve removing blood clots, repairing damaged vessels, or restoring blood flow to the limbs affected by peripheral artery disease (PAD).

Vascular Trauma Surgery

In cases of severe vascular injuries due to trauma, open surgery may be required to repair damaged blood vessels and restore blood flow.

Open surgical procedures for vascular conditions generally involve larger incisions and longer recovery times compared to minimally invasive endovascular procedures. However, open surgery allows direct access to the affected area, providing the surgeon with a clearer view and better access for complex repairs. The choice of procedure depends on factors such as the patient's condition, the location and severity of the vascular problem, and their overall health.

ENDOVASCULAR PROCEDURE

Endovascular procedures are minimally invasive techniques used by vascular surgeons to diagnose and treat various conditions affecting the blood vessels, including arteries and veins. Unlike open urgical procedures that involve large incisions, endovascular procedures are performed through small incisions or punctures in the skin using specialized catheters and imaging guidance. These procedures are carried out in an interventional suite or catheterization laboratory.

Some common endovascular procedures include:

Angioplasty

A balloon-tipped catheter is inserted into the narrowed or blocked blood vessel. The balloon is inflated to widen the vessel and improve blood flow. Sometimes, a stent (a mesh tube) is placed during angioplasty to keep the artery open.

Stent Placement

Stents are small, mesh-like tubes inserted into narrowed or weakened arteries to help support their walls and keep them open, promoting proper blood flow

Thrombolysis

This procedure involves using medications delivered directly into the blood clot via a catheter to dissolve or break up the clot, restoring blood flow in cases of deep vein thrombosis (DVT) or other clot-related issues.

Embolization

Small particles or coils are placed into abnormal blood vessels or aneurysms to block or reduce blood flow to the affected area, treating conditions such as arteriovenous malformations (AVMs) or controlling bleeding

Atherectomy

Specialized catheters equipped with cutting or grinding devices are used to remove plaque buildup within arteries, improving blood flow

Endovascular Aneurysm Repair (EVAR)

For some abdominal aortic aneurysms, a minimally invasive approach involves inserting a stent graft through small incisions in the groin area to reinforce the weakened section of the aorta, reducing the risk of rupture

Endovascular procedures offer several advantages over open surgery, including smaller incisions, shorter hospital stays, faster recovery times, and reduced risk of complications. However, not all vascular conditions can be treated using endovascular techniques.

At Dr.Kamakshi Memorial Hospital, Pallikaranai Chennai we focus on offering an exemplary service. From initial consultation through to final diagnosis, treatment and beyond. Our multidisciplinary team of expert doctors, nurses, and technologists are here to offer tailored management and treatment of your condition, and to answer any questions that you may have throughout your time with us. Whatever you require, we are simply a phone call away.

Schedule an appointment now with the best vascular surgeon in Chennai, Tamilnadu, India.